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Permit No. 14391 (2) BUILDING ADDRESS: - 15973 OAK CANYON PERMIT NUMBER: 14391 , • • BUILDING INFORMATION 'APPLICANT INFORMATION ,. ,, o$ BUILDING PERMIT APPLICATION Address: 15973 OAK CANYON Name CURTIS CUSTOM POOLS 1-'1 " N' '1 �,.'N, Community Development P APN 11031-321-15 I Address 3220 RIVERSIDE DRIVE "*"F:` 2001 Grand Avenue Lot 315 City,Zip Code CHINO,CA 91710 ... YF-= Chino Hills,CA 91709 t`:r.i Cross Streets OAK CREEK Phone/Pager 1(909)464-9608 I ext ""°' ° . LICENSED CONTRACTOR DECLARATION Tract/Parcel 112625 1 City Bus Lic# 99-01082 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$25,000 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 IRON LACHER OWNER BUILDER DECLARATION Name 1JAY AND VICKEY LUCAS I Address 11201 N TUSTIN DRIVE I hereby affirm that I'm exempt from the Contractor's License Law for the following reasonAddress 115973 OAK CANYON 1 City,Zip Code ANAHEIM,CA 92807 I,as the owner of the roe Phone ' (714)630-6100 ext O property,riy,or my employees with wages as their whole City,Zip Code CHINO HILLS,CA 91709 compensation,will do the work,and the structure is not intended or offered for salephone (909)597-2704 ext Lic# OliI,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# City Bus Lie# construct the project I Bus Exp 1 1APPROVAL INFORMATION © I am exempt under Section I I BPC for this reason WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor CURTIS CUSTOM POOLS Date Issued 17/8/99 Address 3220 RIVERSIDE DRIVE 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,Ztp Code (CHINO,CA 91710 Census Code which this permit is issued Phone or Pager 1(909)464-9608 I ext 1 1 Final Date �iO `�' •_ Bus Lic# 199-01082 Final By1 r� /Ui� I have and will maintain workers'compensation,as required by Section 3700 of the am,_ ® Labor Code,for the performance of the work for which this permit is issued My Lie # 661075 Extension workers'compensation insurance tamer and policy number are Exp Date• 112/31/2000 Reviewed By KEITH L PRYOR Lic Class IC53 1 Approved By KEITH L PRYOR INSURANCE INFORMATION Insurance Company (CAL COMP PROJECT INFORMATION ' Policy Number W99 111 3384 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 12/31/99 1 1 1 1 1 1 Structure ® Section need not be completed if permit is for one hundred dollars($100)or less Garage • I certify that in the performance of the work for which this permit is issued I shall not employ Patio any person in any manner so as to become subject to the Workers'Compensation Laws of Porch 1 1 1 0 California and agree that if I should become subject to the workers'compensation provisions of Other SPOOL AND SPA 1 1REAR 1 1 1 Section 3700 of the Labor Code I shall comply with those provisions POOL AND SPA WITH GAS STUB TO BBQ PROPOSED USE Date: 1 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 n ice-. Date: 11 pri eli 1 Signature: i --411I OTHER FEES REQUIRED ZONING SETBACKS GRIDING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning PUD Front Yard 20 Over X 0 Issuance 1 $29 00 1 Electrical $90 00 Land Use FR-1 Side Yard 5/5 Cut 0 School NO Permit Fees: $427.40 Development NO Plan Check $0 00 Plumbing $6 00 Plan POOL Rear Yard 20 Fill 0 SMIP 1 $0 00 1 Occ 1ACCESSORY SSY Total 0 1 Sewer NO Mechanical $0 00 Structural $302 40 Total Fee Due $427.40 1 Type ITO R3 VN Water NO Geo Review $0 00 Grading $0 00 INSPECTION RECORD INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections : Rough Grade Footing, ReBar Terraces 1st Lift Bond Beam Sub;)rains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Giading Certification ReRoof: Rough Tear-off, Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final - A Building Sewer Line Swimming Pools: Supply Water Line Location/Rebar/Bonding/Light g-=���G Storm Drain/Catch Basins Gas Test/Gr Conduit/Ro Elect Z1 U/G Conduit/Electrical Pre-Deck DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMP- 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 lnsp 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! DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391-7570) Roof Nailing Planning Dept (364-2790) 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 Electric Rough Electnc Final Grade Rough Mechanical Final Plumbing Rough Plumbing/Topout Final Mechanical �� -/ „/ COVER NO WORK UNTIL ABOVE IS APPROVED Final Building/Construction Insulation Drywall Inspection: CERTIFICATE OF OCCUPANCY Interior OK TO ISSUE Extenor Lath OTHER: Stucco Scratch MISCELLANEOUS INSPECTIONS: Masonry Fireplace: Plate Ties,Fire Block, Patio/Deck: Footmd Access/Light/Switch Patio Final . a S •