Loading...
Permit No. 1058700250 Ai �-- 10^ SAN CERNARDINO COUNTY—EPWA/LAND GEMENT DEPT • OFFFCE OF BUILDING AND SAFETY PER I T '; LICATION PERMIT NBR 105 87250 2300 01 I PAGE 1 OF 1 THIS IS NOT A PERMIT UNTIL ISSUED APPL DATE 02/08/88 ISSUE DATE 02/08/88 PARCEL NUMBER 1017-881-22-0000 PROPOSED USE: GARDEN WALL GTE UTILITY BLDG CURRENT USE: VACANT TRACT I BIKI I SEC I TNNI RNGPRCL MAP I PPRCLI COMMUNITY PLAN IIZONE/LAND USE DISTRICT( GENERALPLAN 000 NE29 CHINO HILLS I CH/PUD A SUBDIVISION NAME SUBDIVISION PARCEL NO LOT DIMENSION 7.14 ACRES CONST TYPE IIIN *BLDGS ON LOT GROUP B4 APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER *PLANS RECD 2 LAND USE PLOT 0 (INDEX NBR 32-156 SALTS, TROUTMAN AND KANESHIRO STD PLAN/ICBO FHA N 1600 E FLORIDA AVE 320 HEMET CA 92344-0000 GRADING INITIAL ACTUAL (714) 925 — 2504 CU.YDS. EXC. CU.YDS. FILL OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER GENERAL TELEPHONE OF CALIFORNIA TYPE I SQ. FT. I FACTOR/P.S.F. I ADJSTED AREA/VALUATN 1 GTE PL THOUSAND OAKS CA 91362-0000 FENCE 720 .20 144.00 (213) 451 — 7080 CALC. VALU 6,048.00 I ADJUSTED AREA 144 JOB SITE ADDRESS a , 3230 PAISLEY DR ! ITEM CNT DESCRIPTION DETAIL TOTALS CHINO CA 91710-0000 RESIDENTIAL CONSTRU 57.20 CROSS STREET PEYTON TOTAL AMOUNT 57.20 INSPECTN ACCESS CONTRACTOR NAME LICENSE NUMBER ASSOCIATED CONCRETE PRODUCTS INC CONT000272350 MAILING ADDRESS, PHONE NUMBER 4301 WEST MACARTHUR BLVD SANTA AMA CA 92704-0000 (000) 000 — 0000 MUIiTMUM TETT ACK_U!`;TANCES *'-'i Pi:R PLOT _.-; . ----- --— — r • MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS ANO. STORIES I NO. OITDDWELLING I NO. BEDROOMS I FLOOR UCO EXT. WALLS I INT. WALLS 10P CEILINGMA ST IMA ROOFHEATING FIREPLACES TI `EL METAL IMASRY PWAATER TIR I SEWER I MIN NODEPTH' S.FO00//100I00I0EI NEW/REPAIR COMMENTS CONTRACTORS LICENSE ON FILE. CERTIFICATE OF SELF—INSURANCE FOR WORKERS COMPENSATION ON FILE. . AMT WAIVED .00 AMT PAID 57.20 PAYOR NAME: SHARPE, KEITH PAID 02/08/88 RECEIPT : 05281 EMPL: CASTRO, K •LICENSED CONTRACTORStECLARATIO• 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 fp� r 1 K' �j LICENSE CLASS x'1--1` T-C LICENSE NUMBER 2� SO CONTRACTOR A-SSOCI�-l'cl CC DATE Z 1 ir1 (� (1 (� A)c? I 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 [5500]) ❑ I,AS OWNER OF THE PROPERTY,OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION,WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SECTION 7044,BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE, IF, HOWEVER,THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OF COMPLETION, THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE) ❑ I,AS OWNER OF THE PROPERTY,AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT(SEC 7044,BUSINESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS LICENSE LAW) ❑ I AM EXEMPT UNDER SEC B AND P C FOR THIS REASON OWNER DATE 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 e89l�LAB ) ( ��1 XICY NO Ct1COMPANY c ELP 1 (\SJ' `'` ERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY I( �40 H THE COUNTY BUILDING INSPECTION DEPARTMENT p �j APPLICANT DATE 2� l o O 1 I CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA APPLICANT DATF NOTICE TO APPLICANT IF,AFTER MAKING 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 •NSTRUCTION LENDING AG \l' I HEREBY AFFIRM THAT THER •NSTRUC ON Vf kG-AGENCY FOR THE PE ANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC 3097,CIV C) LENDER' ••• ',F LENDE ' DDRESS 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 SIGN ONE OF THE CERTIFICATES BELOW 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 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 1 . I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE HAT THE ABOVE INFORMATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING c .TRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURP•,' S� SIGNATURE OF APPLICANT OR AGENT 1-Mrs.O DATE "2ff OQ 1 r6" 11 [ I EXPIRATION NOTICE APPLICATIONS FOR WHICH NO PERMIT IS ISSUED WITHIN 180 DAYS FOLLOWING THE DATE OF APPLICATION SHALL EXPIRE,EVERY PERMIT 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 ONE YEAR FROM DATE OF PAYMENT, ALL FEES PAID MAY NOT BE REFUNDABLE 12 17588-469 \A/4 • • INSPECTION RECORD Permit Number ile. ?002 23dQd DATE I INSPECTOR I DATE INSPECTOR Setback // AR I Rough Plumbing Temporary Power I Shower Pan Test Foundation Reinforcing Steel a Stucco Mesh or Exterior Siding Excavation and Forms Insulation F.H A. Foundation Req Sewer Slab Grade Interceptor Ground Plumbing Septic Tank Underslap 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 3 2iG �� Final Plumbing 8-Foot Bond Beam — Final Heating/A.0 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 0C/iVdL GFPo4./7' I 30 i3$ 104 Certificate of Occupancy WORKERS' COMPENSATION INSURANCE (YIN) DIVISION OF INDUSTRIAL SAFETY PERMIT (Y/N) SEPTIC TANK GALS SEEP PIT X LEACH LINE WIDE X LONG X DEPTH OF ROCK N W E S Inspector's Signature and Initials 12-17589-469 ' /