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Permit No. 13736 (2) BUILDING ADDRESS: 14039 NIGHT SONG COURT PERMIT NUR: 13736 BUILDING INFORMATION APPLICANT INFORMATION ' ,a- .� BUILDING PERMIT APPLICATION Address. 14039 NIGHT SONG COURT Name (STEVE KRAMER , t. Community Development - APN 11024-471-09 Address 12914 RHODELIA -0'4,7,, ,, 2001 Grand Avenue '` :.=, - Lot 15 City,Zip Code ICLAREMONT,CA 91711 .- Chino Hills,CA 91709 1A+: Cross Streets 1GIANT FOREST LOOP I Phone/Pager 1(909)626-1968 1 ext 1 CRY °'CHES°° ' LICENSED CONTRACTOR DECLARATION Tract/Parcel 113814-2 I City Bus Lic# 199-03652 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$20,592 00 1 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 reason Address 14039 NIGHT SONG COURT City,Zip Code CHINO,CA 91710 property, g y Zip Phone (909)628-9611 ext I,as the owner of theor myemployees with wages as their whole Cit Code CHINO HILLS,CA 91709 ® compensation,will do the work,and the structure is not intended or offered for salePhone (909)590-2069 1 ext Lic# RCE 19344 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# N/A City Bus Lie# N/A construct the project I 0 I am exempt under Section I I BPC for this reason I Bus Exp I APPROVAL INFORMATION 111111 WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By 1YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor STEVE KRAMER I Date Issued 15/24/99 Address 2914 RHODELIA Finance Code IC4 I have and will maintain a certificate of consent to self-insure for workers'compensation ® as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code CLAREMONT,CA 91711 I Census Code 1 1 which this permit is issued Phone or Pager (909)626-1968 ext Final Date AO--'1 "V'd Bus Lie# 99-03652 Final ..-���"��� I have and will maintain workers'compensation,as required by Section 3700 of the By I � _1 0 Labor Code,for the performance of the work for which this permit is issued My workers' Lic # 562345 �i Extenswn compensation insurance earner and policy number are Exp Date 3/31/01 I Reviewed By 1KEITH L PRYOR Lic Class C29 INSURANCE INFORMATION Approved By (KEITH L PRYOR Insurance Company (STATE FUND I PROJECT INFORMATION Policy Number 1119207 I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 14/1/00 I I I I 1 1 Structure © Section need not be completed if permit is for one hundred dollars($100)or less Garage I I certify that in the performance of the work for which this permit is issued I shall not employ Patio I I any person in any manner so as to become subject to the Workers'Compensation Laws of Porch (RET WALL (REAR 344 0 California and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code I shall comply with those provisions Other 1RET WALL 1 (REAR 1 1 1372 PROPOSED USE 86 X 4 RETAINING WALL AND 196 X 7 RETAINING WALL 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 authonze representatives of this City to enter upon the above mentioned property for inspection purposes COMMENTS /l (AI Date: 1.5/ate( /qq I Signature: 1,04%--- A-.7......-0,--, I OTHER FEES REQUIRED ZONING SETBACKS - GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning IPD Front Yard 20 Over X 1 0 I Issuance 1 $29 00 I Electrical 1 $0 00 Land Use IFR-1 I Side Yard. 5/10 Cut I 0 School I NO 1Permit Fees: $288.20 Plan RET WALL Rear Yard 15 DevelopmentPlan Check $0 00 Plumbin $0 00 Fill 0 I NO g SMIP 1 $0 00 Occ (ACCESSORY I SSY 30 Total 1 0 Sewer I NO 1 Mechanical I $0 00 I Structural 1 $259 20 1 Type ITO R3 VN Water I NO I Geo Review I $0 00 1 Grading $0 00 Total Fee Due $288.20 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 11 _..01 Storm Drain/Catch Basins Gr Conduit/Ro Elect 1 0" - ,N I . U/G Conduit/Electncal Pre-Deck / Y' DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Verify Soils Engineering: Fence,Gate&Alarm Compaction,moisture,conditioning,etc Final Pool Underfloor/Underslab Inspection: Fire Protection Equipment: U/F Waste Plumbing UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical m, Flush U/F Framing Weld Outlet Insp Insulation Overhead Hydro Subfloor ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Temp Power Pole Foundation Inspection: Electric Release Setback/Footing Gas Test UFER Ground(Rebar/Copper) Hardware/Hold-Downs FINAL INSPECTIONS Piers/Caissons/Tendons NO OCCUPANCY PERMITTED WITHOUT FINAL I DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391-7570) Roof Nailing Planning Dept (364-2750) Extenor Walls Public Works (364-2770) Intenor Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo Inspection: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Framing Final Electnc Rough Electnc Final Grade Rough Mechanical Final Plumbing Rough Plumbing/Topout Final Mechanical COVER NO WORK UNTIL ABOVE IS APPROVED Final Building/Construction /r/-•JZ---ems '75't1 Insulation Water Meter Number Drywall Inspection: Intenor CERTIFICATE OF OCCUPANCY Exterior OK TO ISSUE Lath Stucco Scratch OTHER: MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final • 110