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Permit No. 0343 APPLICATION FOR A BUILDING PERMIT AND A CERTIFICATE OF USE & OCCUPANCY . _ : --• CITY OF CHINO ILLS ,! _ iO . . C4.EARE2 BY APPLICA0NIYPE NO C k::,s,iss A 0 L 7 ' /1c /14,7y Ow" Atithe 7-6 BLOCK jefr-oe/ /7'"c1 // .3 71 1 a kt/PS, -• 0 > -'." i ?I's-e.,/j-i- I THE F9L-LOwiNG/WORK IS AUTHORIZED BY THIS PERMIT: o 0 ESS 0 / 4 .,,7 /5"..4 7c•),..4:,, IR''''I 7RucT C PLUMB " E‘... M CN ., 0 ELECT. ro Vi LI? :•T Y /19/2 4 A Pi ,-J-7 ZIP 5:7,...F.a to " 5,9„.1 ?50/ TYPE OF PROJECTrgi t.'‹-s, 0 ALTER 0 ADDITION () , &o -InFcTi 1i.- ,,,tUC.Ma 0 REPAIR C coNvERT 0 DEMO 0 OCCUPANCY PUT. 1 ER i.--/2 2 (7' O...C5 i.si/L1./7.4- k:-"'D'E" /4,70 5 ---s•-..1 ie 7,75- . 24', ;-c PROJECT I LOCATION ON SiZE DESCRIP7I0N PFiDPERrY IN sa FEE7 c'TY el?7 _7271.42,Y,5- ZIP 9'.?3ell " .38'9 -. 9. //'-'"' .4 Ai 1 , ,D /v ('orys;w 4 4 a.u° NO Z.--,L/$, 733 I ,.1 e,014— iltP.AY-O / -(S-Ct 5q r-r I -L7";''': // (7e1"77;-42 - iL42/5 2 I , , I 3 P7-,4;2_5- I I ( OTT BUSINESS LICENSE REM/..;.S/SPECIAL CONDITIONS/PROJECT DESCRIPTION --....„ .,.:E N SE ND EXPIRAS IN DA7F 1 LICENSED coNTRAcTDR'S DEC..A.CATION Om inai I arn IoarasiO widow prova,orts of Chap714 9 ftiimoriiir‘W,:W."Sb=.W.'.2VCC Cd V r\ 5. r*14&NZ Proless.ons OD511.ane my',Nose a in 10 tome a.se one= 4e°, LACS Niimbie ""';4/05. 73---3. - ...,:s ' -3 - 9 .2-, c.o.u....,,z.I2,4'/v..,), e C ers.7,4. c 0 . A-,HDree // .$'"..0 0 ( i-..--,7:-...-14...., ....5 ,e ,--Z. OTT MO ZIP /7 ki...., 4. 9/ ../ C? PRONE 6 "7 -g -Aa.5- . CONSTRUCT/ON LENDING AaENCY [m5. 44::'4-G _5' Z. i nerety affirm toio theft is a par...rigon IsrAdiri;nom,/tpe o(UN rlomsarsts oF IN wpili loi....fich r ma Nrint is based(Soo.5%7.Ov.C)Ursair's Mama I . '-i--s f....4- g 0 ri--Q 4.-- --(-c.,-c.. ‘. . Lrnors Amass 1 .1,(fLiP /. 1 c.,,,............ ...,, Lp , _ r. . _5,( , I Noe>:aft.=In=1 vs examX from Vie Csiairattor's License LIN b'ths itaitimrsp mason: 1,--•I.as owner dm,propaimy.ai my employees worn wapos as Leer take stenparisaiam....9 Do P4e _ill C...." / c.'"/ - •z ...."ar.0 the Prucsure is rta mismOs0 or os*rad for calk C I u c.a..of Irse property.am Issetus).,17 csortiramng with kensre Cosis it stinsinAci iiiii . . .......... pair.= I 180 Day Permit I 1-I ant=ern?!',row 56c. Sin icv trio mon 1 Extension Granted I Dan: IN i TLAI. WOAKERSCOMPENSATION DEO-AAATION •nere07 affern lha:I hII.I a cantlicale Dl consam I. ser ms.re 0'a tend:cats sil WP•Asa' ./ .:.-o-.oensal.on insurimce Dl a certi oopy inarcsE PDXY ND ;ii ';; ,.. 