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Permit No. 12181 7:4•:,\ APPLICATION FOR BUILDING PERMIT Address. BUILDING INFORMATION \ 15571 OAKDALEtib Permit Number: 112181 -*it 0: Community Development :7 =s 2001 Grand Avenue APN 1031-361-03 �` :t...;) Chino Hills, CA 91709 Lot 99 PERMIT FEES •••:: Electrical $19 14 CRY OF CHINO HMS X/ST VALLEY VISTA LICENSED CONTRACTOR'S DECLARATION Tract. 112625 Geo Review $0 00 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Valuation I$10,318 20 Grading: $0 00 Section 7000 of Division 3 of the Business and Professions Code)and my license is in Issuance $29 00 full force and effect APPLICANT INFORMATION Mechanical $0 00 Contractor: EDWARD ALAN BROWN Name EDWARD A BROWN Plan Check: $0 00 Address: 8248 AMETHYST STREET Address 8248 AMETHYST STREET Plumbing $0 00 City,State Zip RANCHO CUCAMONGA CA 91730 City,State Zip RANCHO CUCAMONGA,CA 91730 Structural $151 20 Phone (909)989-3562 Phone (909)989-3562 Total Permit Fee $199 34 License Class B1 City Bus Lic# NEW License# 529144 City Bus Exp 4/30/00 OWNER INFORMATION SMIP I$0 00 OWNER BUILDER DECLARATION Name' BOB BREITENSTEIN Total with SMIP: 1$199.34 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason Address. 15571 OAKDALE I,as the owner of the roe City,State Zip CHINO HILLS,CA 91709 pi property,rty,or my employees with wages as their whole Phone (909)597-8036 compensation,will do the work,and the structure is not intended or offered for saleAPPROVAL INFORMATION City Bus Lic#. N/A ❑ I,as owner of the property,am exclusively contracting with licensed contractors to City Bus Exp Approved by IDC construct the project Date Issued 6/16/98 I am exempt under Section 1 I BPC for this reason 1 I ENGINEER/ARCHITECT INFORMATION Finance Code- C-4 WORKERS'COMPENSATION DECLARATION Name DAN LOVEJOY Census Code Address. 2523 BRITAIN WAY Final Date I hereby affirm under penalty of perjury one of the following declarations City,State Zip ANEHIEM,CA 92801 Inspector ❑ I have and will maintain a certificate of consent to self-insure for workers'. Phone. Extension. compensation as provided by Section 3700 of the Labor Code,for thee'rfomiance City Bus Lic# Reviewed by 1K PRYOR of the work for which this permit is issued City Bus Exp ❑ I have and will maintain workers'compensation,as required by Section 3700 of the Eng/Arc Lic# Labor Code,for the performance of the work for which this permit is riled My •workers'compensation insurance carrier and policy number are Proposed Use .-% LOFT Insurance Company NO EMPLOYEES .:• 4 Policy Number Expiration Date ❑ Project Descnption Location on Prop Square Feet Setbacks Section need not be completed if the permit is for one hundred dollars($100)or less Livable INTERIOR LOFT INTERIOR 174 FY EXISTIN I certify that in the performance of the work for which this permit is issued I shall not Garage: SY employ any person in any manner so as to become subject to the Workers'Compensation Patio RY Laws of California and agree that if I should become subject to the workers'compensation Porch provisions of Section 3700 of the Labor Code I shall comply with those provisions Other Date I 5/22/98 10 21 16 I Signature I I AM Zoning. RS Grading Comments The deck is to be done ata later time I certify I have read this application and state that the above information is correct I agree Land Use FR1 to comply with all City Ordinances and state laws and hereby authonze representatives ofPlan Cut. 0 this City to enter upon the above mentioned property for inspection purposes Occ R3 Fill 0 Date I - (( I Signature 1 Ct/ Type VN Total. 0 INSPECTION RECORD INSPECTION DATE INSPECTOR Grading INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections Rough Grade Footing, ReBar Terraces 1st Lift Bond Beam Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification ReRoof Rough Tear-off,Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections Roof Final Building Sewer Line Swimming Pools Supply Water Line Location/Rebar/Bonding/Light Storm Drain/Catch Basins Gas Test U/G Conduit/Electrical Gr Conduit/Ro Elect DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compaction,moisture,conditioning,etc Fence,Gate&Alarm Underfloor/Underslab Inspection Final Pool U/F Waste Plumbing Fire Protection Equipment U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet lnsp Subfloor Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL Shear Inspection(Wood) County Environmental Roof Nailing Health Dept (391-7570) Exterior Walls Planning Dept (364-2790) Interior Walls Public Works (364-2770) Hardware/Hold-Downs Fire (393-3888) Combo Inspection Landscape (364-2797) Framing 6-14-9g Fl— ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric 6--tet_qy- Final Electric Rough Mechanical Final Grade Rough Plumbing/Topout Final Plumbing COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical Insulation Final Building/Construction Drywall Inspection Water Meter Number Interior b qg I (_ - Exterior CERTIFICATE OF OCCUPANCY Lath -0tt /� OK TO ISSUE Stucco Scratch -7A-17 �N MISCELLANEOUS INSPECTIONS OTHER Masonry Fireplace 6'`2¢9 r 'sr 4Ltt/ .-- Plate Ties, Fire Block, Patio/Deck• 7-5-`%c 14irn . Zvo .G1.¢ L: o - Footing Access/Light/Switch Patio Final 14/1j1 rj • S