Loading...
Permit No. 0341 rii 7 APPLICATION FOR A BUILDING PERMIT AMD A CERTIFICATE OF USE & OCCUPANCY CITY OF CHINO HILLS 4-p , ! /03r064— l0 =. I NC t I CLEARED BY APPUCCATION TYPE NO C DD�Ess ©d e(r� �h /� fG/7 L6hP F DT 4'., St OCA A,-ie/ /711;4°TRACT /0 3 7, I C 14 I Pik 00 / ter-. I THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT: o 0 Iri ADDRESS ,, /�J 0 / 4 9T �l6-'4 T�44,Q/ RUGT C PLUMB C MECH 0 ELECT. y- O,Y 1%9/7 4)7 P/ iY� ZIP y'�80 (d, PH 5// ��©/ TYPE OF PROJECT !d'F�EW 0 ALTER 0 ADDITION y r (13a2 � wIEER V.1 1'a55 ✓,b',7 0 REPAIR 0 CONVERT ❑DEMO ❑OCCUPANCY PMT E ADDRESS/ 7o _S-4-5',4" 4,7,7S .ocii'/ i---.e.- PROJECT LOCATION ON SIZE . 7,--3 DESCRIPTION PRDPERtt IN SO FEET QTYd ,"P�`Yw_ 257JP9j?37 / PH38'9 49/5 DONTRsCiDRL /7.©/✓ L /5J/rC U.UC O S /.0 / %3 t G S-t o2. � .-5 ''''="S5,/,1R-8,0 ee)77,-4/ d94,e .2/5 p^,1 . l KoDUTY l / /.7 0 JP9/7/© Pr{ 6 ,/ - CCca- e 1i c 1 OTY BUSINESS LICENSE I REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION '? .IDENSE NO EXPIRATION DATe C�J� p UcNSED CONTRACTOR'S DECLI.RATION <' 4. -���+ . "2 0 3 `t I^e,ebl'ertum tetra!I am Stenzel)unbar prtNa+ons of Chapter 9(commencing with Seaton 7p00 of /,a (CI.c--.2., n Di.isron 3 of the Business an Prolessrons Code,arse my'.cense a in lull lore aria enact , / - License e Lxarw Number /r�4'9 7�3 _ y ay ;a:� - 9.'2. Cor7trata°r CT/U!Y C o.',�s'7 C 0 • I 61i(,Lr-c, 6 ! i2, ! t CTY AND ZIP fihih b 19/7/ C7 PHONE b -� 7 '�y-Z S I 0 / 1,/T.-/ CONSTRUCTION LENDING AGENCY ...-c,f CI-C.- . e4.‘ . 5 I hereby affirm that there is a construction lendmg agency for the performance of the work for w licA w ,/'''� 1 r Ih,f penmen is issued(Sat 5057,Cat,C)Lenbel'a Name i (,-1` � V k� C. A.--G, \ :MCer's Aooms$ S 1-VY I. f 14 DA'NER$UILDER DECIUARQ/ONI /� I hereby atfum that I am maampt from the Coniraaor'a License Law for the lollo.nng reason: 5- si"r / C / -- _I,as owner ol the property.or my employees with wages as taw sole compensatcn.ant oo megill f .... / C/ fi work,aria the strvae/re a non.ftended a°tiered for safe, � w I_I.as owner ol the property.am esausfeely eorxraprng with l•cens.0 Contractors to conaruc the I am mempl unser Sec B&PC ton this reason I 1 td • .7. v Day Perry Doe INITIAL 1 c uension Granted I WORKERS'COMPENSATION DETARATION I hereby affirm Inc I have a cand.cate o1 corners to sen:insure or a cend.Cale ot Worke's' Comaensat•on Insurance or a Cenr1A4 copy thereof POL11Y NO CO./Pk...Ye©0 T/ 9'`✓4/07lRSDh DATE EXPIRES i 1 I Cenrfea copy a hereby lum,shea r CITY VERIFI / ✓/�/� Gendee Copy is IrIK wen the Oily /,�/ � 1✓I/ � n -- 9 -3 ^ 9 GROUP r IDN One APPLIC-ANT ,�� CERTIFICATE OF EXEMPTION FROM WORKERS ' " ^' i _ ` I ce'uy that in tot perormance Of the work Ion which lois pe d is rSs ueQ-I Shellw�aE�p?!OY aEy�,� � „ ,,,,•,'.