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Permit No. 18401 hUILDING ADDRESS: 5408 KNIGHT COURT PERMIT NUMBER: 18401 �\ BUILDING INFORMATION APPLICANT INFORMATION - � • BUILDING PERMIT APPLICATION Address: 15408 KNIGHT COURT Name. 1BLUE HAVEN POOLS 5 Community Development APN: 1028-601-65 Address: 2318 S.VINEYARD AVE 2001 Grand Avenue � '�^�� Lot: 15 � City,Zip Code: ONTARIO,CA. . - .� Chino Hills,CA 91709 is... Cross Streets. 1 / Phone/Pager (909)947-6474 I ext. n'1" ° . LICENSED CONTRACTOR DECLARATION Tract/Parcel: 115748 / City Bus Lic#: 01-03376 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section "Valuation: $25,0000" ENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and � effect. OWNER INFORMAfI(TN Name. IRON LACHER OWNER BUILDER DECLARATION Name: HERNANDEZ Address 1201 N TUSTIN AVENUE I hereby affirm that I'm exempt from the Contractor's License Law for the following reason. Address: 54081KNIGHT COURT City,Zip Code. ANAHEIM,CA I,as the owner of the property,or my employees with wages as their whole City,Zip Code- CHINO HILLS,CA 91709 Phone. 1 ext. 0 compensation,will do the work,and the structure is not intended or offered for sale. Phone: ext. I Lie#. I,as owner of the property,am exclusively contracting with licensed contractors to0 Bus Lic#. ` City Bus Lic# construct the project. I am exempt under Section i i BPC for this reason I Bus Exp. \ APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By ILAURO BUGARIN I hereby affirm under penalty of perjury one of the following declarations Contractor. BLUE HAVEN POOLS Date Issued: 17/13/01 Address 2318 S VINEYARD AVE Finance Code• C4 i have and will maintain a certificate of consent to self-insure for workers'compensation O as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code ONTARIO,CA. Census Code which this permit is issued Phone or Pager. 1(909)947-6474 1 ext. Final Date I VFX Bus Lic#. 01-03376 ' �/� I have and will maintain workers'compensation,as required by Section 3700 of the Final By A. i� 7 0 Labor Code,for the performance of the work for which this permit is issued My Lic.#: 1618892 Extension. 1 ' �~ workers'compensation insurance carrier and policy number are Exp Date: 5/31/03 Reviewed By LAURO BUGARIN Lic.Class: C-53 Approved By. LAURO BUGARIN INSURANCE INFORMATION Insurance Company. CALAREDON 6-- PROJECT INFORMATION Policy Number: 03KR000891 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date. 13/10/02 Structure O Section need not be completed if permit is for one hundred dollars($100)or less Garage: 0:certify that in the performance of the work for which this permit is issued i shall not employ Patio- ny person in any manner so as to become subject to the Workers'Compensation Laws of Porch• California and agree that if I should become subject to the workers'compensation provisions of Other: POOL AND SPA IREAR Section 3700 of the Labor Code I shall comply with t .se provisions. I � PROPOSED USE POOL AND SPA Date: Signature: Olt7%W! "— Y I I certify I have read this application and state that the above information is correct I agree to comply with all City Ordinances and state laws and hereby authonze representatives of this City to COMMENTS enter upon the ab e m tioned property for inspection p. noses. % M 1 Date: Signature: W o' pr'pr it ah /t R FEES REQUIRED ZONING SETBACKS GRADING PRiOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning. PD Front Yard 18 Over X: 0 Issuance: $29.00 1 Electrical. $90.00 Land Use: Side Yard: 5/5 Cut 0 School NO Plan Check $0 00 Plumbing $0.00 Permit Fees: $421.40 Plan: POOL Rear Yard: 15 Development: NO Fill: 0 SMIP: 1 $0.00 1 Sewer NO Mechanical. $0 00 Structural: $302.40 Occ• R3 SSY• Total. 0 Water: NO Total Fee Due 1 $421.40 Type VN Geo Reviews $0.00 Grading. $0.00 • • INSPECTION RECORD Permit Number Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL.! Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade U.G.Waste Plumbing Final Electric Water Service Final Plumbing Storm Drain/Catch Basins Final Mechanical U/G Conduit/Electrical Final Building/Construction Compaction Report Water Meter Number ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION• Footings CERTIFICATE OF OCCUPANCY UFER Ground(Rebar/Copper) Hardware/Hold-Downs Piers/Caissons/Tendons OTHER: Slab Grade DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED, Shear Roof Nailing Exterior Walls Interior Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Interior/Exterior Lath Stucco Scratch Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/Bonding/Light e/4// X •Q Gr Conduit r Ro Elect == .y POOL NOT TO BE FILLED UNTIL FENCI I COMPLETE, • /��— Fence,Gate&Alarm 2 �� �v ��%� Final Pool Temp Power Pole Electric Release Gas Test ,# a A7"_)