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Permit No. 14887 BUILDING ADDRESS: 14039 NIGHT SONG COURT PERMIT NUMBER: 14887 �� BUILDING INFORMATION APPLICANT INFORMATION / ,,-,h oto BUILDING PERIIIT APPLICATION Address. 140391NIGHT SONG COURT Name STEVE KRAMER -to' Community Development APN 11024-471-09 I Address 12914 RHODELIA «'`r' 2001 Grand Avenue io Lot 115 I City,Zip Code 1CLAREMONT,CA 91711 ---.{ Chino Hills,CA 91709 . '. Cross Streets I Phone/Pager 1(909)208-4162 I ext CRY°'°D°HELLS LICENSED CONTRACTOR DECLARATION Tract/Parcel '13814-2 City Bus Lic# 199-03652 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$6,480 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 IN/A OWNER BUILDER DECLARATION Name MR RUIZ Address I 1 i hereby affirm that I'm exempt from the Contractor's License Law for the following reasonAddress 14039 NIGHT SONG COURT I 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 1 © O compensation,will do the work,and the structure is not intended or offered for salePhone e I Lic# ® I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# N/A City Bus Lie# construct the project I Bus Exp APPROVAL INFORMATION Illi © I am exempt under Section i i BPC for this reason i WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By 1YVETTE MARTINEZ I hereby affirm under penalty of penury one of the following declarations Contractor 'STEVE KRAMER Date Issued 109/07/1999 Address 12914 RHODELIA Finance Code 1C4-SM 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 ICLAREMONT,CA 91711 Census Code which this permit is issued Phone or Pager (909)208-4162 ext 1 Final Date f b . - VV Bus Lie# 199-03652 Final By I t� I have and will maintain workers'compensation,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued My Lic # 1562345 Extension workers'compensation insurance earner and policy number are Exp Date 13/31/99 Reviewed By 'STEVE PATTERSON It Lic Class 1C29 Approved By 'STEVE PATTERSON INSURANCE INFORMATION Insurance Company 'STATE FUND I PROJECT INFORMATION Policy Number 111 9207 I 4111 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 13/31/00 I1 I I tructure ® Section need not be completed if permit is for one hundred dollars($100)or less Garage II I certify that in the performance of the work for which this permit is issued I shall not employ Patio 1LATTICE 1REAR I 540 or any 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 Section 3700 of the Labor Code I shall comply with those provisions Other ELEC (PATIO LATTICE PATIO COVER WITH(1)LIGHT AND(1)SWITCH PROPOSED USE 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 urprepresentatives of this City COMMENTS to enter upon the above mentioned property for inspection poses �/ Date: 1 ?7 7(q q I Signature: 14`. /�� 113 -tom- HER FEES REQUIRED V% ZONING SETBACKS TRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE ZoningPD Front Yard 30 I Over X 1 0 Issuance ' $29 00 1 Electrical 1 $4 50 ' Land Use FR-1 Side Yard 5 Cut 0 School NO Permit Fees: $211.70 Development NO Plan Check 1 $70 20 I Plumbing 1 $0 00 Plan ' I Rear Yard 15 Fill 0 I pSMIP 1 $0 70 Occ 'ACCESSORY I SSY 20 Total 1 0 Sewer NO I Mechanical 1 $0 00 1 Structural 1 $108 00 1 Type ITO R3 VN ' Water NO Geo Review 1 $0 00 1 Grading 1 $0 00 1 Total Fee Due $212.40 • INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing, ReBar Rough Grade 1st Lift Bond Beam Terraces r • 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Ce:ificaton 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 Storm Drain/Catch Basins Gr Conduit/Ro Elect U/G Conduit/Electrical Pre-Deck 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 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) Interior Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo Inspection: Trust Accounts .. (364-2769) Framing ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric Final Electric Rough Mechanical Final Grade Rough Plumbing/Topout Final Plumbing COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical Insulation Final Building/Construction /Ii-z-cy • j_/ Drywall Inspection: Water Meter Number • Interior Exterior CERTIFICATE OF OCCUPANCY Lath OK TO ISSUE Stucco Scratch MISCELLANEOUS INSPECTIONS OTHER: Masonry Fireplace Plate Ties,Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final S 1111