Loading...
Permit No. 18610 BUILDING ADDRESS: 3141 OAK CREEK ROAD PERMIT NUMBER: 18610 BUILDING INFORMATION APPLICANT INFORMATION 1.Wit 0 DING PERMIT APPLICATION Address 3141 OAK CREEK ROAD Name EDWARD J MARTIN -,7 ,, Community Development APN 1031-311-69 Address 3141 OAK CREEK ROAD ''.- ^� 2001 Grand Avenue , Lot 389 City,Zip Code CHINO HILLS,CA 91709 Chino Hills,CA 91709 0.::`: Cross Streets PEYTON/BAYBERRY Phone/Pager (909)548-3371 I ext m ° '°' ' . �I NSED CONTRACTOR DECLARATION Tract/Parcel 12625 City Bus Lic# N/A I hereby affirm t : m licensed under the provisions of Chapter 9(commencing with Section Valuation $22,769 80 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 N/A OWNER BUILDER DECLARATION Name EDWARD J MARTIN Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 3141 OAK CREEK ROAD City,Zip Code I,as the owner of the property,or my employees with wages as their whole City,Zip Code CHINO HILLS,CA 91709 Phone I ext O compensation,will do the work,and the structure is not intended or offered for sale Phone (909)548-3371 ext Lie# I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# N/A City Bus Lic# construct the project O I am exempt under Section II BPC for this reason I I Bus Fxp APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor (OWNER BUILDER Date Issued 8/15/01 Address Finance Code C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation O as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code Census Code which this permit is issued Phone or Pager I ext I Final Date 7 7,A 3/x13 Bus Lic# By ' f , ae I have and will maintain workers'compensation,as required by Section 3700 of the •, Final / I abor Coda,for the performance of the work for which this permit is issued MyL180 Day PermitExtens m wo kers'compensation insurance tamer and policy number are Exp Date xtant ed Revie\�d By (STEVE PATTERSON Lie Class e Appro ed By STEVE PATTERSON INSURANCE INFORMATION , Insurance Company (EXEMPT c.C.�S 'RO`'C" INFORMATION a' Policy Number PRO DESC DESCRIPTIO ' +� LOCATION SQUARE FT. Expiration Date _ ' /� Str c ' 3 'EC ID STORY 362 O Section need not be completed if permit is for one hundred dollars($100)or less Ga Age int Dr1 I •certify that in the performance of the work for which this permit is issued I shall not employ Patio 1I I any person in any manner so as to become subject to the Workers'Compensation Laws ofd Porch California and agree that if I should become subject to the workers'compensation provisions of Other 11 Section 3700 of the Labor Code I shall comply with those provisions ROOM ADDITION PROPOSED USE Date: i i Signature: i I I certify I have read this application and state that the above information is correct I agree to V aril"7 s.e.74,_/9�fj /z,,r�,7...zeG( comply with all City Ordinances and state laws and hereby authonze representatives of this Cit o ` COMMENTS4All enter upon the above mentioned property for inspection purpose /� //// /e'3/��� a ..-7 Date I I(SId \ I Signature -a�A � OTHER FEES REQUIRED _...4=--- ZONING _4=---ZONING SETBACK S GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE • Zonis PD Front Yard 20 L Over X 0 Issuance $29 00 Electncal $39 82 • Land Use IFR-1 I Side Yarn 10/5 Cut 0 School NO Permit Fees: $349.62 Plan ADDITION Rear Yard 20 I Development - NO - Plan Check $0 00 Plumbing $0 00 Fill 0 SMTP 1 $2 30 Dec R3 SSY Total 0 I Sewer NO Mechanical $0 00 Structural $280 80 Type VN Water NO Geo Review $0 00 Grading $0 00 Total Fee Due $351.92 • INSPECTION RECOR! • Permit Number Inspection Date Inspector Inspection Date Inspector Grading- Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL ! Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade U G Waste Plumbing Final Electric /0' 3 `I) Water Service Final Plumbing / Storm Drain/Catch Basins Final Mechanical zi 03 U/G Conduit/Electncal Final Building/Construction Z Z7 Compaction Report Water Meter Number ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Footings CERTIFICATE OF OCCUPANCY UFER Ground (Rebar/Copper) Hardware/Hold-Downs Piers/Caissons/Tendons OTHER: Slab Grade DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear /a/"-/- Roof d/tip-/Roof Nailing Exterior Walls Interior Walls Hardware/Hold-Downs 4,AV Rough Electnc Rough Mechanical / Afinr-t / Rough Plumbing/Topout / n , Framing �i"A-,-/-! /1 COVER NO WORK UNTIL ABOVE IS APPRO�/E� D/ Insulation 24 A Drywall Interior/Exterior / c /k "<- r Lath 2 Stucco Scratch t/ t9 a' Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Reber/Bonding/Light Gr Conduit Ro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence, Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test