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Permit No. 5503 City of $ino Hills APPLIGOION FOR BUILDING PERMIT Community Development 2001 Grand Avenue Chino Hills,CA 91709 Building Address: Proposed Use - St No.15402 Street OAK GROVE CT EROOF RESIDENCE APN 1031-391-13 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot Block Tract N Struct ❑Plumb Applicant MICHAELS ROOFING CO ID Mech ❑ Elect LI Grading .....,_ St No. 333 Street VAN NESS LN Type of Project El New ❑Alter ❑Addition ` n CItyREDLANDS Zip 92374 Phone 794-6000 N Repair Cl Convert ❑ Demo El Occupancy Permit �J OwnerANfTA H BROWN ProjectLocation on Size Description I Property I in Sq Feet Q St No. 15402 StreetOAK GROVE CT CityCHINO HILLS 491709 Phone 393-5798 1 REROOF N Engr/Arch Lic No 2 I I , St No Street 3 I I 0 n, City Zip Phone 4 I Contractor MICHAELS ROOFING CO Lic No 624226 REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION Sewer I Min Depth I S/F/100 I Size St No 333 Street VAN NESS LN CItyREDLANDS 492374 Phone 794-6000 Cubic Yards Excavation FillOver Excavation City Business License License No 1206 Expiration Datf6/3O/96 'Sri.. � - 2 SQUARES TILE. II) Licensed Contractor's Declaration I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code)and my license is in full for and effect License Class coq License Number 625726 .......l Date ContractorSAME AS ABOVE -.-.-- . ..T.. Address City and Zip Phone f J Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 I, as the owner of the property, or my employees with wages as their whole r-1 compensation, will do the work, and the structure is not intended or offered for sale ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ----- ❑ I am exempt under Sec____—, B&PC for this reason Date Initial - Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations ZoningI Land Use ❑ a I have and will maintain a certificate of consent to self-insure for workers' CH/PD,FR1 compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which-this permit is issued Setbacks Model/Plan IMI b I have and will maintain worker's compensation as required by Section 3700 of the FY I SY I LaborCode, for the performance of the work for which this permit is issued My worker's Ry I SSY compensation insurance carrier and policy number arc Ins Co.: .5/A f� ,1, J Group/Division/Type . Policy No: U-6-- 1:5-- /7 9/T ‘0,,/,, ,O/.s"',e Exp Date: //_ q/ VALUATION (This dection need not be completed if the permit is for one hundred doolars($IOU) or less) 24,400 00 c I certify that in the performance of the work for which this permit is issued I shall PERMIT FEES not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California and agree that if I should become subject to the workers' compensation provisions of tion 3700 of the Labor Code I shall forthwith co ly those Electrical I Structural $86.90 provr ons— `� etZZ __�� _____signature _ �‘,,c:-. 5 Warning Failure to secure workers' compensation coverage is unlawful, and shall subject an Plumbing Grading employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney s fees Mechanical Issuance $29 00 I certify that I have read this application and state that the above information is correct. I agree to comply with all City Ordinances Geo Review Plan Check and state laws and hereby authorize representatives of this City Issuance Approved I Total Permit Fee to enter upon the above entioned property for inspection DC $115 90 4 1 Date Issued Permit Number Sigrft ure of Applicantcor Agent Date 12/04/95 5503 4): ....e,-.Z.,,/� FINANCE CODE CENSUS CODE Print Applicant's/Agent's Name C4 0/S •ONSTRUCTION LENDING AGENCI• 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) LENDER'S NAME LENDER'S ADDRESF DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY 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 OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING,FALSEWORK,OR OFMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH ❑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 SAFETY PERMIT NUMBER I HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT DIS DIS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY BUILDING INSPECTIONS RECORD DATE INSPECTOR I DATE INSPECTOR Setback/Location I I Rough Plumbing Temporary Power I I Shower Pan Test Foundation Reinforcing Steel I Stucco Mesh or Exterior Siding Excavation and Forms I insulation Slab Grade I I Sewer Ground Plumbing Soil I I I Interceptor Ground Plumbing Water I I Septic Tank Underslab Ducts I Leach Line or Seep Pit Underslab Conduit Water Service Underslab Gas I Lath or Drywall Nailing Fireplace Foundation I I Gas Line Air Test Joists and Girders I Final Energy Electrical Ground I Final Plumbing Mid-Height Bond Beam I Final Heating/A C 8-Foot Bond Beam Final Construction Final Bond Beam Final On Site Improvements Fireplace Bond Beam I Final Off Site Improvements Roof Sheathing I Final Dedication Framing and Ventilation I Final Zoning Roof Covering Final Electrical Rough Heating Final Gas Service and Ground Developer Fees Paid Rough Electrical I Fire Dept Approval Verified Bonding Certificate of Occupancy Over Head Electrical Fence Height I Gates Heater Pool Drainage / / / -# , / // SEPTIC TANK GALS SEEP PIT X LEACH LINE WIDE - LONG X DEPTH OF ROCK N W E S Inspector's Signature and Initials DATE OF ISSUANCE PERMIT NUMBER "t City of Cno Hills APPLICION-�OR BUILDING PERMIT Community Development 2001 Grand Avenue , Chino Hills,CA 91709 Building Address: Proposed Use - St No. 15405 Street OAKGROVE Gl POOL/SPA APN 1017-911-16 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot 38 Block Tract 12625 ® Strutt ❑Plumb Applicant CALIFORNIA POOLS ❑Mech ® Fleet El Grading St No. 5670 Street SCHAEFER Type of Project CINew CIAlter ❑Addition City CHINO Zip 91710 Phone 465-5687 D Repair 0 Convert ❑Demo 0 Occupancy Permit N. Owner JAMES HARVEY ProjectLocation on Size Description I Property in Sq Feet St No. 15405 Street OAKGROVE 1 POOL/ SPA (SIDE I City CHINO HILLS Zip 91709 Phone 393-6975 Engr/Arch DOUG FERRELL Lic No. 32994 2 I I St No. 651 Street E. NORTHRIDGE 3 I I City GLENDORA Zip 91741 Phone 818 335-4362 4 I I Contractor SEE APPLICANT Lic No. 185102 REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION Sewer I Min Depth I S/F/100 I Size St No. Street City Zip Phone Cubic Yards Excavation / Fill Over Excavation City Business License License No. 97-00962 Expiration Date6/97 - 'Pt,,.1\ Licensed Contractor's Declaration - I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code)and my license is in full fume and effect , , , _ , _ • .,_. , License Class r_ca License Number tacin, Date4/1 1/96 Contractor CAi iG DAN c Address City and Zip Phone , Owner Builder Declaration W_..W............... ���.-'�..v......W.W_..._...._._.�... �� i hereby affirm that I am exempt from the Contractor's License Law for the following reason ____ m� mm m m~m DI, as the owner of the property, or my employees with wages as their whole compensation, will do the work, and the structure is not intended or offered for sale ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project U I am exempt under Sec___ WPC PC for this reason Date Initial Workers' Compensation Declaration • i hereby affirm under penalty of perjury one of the following declarations Zoning Land Use ❑ a I have and will maintain a certificate of consent to self-insure for workers' CH/PD FR-1 compensation as provided by Section 3700 of the Labor Code, for the performance of the I Model/Plan work f which this permit is issued Setbacks ti17 b I have and will maintain worker's compensation,as required by Section 3700 of the FY 20 I SY 5.5 I LaborCode, for the performance of the work for which this permit is issued My worker's compensation insurance corner and policy number are RY 20 I SSY Ins. Co.: 57 -/ ,�4urJ Group/Division/Type Policy No: // Tr6/- '-? t-3, VN _ Exp Date: / --7//9 f VALUATION (This dection need not be completed if the permit is for one hundred doolars($100)or less) ;25,000 00 ❑ c I certify that in the performance of the work fo• hich this permit is issued I shall PERMIT FEES not employ any person in any manner so as to become?obi= t to the Workers' Compensation Laws of California and agree that if I should become subs. t to the workers' compensation provisions of Section 3700 of the Labor Code I s=<II fo hwith comply with those Electrical Structural provisions . // f $90.00 $302 40 Date � _Signature ��/. . /k Ale / re' Warning Fa re to secure workers' compensatio coverage is unlawf , and shall subject an Plumbing Grading employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest,and attorney's fees Mechanical Issuance $29.