7 c. --/lq - - . 4.7:4 r "/".•?..c'=-5 c-7 DATE EXPIRES _ CaniNC copy a hereby lornrshet3 OTT VERIFc - Int ryr I X.C.:eill.De copy a 1,14{Wel Me CA T /.,/01e,"/ GaDJP r II :;ale 9 -3 — 9.:--z XPPLICAJ:i "1.-"%ei -- M tt Raidzi-/2 _ c.„,,F.,.i.,E OF EXEMPTION FROM w0RKEPS C-OmPENSATI ' ^ VALUATION .7.t.-.,•,,tr.:in inc Derlo•man:e 01 Mt- kg01k .01.:1,1.10 permr.a.54 I snail no'ez‘Dryy anik141ki_ 0 --- f pr-son. cw,...i. /4-7ri an, manntr so as 10 bt:Drhe SureC.10 the 1,,Y0,se.s.CorhOen lormi Carl;'1M '-'4411Fliarea*,&,....:-.•••• .. ..,,,,,k6 :ale a.PPLI:Ats1 mir exiTIRED— ' -pt-g-ii-r F Es _ El 70 A.PPLiCa,h1 It,atter rnak.n;inis C.,A.i.csie 0!Eleenphon you hrOulC become suo.ez C...4..--0 1 ELEc,,,sAL N w I:.Mt Worikere Compenual.on;,,D.,,,ons DI me LI1=. COO,.r4:,/rrl WV 0 hunt')coeneAr amsurm 0,,s,On co thrs perrnn shall De otrenx0 reyOket1 C>I, / I 3, ,cE;z7IFY THAT I NAVE READ INIS APPLICATION AND STATE THAT .7 NE gOsii? 0 S CORREC:Iiii/c67FIEE TO CO LY WITH ALL CITY oRDINA.hocES AD.,S7k1E LawS AND ..ejaVAL IssumiCk FEES -EPEEY,../) I,DRIZE F4 DE NIP:JIVES OF TRIS-5/'TY TO ENTER UPON THE AbOvE.- --r•-- ...4EacIE re PUN OnlEOC OS ES 1 ,:.S.,J...•;( cp .,Edyj.....7 -j I TCIAL PERMIT FE 7 Q Oar,.________ SAi....e cii/....01,tanl C.A•Do^, X/ /....7 /&' . 414,6.) 4_, Ip,..65, ,,,,„ I/3 . ..,....00hcaus.a i'pen:t Na,,..Na rn• /IS 7 ''' ( CIT' -OF CHINO I1LLS /�/ Q 1 1 -DDRE S C/ CO I 0� ��+I l v U YI fry L��'l ei BUILDING INSPECTIONS RECORD �T M � /✓3 BLOCK g rt C J /7 TRACE/O✓ �� ....„,,,ER p17, C h ea1 Fe )ix POST IN CONSPICUOUS PLACE ON THE JOB ADDRESS y 0 I A—als 1 he,ie/l , :cry Y F r/A / LV,"? ZIP Y•2i/✓ 5� PH 55/! ✓ O/ PLUMBINGBI !! DATE APPRCNEDANSPR'S SIGNATURE GROUND SOIL PT I I GROUND WATER P2 I I -OF OUT P3 I REMARKS SEWER P5 I I G+S TEST P6 I I I I FINAL PLUMBING P12 II MECHANICAL DATE APPROVEDANSPR'S j SIGNATURE - IUNDERGROUNWFLOOR Mi I I ROUGH M2 I I IRIR COND " I I I FINAL MECHANICAL M12 I I I ELECTRICAL DATE APPROVEDANSPR'S SIGNATURE TEMP CONSTN POKER E3 I I UNDERGROUND I I ' PVC-METAL D B G El IROuGH WIRING SERVICE OIRCU E2 I I I IFINAL ELECTRICAL 512 I I -.. STRUCTURAL DATE APPROVEDANSPR'S SIGNATURE FOUNDATION LOCATIONS7 I - REINFORCED O UFER 0 11 ISLAB REINF 0 MEMBRANE 0 S3 IJNDERPINNING Sa I I ' MASONRY St1 I I " ' -'' ' I FIREPLACE Sit I I ROOF FRAMING 1 ROOF SHEATHING S5 I FRAMING S6 I - - INSULAT IONI - .. SOUNDIENERGY S7 _ATH EXTERIOR SB I I _ATH INTERIORICYPBOARD $9 I I I 1 4 II APPROVE DmNSPR'S SIGNATURE /� DATE 7UAN/C/E/ PERMIT N BER BUILDING FINAL S12 l 1 755. - 3 '