Loading...
Permit No. 1058903462 _,-._ eye 't35 SAN BERNARDINO COUNTY-EPWA/LAND•AGEMENT DEPT1, - S OFFICE OF BUILDING AND SAFETY PERMIT APPLICATION PERMIT NBR 105 89 03462 210A 01 I STATUS: ACTIV THIS IS NOT A PERMIT UNTIL ISSUED -- --- APPL DATE 10/11/89 I ISSUE DATE 10/11/89 I PG 1 OF 1 PARCEL NUMBER 1031-361-14-0000 PROPOSED USE COVERED PATIO / 1 J ' 3 C / --.J / CURRENT USE. RESIDENCE TRACT 1000 11LOT 82 I SEC NE29 102S I RNG I PRCL MAP I PRCLCACTIVITY • 1820 COMMUNITY PLAN ZONE/LAND USE DISTRICTI GENERAL PLAN SUBDIVISION NAME SUBDIVISION PARCEL NO CHINO HILLS CH/PD,IL1,FR1, LOT DIMENSION 44 X 100 CONST TYPE APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER RBLDGS ON LOT 1 GROUP EISENACHER, DAVID 3091 OAKTRAIL RD *PLANS RECD 0 LAND USE PLOT 0 INDEX NBR 30-155 CHINO HILLS CA 91709-0000 STD PLAN/IBO FHA N (714) 597 - 9987 TYPE I Sri FT. I FACTOR/P.S.F. I ADJSTED AREA/VALUATN OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER EISENACHER, DAVID PORCH 246 .20 50.00 3091 OAKTRAIL RD CHINO HILLS CA 91709-0000 CALC. VALU 2,250.00 I ADJUSTED AREA 50 (714) 597 - 9987 ITEM CNT DESCRIPTION DETAIL TOTALS JOB SITE ADDRESS RESIDENTIAL CONSTRU 35.45 3091 OAKTRAIL RD ISSUANCE FEE 16.96 CHINO HILLS CA 91709-0000 TOTAL AMOUNT 52.41 CROSS STREET VALLE VISTA INSPECTN ACCESS CONTRACTOR NAME, ADDRESS LICENSE NUMBER DIV. OF IND. SAFETY PERMIT: MINIMUM SETBACK DISTANCES 45 FRNT SETBACK/CENTRLINE OAKTRAIL R/f4 50 _ _ - - - - -- - _ __- ''''''-'-/0 ''``- --'-10 REAR SETBACK/PROP LINE 5 SIDE SETBACK/PROP LINE 5 SIDE SETBACK/PROP LINE MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS NO. STORIES I NO. DWELLING I NO. BEDROOMS IFLOOR 1 UNITS CONC ETE me limit erd on permit EXT. WALLS INT. WALLS I CEILING nable to obtainxpieadmission visible hazards. Only the work ROOF HEATING FIREPLACES rxNTupoi proved by s fined inspections wig€ WOOD METAL IMASRY ertified. ermit xpired. WATERN DEPTH F./100 SIZE /—2� PUBLIC I SEWER I MI000 I S.000 10000 I NEW/REPAIR i `(�\f Q/// 9/ ! nspector Date COMMENTS PRE-ALTER WAIVED BY BRUNO GUTIERREZ *MODERATE TO HIGH LANDSLIDE SUSCEPTIBILITY PER DEVELOPMENT CODE-PATIO CAN GO 5' FROM REAR PROPERTY LINE-MUST MAINTAIN 10' BETWEEN STRUCTURES AMT WAIVED .00 AMT PAID 52.41 PAYOR NAME. DAVID EISENACHER PAID 10/11/89 RECEIPT 5833 EMPL: ROTRUCK, S PAID BY : CHECK NBR : 1140 • .ICENSED CONTRACTORS DECLARATION. J 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 FORCE AND EFFECT LICENSE CLASS LICENSE NUMBER CONTRACTOR DATE 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 CODE]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 [$500] ) I,AS OWNER• T PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED / I R OFFERED 0' SA (SECTION 7044,BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY 0 BUILDS OR I‘•'R ES THEREON •ND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMP•.'VEME TS A . NO NTENDED .' OFFERED FOR SALE, IF, HOWEVER,THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE 0 • ER-:UILDER ILL VE THE : ''EN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) iiii EN"I,AS OWNE' 0' THE PRI•ERTY, EXCLU .. CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC 7044,BUSINESS AND ROFESSION CIDE THE ••NTRA TORS LIC ' AW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO A TRACTS FI. UCH P•\ECTS ITH A CONT' +► OR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW) ElI A EXEMPT U D - SEC B AND P C FOR THIS REASON WNER \! \ . ' DATE JJ `` 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 ❑ CERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY IS FILED WITH THE COUNTY BUILDING INSPECTION DEPARTMENT APPLICANT DATF • CERTI ICATE EXE TION FR WO S'COM•. SA IN INSURANCE(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] LESS) I CERTIFY HAT IN TH FORMA OF TH ORK FOR • - CH IS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT T THE WORK R ' COMP SATION WS OF CALIF-• • APPLICANT r NOTICE TO APPLICANT AFTER MAR r DATF ING 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) •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 , , ❑ 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 DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH ❑ AS OWNER/BUILDER I L T EMPLOY A ONE TO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH ERSO AS A PER IT ROM T DIVISION DIVISION OF INDUSTRIAL SA ETY PERMI UM R ` \ \;` I CERTIFY THAT I HAVE READ T \APPLICATIO D STA THAT TH ABOVE IN ATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS ATING TO B IL ING C STRUCTI , AND HER UTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FO SPECTION P ROSES SIGNATURE OF APPLICANT OR AGENT DATF \ / '— \r -- — -- --,`J EXPIRATION AND REFUND'NOTICE PPLICATIONS FOR WHICH NO PERMIT tS ISSUED 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 REFUNDABLE AFTER 180 DAYS FROM DATE OF PAYMENT, EXCEPT FOR ERRORS IN ACCEPTANCE WHICH MAY BE REFUNDABLE UP TO ONE YEAR FROM DATE OF PAYMENT ALL FEES PAID MAY NOT BE REFUNDABLE 12 17588-469 Rev 10/88 Owner Name ' CL- eilir Permit NumID 105(9 63 76,02 o2/64-o/ INSPECTION RECORD I DATE INSPECTOR I I DATE I INSPECTOR Setback ----. Rough Plumbing Temporary Power I ( ) Shower Pan Test Found ation.e+A4ererng-6leel 10/i3/ Stucco Mesh or Exterior Siding Excavation and Forms Insulation F H A Foundation Req Sewer 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 Final Plumbing 8-Foot Bond Beam Final Heating/A C Final Bond Beam 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 (Y/N) Certificate of Occupancy 1-2 s-9/ ,t...,,,fi .4-4-f: Z -ye.P�,,.�. - . ,,.Jz,t,e off/ a.,rL �s,��.,�. 1F a,o ' ,...... . :,,. �i.a� .esa449 a.,. 'i ,--A p Q....4 ILit /hi - - 4mP limit exnired on permit I I 1 1.,-0,6n -fel_ nhtaln Admission I . .i-7 .hln h-1-7arrlc Only the, work I SEPTIC TANK GALS SEEP PIT X d .� r c! )n � spectIS Wli% ,M Cri LEACH LINF WIDE jN�I UVC iA certliled/Permltxpired' ,_ 4 / i X LONG X DEPTH OF ROCKI (.� /--z- ,-.// I N t.,...,.,r+nr Date I i .,....„........• - W E / S Inspector's Signature and Initials &f4.4.4.€ 1 /Z4 _/1t_4 fir* 12 O r- 12 17689-469 Rev 3/88