`• /' 'iyCJ *Son,n any manner SC as 1C become sub)CCl IC the WOrece C�wimp {ielY ilf ATQNt. :ale APPLICANT P�RMIT FEES NOTICE TO APPLICANT 11,aner making this Cend,cate of Es° ca.on,you should become sub)ea /� /� �)� I:me worsens Compensation provisions 01 the Labor Cope, v must IOnhwdn comply wet)such ELECTRICAL I STRUCTURAL. / �y J{ a•O.,s/On or this permit shall be oeemee revokeC r-/ /1 I rte ) P.UN5ING I I GRADING //'CC C/(J �y ~ I CERTIFY THAT I�/HAvE READ THIS APPLICATION AND S�E TFIxT' '5 CORRECT II.(,,GREE TO COM LY WITH ALL CITY°ROI NrlC AND STATE LAWS,AND MEGHANI✓l I ISSUANCE FEES ,EREPY UTNORIZE R RI NTATIVES OF TMeS TY TO ENTER UPON THE ABOVE J •/En NED/PROPE F P ION UR ES / / 'y///E/� /f 4E'REVIEW PLAN C?fECK �Ir/�/ .�/I`�� / -3- �- ISSUANC PRO.1 TOTAL PERMIT FE �// i * —moi u �7 E = S. al.',of Ao l.c$ d Agent / Da.. + / /� x •� ',�r/ /7.9G,)Yes F /07,r--. JJJ �r .i..- I PERMIT UM ( Eq/J-1/9 c..nt Aa DIKan1 s/AQenl t Name CITY . OF CHINO laiL LS -DDRESS O is, °► pa k Com///I1‘,1011 a ti GI 19, BLOCK g,,,,G.e / /7 TRALT/p37 BUILDING INSPECTIONS RECORD :.wNER /19 C h ea i Fe ) Ix POST IN CONSPICUOUS PLACE ON THE JOB ,OGRESS a L/U/ A-4S7 / r,/e2J'T DIY a A ,o,ft,,• /-; m 21P .9".? iI i/ 4j PH 55/ J ✓ O/ l� PLU�'MBBiNG DATE APPROVEDINSPR'S SIGNATURE GROUND SOIL P1 I I :,ROUND WATER P2 I I REMARKS -OF OUT P3 I SEWER P5 I I GAS TEST 6 I I I I FINAL PLUMBING P12 I I MECHANICAL DATE APPY IEDANS R S ATU RE UNDERGROUNDI'FLOOR MI II I ROUGH M2 I I IAIR GOND MsI I I IFINAL MECHANICAL M12 I I I ELECTRICAL DATE APPRO✓EDANSPR'S SIGNATURE ` TEMP CONSTN POWER E3 I I IUNDERGROUND PVC•UETAL D EC El I I SERVICE-CIRCUIT E2 I I I IFINAL ELECTRICAL E12 I I - STRUCTURAL DATE APPRO✓EDANSPR'S . . - -` -- -SIGNATURE FOUNDATION LOCATION _ Si I "• •- I REINFORCED 0 LIFER 0 , SLAB REINF 0 MEMBRANE 0 S3 I I IJNDERPINNING $4 I I MASONRY S11 I FIREPLACE STI I - • ROOF FRAMING I I ' ROOF SHEATHING $5 FRAMING 55 I I INSULATION SOUNDIENERGY 57 _ATH EXTERIOR $8 I 1 LATH INTERIORK.YPBOARD 59 I I 1 1 II APPS NADTXUNRSE R S DATE OF t UANCE /��j PERMIT NUMBERRJ [,�/ BUILDING FINAL 512 I I 7 5 /y (1 1 % /