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Permit No. 1059000041 1„0„../A/e› Alt/ far 9O ./41s .,( 4111 105 SAN BERNARDINO COUNTY-EPWA/LANDWAGEMENT DEPT OFFICE OF BUILDING AND SAFETY P E RMI T APPLICATION PERMIT NBR 105 90 00041 230A 01 I STATUS: ACTIV THIS IS NOT A PERMIT UNTIL ISSUED APPL DATE 01/25/90 I ISSUE DATE 01/25/90 I PG 1 OF 1 PARCEL NUMBER 1031-311-40-0000 PROPOSED USE: RETAINING WALL /e '.j I - - / / - L/a CURRENT USE: RESIDENCE WITH GARAGE 12625TRACT 1000 13LOT 86 I SEC SE29 I p S 0� I PRCL MAP I PRCL ACTIVITY : L820 COMMUNITY PLAN ZONE/LAND USE DISTRICTI GENERAL PLAN SUBDIVISION NAME SUBDIVISION PARCEL NO CH/PD,IL1,FR1 LOT DIMENSION IRREGULAR CONST TYPE APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER *BLOCS ON LOT 1 GROUP GARY'S LANDSCAPE 430 E FOOTHILL BLVD ;PLANS RECD 0 LAND USE PLOT 0 INDEX NBR 31-153 SAN DIMAS CA 91773-0000 STD PLAN/ICBO FHA N (714) 599 - 3552 TYPE I SQ. FT. I FACTOR/P.S.F. I ADJSTED AREA/VALUATN OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER AUSTIN, CRAIG FENCE 165 .20 33.00 3117 OAKCREEK RD CHINO HILLS CA 91709-0000 CALC. VALU 1,485.00 I ADJUSTED AREA 33 (714) 597 - 2113 ITEM CNT DESCRIPTION DETAIL TOTALS JOB SITE ADDRESS RESIDENTIAL CONSTRU 35.45 3117 OAKCREEK RD ISSUANCE FEE 16.96 CHINO HILLS CA 91709-0000 TOTAL AMOUNT 52.41 CROSS STREET OAKHILL DRIVE INSPECTN ACCESS CONTRACTOR NAME, ADDRESS LICENSE NUMBER GARY'S LANDSCAPE SERVI CONT000357261 PO BOX 3358 SAN DIMAS CA 91773-0000 (000) 000 - 0000 DIV. OF IND. SAFETY PERMIT: MINIMUM SETBACK DISTANCES 45 FRNT SETBACK/CENTRLINE OAKCREEK R/W 50 20 REAR SETBACK/PROP LINE 5 SIDE SETBACK/PROP LINE E 10 SIDE SETBACK/PROP LINE W MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS NO. STORIES I NO. DWELLING I NO. BEDROOMS I FLOOR UNI EXT..WALLS I INT. WALLS I CEILING ONTARIO ROOF I HEATINGIMETALFIREiMASRY COMPLETED ' PWWATER ATIR I SEWER I MINODEPT)] S.OF /0100IO000 SIZEI NEW/REPAIR DATE: E2 i 6 COMMENTS ff�� 01/08/90 MODERATE TO HIGH LANDSLIDE SUSCEPTIBILITY. CONT. LICENSE EXPIRES 09/30/91. D.FLETES. AMT WAIVED .00 AMT PAID 52.41 PAYOR NAME: GARY'S LANDSCAPE SERVICE PAID 01/25/90 RECEIPT 293 EMPL: FLETS, DEBORAH PAID BY • CHECK NBR : 4690 •ICENSED CONTRACTORS DECLARATION• I HEREBY AP-RM THAT . AV _IJE\SED ..NDE T _ PROVISIONS OF CI-A TEP 9 :COMMENCINC WIT'- SECT,ON 7JJCOF IV' \ 2 DF THE ? I � SEC 0 D S'0JS tiE55 AND PROFESSIONS CODE AN:' \'' -'CENSE 'S IN FULI FORCE AND E«ECT /�. ���h��p� q /\ LICENSE C.ASS Z7 LICENSE NUMBER 35?Z6! CONTRACTOR (742=e5 `�^„�'^+S ATF 1—z5— `c7 \\\ OWNER-BUILDER DECLARATION I HEREBY AFFIRM THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON(SECTION 7031 5 BUSINESS AND PROFESSIONS CODE ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER IMPROVE DEMOLISH OR REPAIR ANY STRUCTURE PRIOR TO ITS ISSUANCE ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODEI OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMPTION ANY VIOLATION OF SECTION 7031 5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS 155001 I ❑ I AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SECTION 7044 BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE, IF, HOWEVER. THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) ❑ I AS OWNER OF THE PROPERTY AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC 7044 BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTORISI LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW) ❑ I AM EXEMPT UNDER SEC B AND P C FOR THIS REASON OWNER DATE WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM THAT I HAVE A CERTIFICATE