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Permit No. 12858 BUILDING ADDRESS: 2520 LA SALLE POINT PERMIT NUMBER: 12858 BUILDING INFORMATION APPLICANT INFORMATION �� BUILDING PERMIT APPLICATION Address: 2520 LA SALLE POINT Name: 1WEST PAC HEAT&AIR -' Community Development P APN: 11032-171-35 Address: 1226 N.SHERMAN AVE.#A 1 2001 Grand Avenue 's Lot: 1108 City,Zip Code. (CORONA,CA 91720 Chino Hills,CA 91709 ` '.. Cross Streets 1POINT COUPES Phone/Pager: 19097399501 I ext. „..Or,o..„. Li LICENSED CONTRACTOR DECLARATION Tract/Parcel 113792 I City Bus Lic#: 02995 I hereby affirm that I'rn licensed under the provisions of Chapter 9(commencing with Section Valuation 1$2,500.00 7000 of Division 3 of the Business and Professions Code)and my license is in full force and EN NEER/ARCHITECT INFORMATION effect OWNER INFORMATION Name: 1N/A OWNER BUILDER DECLARATION Name: 1SELTZER Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address 12520 LA SALLE POINT City Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code: (CHINO HILLS,CA 91709 I Phone: I ext I 0 compensation,will do the work,and the structure is not intended or offered for sale Phone: (909)393-7398 l ' I Lic#: 1,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie#: N/A City Bus Lic#: construct the project. Bus Exp. 0 I am exempt under Section i 1 BPC for this reason 1 i APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION I hereby affirm under penalty of perjury one of the following declarations: Contractor: WEST PAC HEAT&AIR I Approved By: lYV ETTE MARTINEZ Address: 1226 N SHERMAN AVE.#A Date Issued. 9/3/98 I have and will maintain a certificate of consent to self-insure for workers'compensation 0 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: KORONA,CA 91720 Finance Code. C4 which this permit is issued. Phone or Pager. 1(909)739-9501 I ext. I i Census Code. Bus.Lic.#. 02995 1 Final Date ,—Li'V. I I have and will maintain workers'compensation,as required by Section 3700 of the Lie #: 1585972 Final By. Labor Code,for the performance of the work for which this permit is issued My • 0 : .g:.L.: ," ,, workers'compensation insurance earner and policy number are: Exp Date: 112/31/99 Extension: INSURANCE INFORMATION Lie Class 1C20 Reviewed By Insurance Company Kalif Comp PROJECT DESCRIPTION LOCATION SQUARE FT. Policy Number. 1G97 1 1 1 7248 PROJECT INFORMATION Expiration Date: 11/1/99 Structure: 1 1 1 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 • I certify that in the performance of the work for which this permit is issued I shall not employ Patio I 1 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: I 1 1 1 California and agree that if I should become subject to the workers'compensation provisions of Other FURNACE C/O 1ATTiC 1 Section 3700 of the Labor Code. I shall comply with those provisions PROPOSED USE FURNACE C/O Date: i I Signature: i 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 authorize representatives of this City c1 u �� I" i to enter upon the above mentioned property for inspection purposes COMMENTS �'/ ( / �� -kkt! /J' Date: I l' 3/q� I Signature: I �l^��` i r I F ZONING SETBACKS GRADING PERMIT FEE INFORMATION Zoning: 1PD 1 Front Yard: EXISTING 1 Over X 1 0 Issuance: 1 $33.30 1 Electrical: $0.00 Land Use 1FR-1 1 Side Yard: 1 Cut Permit Fees: $53.28 1 1 0 Plan Check 1 $0 00 Plumbing: 1 $0.00 Plan IRear Yard Fill I0 SMIP. 1 $0 00 Mechanical: $19 98 Structural $0 00 oce: 1R31 SSY. 1 I Total: 0 1 1 Total Fee Due I $53.28 Type: IVN Geo Review: 1 $0 00 1 Grading 1 $0 00 INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections : Pregrade Meeting Footing, ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools : Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence, Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning, etc Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing Thrust Blocks U/F Water Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release Foundation Inspection: Gas Test Setback/Footing UFER Ground(Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs NO OCCUPANCY PERMITTED WITHOUT FINAL! Piers/Caissons/Tendons County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) ) Shear Inspection(Wood): Planning Dept (364-2790 Roof Nailing Public Works (364-2770) Fire ) Exterior Walls (393-3888 Interior Walls Landscape (364-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: Final Ectric Framing Final 5rade Fina Plumbing Rough Electric Rough Mechanical E..1,5614 Final Mechanical Rough Plumbing/Topout Final Building/Construction mei IPV ih. . COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY Drywall Inspection: OK TO ISSUE Interior Exterior OTHER: t-PtC r44,1j Lath I } • Stucco Scratch MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties, Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final •