Loading...
Permit No. 19881 BUILDING ADDRESS: 2128 OAK CANYON LANE PLAN CHECK NUMBER: 19881 �� BUILDING INFORMATION APPLICANT INFORMATION �, ot\ BUILDING PLAN CHECK Address 2128 OAK CANYON LANE Name JENNIFER LINT ..S..tp . Community Development APN 11031-051-004 Address 13777 AMARILLO AVENUE 1:-....r;+,,, 2001Grand Avenue i`<d Lot 148 City,Zip Code (CHINO,CA 91710 '-----;- Chino Hills,CA 91709 4:�•,.ci'' Cross Streets (CHINO HILLS PARKWAY Phone/Pager 1(909)628-8734 I ext lF °`a:"°1' LICENSED CONTRACTOR DECLARATION Tract/Parcel 110379-1 City Bus Lic# 102-02973 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$25,000 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 IRON LACHER OWNER BUILDER DECLARATION Name GORGONE Address 11201 N TUSTIN AVENUE I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 12128 OAK CANYON LANE ',City,Zip Code (ANAHEIM,CA 92807 I,as the owner of the property,or my employees with wages as their whole City,Zip Code (CHINO HILLS,CA 91709Phone I ext 1 O compensation,will do the work,and the structure is not intended or offered for saleLie# Phone 1(909)393-9404 ext I,as owner of the property,am exclusively contracting with licensed contractors to •construct the project Bus Lic# City Bus Lic# Bus Exp APPROVAL INFORMATION I am exempt under Section I BPC for this reasonI CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ WORKERS'COMPENSATION DECLARATION Date Issued 4/17/02 I hereby affirm under penalty of perjury one of the following declarations Contractor MALINS POOLS Address 113777 AMARILLO AVE Finance Code C7 I have and will maintain a certificate of consent to self-insure for workers'compensation Census Code ® as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code CHINO,CA 91710 which this permit is issued Phone or Pager 1(909)628-8734 I ext Final Date Bus Lie# 02-02478 Final By 1 I have and will maintain workers'compensation,as required by Section 3700 of the Extension 0i Labor Code,for the performance of the work for which this permit is issued My Lie # 1438874 workers'compensation insurance earner and policy number are Exp Date 17/01/02 Reviewed By I Lie Class 1C-53 Approved By INSURANCE INFORMATION PROJECT INFORMATION Insurance Company STATE FUND Policy Number 1649104-01 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 7/1/02 1 Structure I 1 ® Section need not be completed if permit is for one hundred dollars($100)or less Garage 1 Patio 1 •I certify that in the performance of the work for which this permit is issued I shall not employ ny 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 Other POOL/SPA 1 (REAR Section 3700 of the Labor Code I shall comply with those provisions PROPOSED USE POOL/SPA Date: i i Signature: i i I certify I have read this application and state that the above information is correct I agree to COMMENTS 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 \ \ Date: i 4- / C L I Signature. \ V ) i OTHER FEES REQUIRED PRIOR TO ZONING SETBACKS -------GDIN_G____) PLAN CHECK FEE INFORMATION ACTUAL PERMIT Zoning 1PD I Front Yard 30 Over X 0 Initial Plan Check $56 00 Land Use IFR-1 I Side Yard 15/15 Cut 0 School 1 NO Initial Structural $0 00 Plan IPOOL I Rear Yard 15 Fill 0 Development I NO Initial Geo Review $0 00 Total Fee Due $56.00 Occe SSY Total 0 Water NO Initial Grading $0 00 DUCO ENGINEERING, INCO*PORATED 20938 CURRIER ROAD WALNUT, CALIFORNIA 91789 (800) 650-4910 (909) 594-7414 FAX(909) 594-3853 REPORT OF FIELD INSPECTION • - CLIENT Merlins Pools DATE NU/ / ia.1377 Amarillo Avenue JOB NUMBE077 Chino, CA 91710 VENDOR NUMBER 1005 r JOB IDENTIFICATION 2128 Oak ('anvnn TanP 1 Chinn Hills- (`a_ The footing excavations listed below have been inspected by a member of this firm and are properly founded into material for which the bearing values recommended are applicable The cast-in-place drilled friction piles / belled caissons listed below have been inspected by a member of this firm and are imbedded into, or are founded upon material for which the allowable supporting capacities recommended are applicable e diameter and depth of the excavation meets the minimum requirement specified on the approved Foundation Plans The swimming pool excavation has been inspected by a member of this firm and was found to be imbedded into approved 111 soils as anticipated in our previous report dated 4-1-02 The swimming pool excavation is therefore approved for construction The expansive soils for the locations listed below were found to be properly saturated to the required depth and are hereby approved for the pouring of the concrete floor slabs COMMENTS • Note The observations reported above do not constitute an approval of the location, design, or reinforcement of the foundation or Wi,.g-••l excavation All loose, soft or disturbed soils must be removed from the excavation prior to the placement Q�fi - 7/11,-N:•r concrete KiaF•-\NG l��'� �7 �� DUCO EN •• ERING, INC. No. 891 r 1 / Exp _/2----3I-Of 1 sQ��TEC HN ��� 9TFOFCAO N-