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Permit No. 13736 BUILDING ADDRESS: 14039 NIGHT SONG COURT PLAN CHECK NUMBER: 13736 re 1 �� BUILDING INFORMATION APPLICANT INFORMATION , / ,, o�� BUILDING PLAN CHECK Address: 14039 NIGHT SONG COURT Name 1STAMPFL ENGINEERING 1 ,� + Community Development APN 11024-471-09 Address 112709 EAST END AVENUE . ' w 2001 Grand Avenue Lot 15 City,Zip Code CHINO,CA 91709 1 .•-•:- Chino Hills,CA 91709 +::;;;;:?m Cross Streets GIANT FOREST LOOP Phone/Pager (909)628-9611 I ext 1 ",..,TY OF..°m LICENSED CONTRACTOR DECLARATION Tract/Parcel 13814-2 City Bus Lic# N/A 1 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$20,592 00 ENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect OWNER INFORMATION Name STAMPFL ENGINEERING OWNER BUILDER DECLARATION Name DANNY RUIZ Address 12709 EAST END AVENUE i hereby affirm that I'm exempt from the Contractor's License Law for the following reasonAddress 14039 NIGHT SONG COURT City,Zip Code CHINO,CA 91710 property, y p y g t Zip Phone (909)628-9611 ext I,as the owner of theor m employees ees with wages as their whole Ci Code CHINO HILLS,CA 91709 Q compensation,will do the work,and the structure is not intended or offered for sale Phone (909)590-2069 1 ext 1 Lie# RCE 19344 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# 1N/A City Bus Lic 4 N/A I construct the project • I am exempt under Section I BPC for this reason I I Bus Exp 1 APPROVAL INFORMATION Issued ByYVETTE MARTINEZ WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Contractor TO BE DETERMINED Date Issued 2/10/99 I hereby affirm under penalty of perjury one of the following declarations Address Finance Code C7 I have and will maintain a certificate of consent to self-insure for workers'compensation Census Code Q as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code which this permit is issued Phone or Pager ext Final Date ••- Bus Lic# 1 1 Final By I have and will maintain workers'compensation,as required by Section 3700 of the Lie # Extension Q Labor Code,for the performance of the work for which this permit is issued My • workers'compensation insurance camer and policy number are Exp Date Reviewed By Lic Class Approved By ` INSURANCE INFORMATION ` PROJECT DESCRIPTION LOCATION SQUARE FT. •Insurance Company 1TO BE DETERMINED }Policy Number 1 1 PROJECT INFORMATION Expiration Date 1 1 Structure ® Section need not be completed if permit is for one hundred dollars($100)or less Garage Patio I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of Porch RET WALL REAR 344 California and agree that if I should become subject to the workers'compensation provisions of Other 1RET WALL 1 REAR 1 1372 Section 3700 of the Labor Code I shall comply with those provisions PROPOSED USE 86 X 4 RETAINING WALL AND 196 X 7 RETAINING WALL Date: i i Signature: i I certify I have read this application and state that the above information is correct I agree to COMMENTS comply with all City Ordinances and state laws and hereby authonze representatives of this City to enter upon the above mentioned property for inspection purposes A ✓1 Date: i 2—to—9q i Signature: i /J,�' ,4'7—-- i OTHER FEES ZONING SETBACKS GRADING REQUIRED PRIOR TO PLAN CHECK FEE INFORMATION ACTUAL PERMIT Zoning 1PD 1 Front Yard 20 Over X 0 Initial Plan Check $168 48 Land Use 1FR-1 Side Yard 5/10 Cut 0 School NO Initial Structural $0 00 Plan RET WALL Rear Yard 15 Development NO Total Fee Due $168.48 Fill 0 Sewer NO Initial Geo Review $0 00 Occ SSY 30 Total 0 Water NO Initial Grading $0 00 Type DUCO ENGINEERING, INCO.PORATED 20938 CURRIER ROAD WALNUT, CALIFORNIA 91789 (626) 964-3449 (909) 594-7414 FAX(909) 594-3853 REPORT OF FIELD INSPECTION CLIENT: ► Jz R `7_ O 1 _ DATE: Y-'`"Q---- 8i(V ", J _ �r4 S�/� C�_ , JOB NUMBER: 99 l5 `n i.1— � S� l� VENDOR NUMBER• JOB IDENTIFICATION: - 1n Y\-P.- =�q fte4 ci,.. (Pa,fcsei ky p �. // The footing excavations listed below have been inspected by a member of this firm and are properly founded into material for which the bearing values recommended are applicable. The cast-in-place drilled friction piles / belled caissons listed below have been inspected by a member of this firm and are imbedded into, or are founded upon material for which the allowable supporting capacities reconimended are applicable. The diameter and depth of the excavation meets the minimum requirement specified on the approved Foundation Plans. The swimming pool excavation has been inspected by a member of this firm and was found to be imbedded into approved soils as anticipated in our previous report dated : The swimming pool excavation is therefore approved for construction. The expansive soils for the locations listed below were found to be properly saturated to the required depth and are hereby approved for the pouring of the concrete floor slabs. COMMENTS: N •l .A) A II A.--c-4-(r\A c'Dvr IA to 1JVG' I I. i,/l ,`d3 -1 :rin✓1 A c 0,1 i p chi, 1 Note: The observations reported above do not constitute an approval of the location, design, or reinforcement of the foundation or .ol excavation. All loose, soft or disturbed soils must be removed from the excavation prior to the placement ii,ct �. •r concrete. �( \�NGF4 /� ,<c, N,<' `1,,,, - /�. ��� DUCO E ! I ERING, INC. w 39� , Exp /L 'ab ��91F OF CAV\F���