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all City Ordinances Geo Review Plan Check and state la and hereby authorize representatives of this City Issuance Approved I Total Permit Fee to enter up• the .bove mentioned property for inspection t421 40 purpose / (��� I / / / N 'i, Date Issued Permit Number Signatur RD pp scan •Fr- nt Date �`(y'— 4/11/96 6159 ���G ►' ? (maFINANCE CODE CENSUS CODE Pnnt Applicant's/Agent's Name C-4 410NSTRUCTION LENDING AGENCI I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OFE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC 3097,CIV C) LENDER'S NAME LENDER'S ADDRESS - DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE.UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW O I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE SCAFFOLDING,FALSE WORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION 0-F INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT !DS ❑IS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY BUILDING INSPECTIONS RECORD DATE I INSPECTOR ;; _ t, , DATE INSPECTOR Setback/Location /V _ 7) . / Rough Plumbing , . , - Temporary Power /fl// /Af1�1 / Shower Pan Test Foundation Reinforcing Steel 'r"/ ,//" f�, �` f v Stucco Mesh or Exterior Siding Excavation and Forms I ` V ' Insulation Slab Grade Sewer Ground Plumbing Soil Interceptor Ground Plumbing Water Septic Tank Underslab Ducts Leach Line or Seep Pit Underslab Conduit S /..-,4-7-1/ J Water Service Underslab Gas ' - --1-j(„ ,ii/ Lath or Drywall Nailing Fireplace Foundation Gas Line Air Test /J Joists and Girders Final Energy Electrical Ground Final Plumbing Mid-Height Bond Beam Final Heating/A C 8-Foot Bond Beam Final Construction C 9 Final Bond Beam Final On Site Improvements Fireplace Bond Beam Final Off Site Improvements Roof Sheathing Final Dedication Framing and Ventilation Final Zoning Roof Covering Final Electrical E 7_ 9-9%Y- Rough 4 7Rough Heating Final Gas Service and Ground Developer Fees Paid Rough Electrical Fire Dept Approval Verified Bonding Certificate of Occupancy Over Head Electrical Fence Height Gates Heater Pool Drainage / WWW 0/(-- P/ws� 9 /Ga,14 aik-i 41 1"f tIg-Z"70I-viiy n A e - / N -//rO L G"-O ei / k:71,--1) Al V/.u9- . A' 'v7 .NF)J. SEPTIC TANK GALS SEEP PIT X LEACH LINE WIDE LONG X DEPTH OF ROCK N - W E 7,n iJi ► i n i S Inspector's Signature and Initials J�b di�/V �J�/ OJ`/ /rr-"O-v - DATE OF ISSUANCE PERMIT NUMBER 440 arr • TRIAD GEOTECHNICAL, CONSULTANTS INC. Foundation Engineering • Engineering Geology Material Testing • Construction Inspection 17231 EAST RAILROAD STREET,CITY OF INDUSTRY,CA 91748,SUITE 100 TELEPHONE(818)964-2313 NOTICE OF FOOTING EXCAVATION INSPECTION JOB LOCATION /47---40 0 c O / � f JOB NO 9 s----2) OWNER OR CONTRACTOR git44.0-44.01 OWNER'S ADDRESS Js bio, ei'„ t4;4 f, . -k, - ` DATE FOOTINGS INSPECTEn 4_9 to mr-L.�vF TOTAL NUMBER OF FOOTINGS OR-6AiS6®NS � DESCRIPTION OF FOOTINGS'ORgt& ISSONS COVERED BY THIS'NOTICE iaevilite'VZ= ilY1'41174.041e, C4074-416116e , 4:#1 1;441..4446# X1t�a1 L�. £ _ t . ..�.0c 4o ' .P . e_ .9 a-v-P �. . ♦4eit orf /p fJ � V � � A � s .••5 -.A-cats..../' d k 4 / V PRIOR TO PLACING CONCRETE�AN' Y LOOSE SOILS SHOULD BE REMOVED FROM THE EXCAVATIONS The undersigned has Inspected the footings aad/.er ca+aeen excavatlonitlisted above on the reference property and same were excavated in accordance with our recommendations in the preliminary foundation report and the Building Code of the Q l q /La, _ 4t) (444. SIGNATURE S`°0 �--