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Permit No. 0480 =:n n^=t.a. APPLICATION FOR ir 'DING PERMIT AND A CERTIFICATE OF USE r 'JPANCY :IVY OF CHINO HILLS il ...J1'.G / 1 L 'rnI A (,,) ,/ LL El.RED BY APPUUTiOh TYPE NO C I 4JDaE55 � I l L .AARR///��� �,� LL� f 0 JT BIOCK TRACT 1,_35 2 �ci J 0 :.'"ER' /1 ���..- //` 'l6ZrV\ THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT. l \ y, ` m /r 0 ADDRESS 0 STRUCT PLUMB C MECH 0 ELECT tmjy (� p�7r, M sL� / �/-� J y c'Y 1 ' V, _e, On 1a 1k.\c zIP PH /r._ DSK/ YJ TYPE OF PROJECT ANEW C ALTER 0 ADDITION ENCo EERt 15 �l C.l�\ UC N0 ()Q1 i:::35 0 REPAIR 0 CONVERT 0 DEMO 0 OCCUPANCY PUT ` AJORESS I ) 7' ).�("1-171F-12 C \v\ PROJECT LOCATION ON Si2E V\ pTY ` ^ 1 - - �P n pH / ,`Z/ /,� .I� DESCRIPTION I PROPEFIY I W SQ FEET '\1) 13 nA IDFI`ice l G c--u. C ex\I nuc P+3- - .5-0:251) I I ) 7�R N�m, ,� �(� I I �JR_ss Z 1---7f Y LC, 0 e -,,,.2 DP9 c15 39 7o2P> > 1 I I CITY BUSINESS LICENSE REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION 4-3 CENSE NO EXPIRATION CIAT LICENSED CONTRACTOR S DECLARATION Zga)(04i, 4- (--,...e..,34.1,-4-9.- A G.-4-S 1, I hemp',affirm Mai I am&zeroed under prows.ons of Chapter 9(commences;.Hitt Section 7000 of lo Drv4.on 3 al tie Busei l. s and Prossons Cod..and my I ..etoi 4 in full C torte and.n. . P -...vrtal G'a - .5 3 Lxsnr,se N /-� , ••••0x'0 � v ( De. Coraxr. )(-;-.Vv - 0 S �.e b.- G(cg 1 :'iY AND OP PNONc C-3-1C-1 .-1 ', 5 >P-ro CONSTRUCflON LENDING AG,ENCf rt*...rr- I hereby affirm INK titers 4 a conitrvaton lendtnd aQ.ncy for the p.Aormu+c.of Di..work for w scat j2.4 o Ino penal 4=mad(Sec 10971.Cm C)Lender's Name l Levees Manes f", GINNER-BUILDER DECLARATION t n.reoy.lumen tut on to I am a:.mpt Iron Com .'so rar's Lxans.Lae tor the$Mo.tnp reason: r-1-. f -- C I as owlet d the property or my employees waft wades as then.ole compensalOn.WAC do ate ...wk.and tn*svot sur.4 not en.ne.d or thrid for eels. L I as drive d Ins prppeety.am.:dlrsNMy OORramtd rah.r..nf.d Contractors to conssnaC ate "a �Jst An c� � l c►- Lin -2 I am....IP(under SIC._ B&PC for Ma reason Dai. INITIAL r • WORKERS'COMPENSATION DECLARATION I �""" "`4. I I hereof atirm tate I h.,t a und.cam or consent to sell ruure,oe.aIIu^ndcc�at.d workers' H PERMIT M� BY I IMITATION I- Compensamorg Im.ura`nca,_or. feed mend POLICY NO L1 / l Ec�_)L C'mPANY��Crs'�-P \Z-1A(r DATE EXPIRES I'? , 7 �� � , C 00,1614 copy 4 h rsoy Ium4ltld OT'Y VERIFIED ' • lam\\�A ` '\\ ' ._Cel.I.ed copy 4 told twUt Ma ply � it Date" �1�t`ate may.-.iY \\` I Ca. / r�� / / 7 APPUiVrT r- �.. TY CERTIFICATE OF EXEMPTION FROM WORKERS C�Os�ENW1pN INSURANCE r\ri�'a VALUATION 747. I tarot,and in the p.lormance 01 the.work Ica wnch Ms per rasusd.I shall not Impby arty Wm,..n any manner so as to b.Com•aubt.d to the Workers Compensat.on Li..a of Cal.eom.a Cte APPLICANT PERMIT FEES vz,-ICE TD APPLICANT II,atter mak.rtd ins Can.I.care d Ez.mptan,you shou10 become aubpn ELECTRICAL I STRUCTURAL. --�� 3 10 the womb/ Conpensat.on p.v.nons d In. nnw Labor Code,you mull tonh an comply wauCn ..•••••••womb/ o•c+,a.on or true puma Anal L's deemed re•ok.d PLUMBING I GRADING //D '� I CERTIFY MAI I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT I AGREE TO COMPLY WITH ALL 071'ORDINANCES AND STATE LAWS AND MECHANICAL 1155LiwCE FEES HEREBY AUTHORIZE REPRESENTATIVES OF THIS OTT TO ENTER UPON THE ABOVE GEO REVIEW I PLAN CHECtC ' MENTIONED PR PERTY FOR IN�e.E�IiION PURPOSES 1 j r,2G �G� ISSUAAPPRNCE EO TOTAL PEANUT FEE / / I .c..g,a3..( A... kelim a,Acs..1 ISais 4/6/S 1 DATE OF tSSi,tANGE�� // l PERMIT o y 5o .nrr ApdKYM s/Aq►rh A Nem. 9[/ i.- , ..i'h .- ....v n• -J ,r r�.:tr -.rrg..r.... ,y,.. -. .-"--"' +4 .-W',.4 •+.• ,..' r ,• r-��-^wry—•-- yy - �r • • TRIAD TRIAD GEOTECHNICAL CONSULTANTS INC. 1� / SoilsEngineeringEnvironmental Engineering • Geology • Engineering : 17231 EAST RAILROAD STREET, SUITE 100, CITY OF INDUSTRY, CA 91748 TELEPHONE(818)964-2313 FAX (818) 810-0915 • NOTICE OF Asoma/.5 .4- INSPECTION / JOB LOCATION /z96/ <)AIc_LA-A) ,n ?///A)D //_S JOB NO. 9,Z-of/-&) DATE OF INSPECTION /0 - 9- 92.- CLIENT/OWNER , ,0xeS'L /267* CLIENT'S ADDRESS /0,4g 2264) .1/4.v 'zr/U/ DESCRIPTION OF AREA INSPECTED: EXc.4i".477 iti )/Z Ai /.S/34 //Xs ,c-F-c,cl ire cJicl,[�E,P� iAJ �t)4i ✓>>4���'7 / .d,P/>L,I N /.-) Co/o,- /so/0,0 `S/JOf) /c./ Ao%�,�-X/ ?Qf i /` 7"-e---"-IX-4/.--• EXC.Wa0i%nAv i.s , '&7 oy - ;,:; - ///E,uT i9Nb 7;b/u/r ,��i!/,v/N�' �/JJ/��l' 775,- ,-.9x/x2/ /4 .ie_.d kir .C.f.// /,' 717 Al, . ' AL/ .Cue Se-- /9.</,t9/2 • ,cJ So/,C ,_.5.4/0a/,d ,rlr /62e-,0 ,e0 f/z0/01 a44 �,✓ /lefO.,C di v. JOB SUPERINTENDENT: INSPECTED BY: SIGNATURENAT