OF CONSENT TO SELF-INSURE OR A CERTIFICATE OF WORKERS COMPENSATION INSURANCE OR A CERTIFIED COPY THEREOF (SEC 3800. LAB C I POLICY NO COMPANY kelp CERTIFIED COPY IS HEREBY FURNISHE P. CERTIFIED C PY IS F ED WITH T OUN BUILDING INSPECTION DEPARTMENT • I- Z5-90 APPLICANT DATE L+ CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100)OR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS COMPENSATION LAWS OF CALIFORNIA APPLICANT DATE NOTICE TO APPLICANT IF AFTER MAKING THIS CERTIFICATE OF EXEMPTION, YOU SHOULD BECOME SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF THE LABOR CODE YOU MUST FORTHWITH COMPLY WITH SUCH PROVISIONS OR THIS PERMIT SHALL BE DEEMED REVOKED CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC 3097,CIV C I LENDER S NAME k - - ' LENDER S ADDRESS ▪ K - c 1',- DNISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH ANDISAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW-' -, ❑ I CERTIFY THAT,NO EXCAVATION 5'FEET OP MORE FEET IN DEPTH INTO WHICH A PERSON IS REQUIRED TO DESCEND WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THE PERMIT AND THAT NO BUILDING,STRUCTURE SCAFFOLDING FALSEWORK OR DEMOLITION OR DISMANTLING THEREOF.WILL BE MORE THAN 36 FEET HIGH `I AS OWNER BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY, AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION DIVISION OF INDUSTRIAL SA=ET1 PERMIT NUMBER I CERTIFY THAT I HAVE PEAR THIS APPLICATION AND STATE THAT THE BOVE INFORMATION IS CORRECT I AGREE TO COMPLY WITH ALL CITY AND COUNTY ( RDINANCES AND STATE LAWS RELATING T BUILDING CONSTRUCT A EREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE MENTIONED PROPERTY EOR INSPECT N PURPOS S t q(0 SIGNATURE OF APPL'CA\' CP AGENT DATE �� LS- / EXP RATION AND REFUND NOTICE - APPLICATIONS FOR WHICH\C PERMIT IS'SSJED WITHIN 180 DAYS FROM THE DATE OF APPLICATION SHALL EXPIRE PERMITS SHALL EXPIRE IF WORK DOES NOT COMMENCE WITHIN 180 DAYS OF ISSUANCE OF SUCH PERMIT OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS FEES PAID ARE NOT REFUNDAB,E AFTER 180 DAYS FROM. DA-F. OF PAYMENT EXCEPT POR ERRORS IN ACCEPTANCE WHICH MAY BE REFUNDABLE UP TO ONE YEAR FROM DATE OF PAYMENT ALL PEES PAID MAY NOT BE REFUNDABLE /2-/75-6P,--. '66 J , —t, ' „r, Owner Name J"'t US+I'1 _ Permit Numb /01/4.5-90 000 Ll/a OAn INSPECTION RECORD • DATE I INSPECTOR I I DATE I INSPECTOR Setback I I Rough Plumbing Temporary Power I I Shower Pan Test Foundation Reinforcing Steel .4- cAff) I�.47 Stucco Mesh or Exterior Siding Excavation and Forms � /-Go II h�j ,�,, 'I Insulation ��/IU� .Pi.,. l 4 ewer :/ *VL aC'p Slab Grade Interceptor Ground Plumbing Septic Tank Underslab Ducts Leach Line or Seep Pit Underslab Conduit Water Service Fireplace Foundation Lath or Drywall Nailing Joists and Girders Gas Line Air Test Electrical Ground Final Energy Mid-Height Bond Beam 14 Final Plumbing 8-Foot Bond Beam .•••••1 Final Heating/A C Final Bond Beam �(-7—f �(��) Final Construction Fireplace Bond Beam Final On Site Improvements Roof Sheathing Final Off Site Improvements Framing and Ventilation Final Dedication Roof Covering Final Zoning Rough Heating Final Electrical Electrical Service and Ground Final Gas Rough Electrical Developer Fees Paid WC (Y/N) Ind Saf (YIN) Certificate of Occupancy �� -- i / filerr 7-4 Pi..914) ;Z P,c-6-7-6 • A V.11-1.111411 \ z. nONPi . •tee-SP* SEPTIC TANK GALS SEEP PIT X �1 - LEACH LINF WIDF X LONG X DEPTH OF ROCK N / -RO O SPS r- - /ri /T ! 2-i- 9r, ati 6, 1/4- 4.47--- W W E /f�, l/e7 S Inspector's Signature and Initials t��B/ta`V�'R/) 12 17589-469 Rev 3/88