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Permit No. 1058803807 .. y • .105 SAN BERNARDINO COUNTY-EPWA/LAND AGEMENT DEPT bFFICE OF BUILDING AND SAFETY P E RMI T APPLICATION PERMIT NBR 105 88 03807 225A 01 I STATUS: PAID THIS IS NOT A PERMIT UNTIL ISSUED APPL DATE 12/27/88 I ISSUE DATE 00/00/00 I PG 1 OF 1 PARCEL NUMBER 1023-381-70-0000 PROPOSED USE: SWIMMING POOL AND SPA CURRENT USE: RES W/ GARAGE TRAC LOT SEC 12581T 1000 1052 I SE08 102S 1088GW I PRCL 00AP I PRCL ACTIVITY PLANL821 ZONE/LAND USE DISTRICT GENERAL PLAN SUBDIVISION NAME SUBDIVISION PARCEL NO ( CH/PUD RES 2 LOT DIMENSION IRREGULAR CONST TYPE VN APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER *SLOGS ON LOT 1 (GROUP R3 ALOHA POOLS 731 E ARROW HWY *PLANS RECD 0 LAND USE PLOT 0 INDEX NBR 32-134 GLENDORA CA 91740-0000 STD PLAN/ICBO FHA (818) 962 - 1779 ITEM CNT DESCRIPTION DETAIL TOTALS OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER POOL PRIVATE 251.68 MIN, HYANG + � MISC SUB-TOTAL 251.68 D1 13446 RomemL-nc. cifF 0� TOTAL AMOUNT 251.68 CHINO HILLS CA 91709-0000 (714) 628 - 4687 JOB SITE ADDRESS 13446 HOWENDY CRESCENT . CHINO HILLS CA 91709-0000 CROSS STREET MITCHELL DRIVE INSPECTN ACCESS CONTRACTOR NAME, ADDRESS LICENSE NUMBER ROSS RICHARD D CONT000419492 731 E ARROW HIGHWAY GLENDORA CA 91740-0000 (000) 000 - 0000 DIV. OF IND. SAFETY PERMIT: MINIMUM SETBACK DISTANCES 45 FRNT SETBACK/CENTRLINE HOWENDY CRESCENT R/W 50 15 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 NO. BEDROOMS FLOOR UNIT EXT. WALLS I INT. WALLS I CEILING ROOF I HEATINGI FIRELACES METAL IMASRY PWATER UBLIC (PUSEWER BLIC I MIN DEPTH( S•0000100IOOOOEI NEW/REPAIR 000MMENTS AMT WAIVED .00 AMT PAID 251.68 PAYOR NAME: ALOHA POOLS PAID 12/27/88 RECEIPT 5229 EMPL: FLETS, DEBORAH PAID BY : CHECK NBR : 8477 *LICENSED CONTRACTORS DECLARATION. I HEREBY AFFIRM THAT I AM LICENSED UNDER THE PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS ANC, IISPROFESSIONS CODE,� AND MY LICENSE IS IN FULL FORCE AND EFFECT LICENSE CLASSS�r S 3 LICENSE NUMBER Y-L t Y 4 Z_ CONTRACTO DATE -/c, --e7�/4 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 [$5001 I ❑ 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 3800, LAB C I n POLICY NO 7 c-! 5 Y9 COMPANY 5 -'-- ,Z. .AJ/� c — - A\ ❑ CERTIFIED COPY IS HEREBY FURNISHED ❑ CERTIFIED COPY IS FILED E COUNTY BUILDING INSPECTION DEPARTMENT APPLICANT 1 J DATE 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 DATE 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 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 I LENDER'S NAMF 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 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 • tzteI CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT, I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURP S SIGNATURE OF APPLICANT OR AGENT ' • - DATE (. — (C' ` 7 EXPIRATION AND REFUND NOTICE APPLICATIONS FOR WHICH NO PERMIT IS 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 t 1 I Permit Numb los--8e- d3g07 22(40/ INSPECTION RECORD DATE INSPECTOR DATE INSPECTOR Setback 1 /1 ., ,.-.1-Rough Plumbing Temporary Power I 1/�c. � Shower Pan Test Foundation Reinforcing Steel kiStucco Mesh or Exterior Siding Excavation and Forms 'Ie/ ,I/ 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 —/3—01 c2::3---d Electrical Ground OD/f�/ /--/339 At Final Energy Mid-Height Bond Beam Final Plumbing 8-Foot Bond Beam Final Heating/A C Final Bond Beam - Final Construction isi"V3-° 9 _ Fireplace Bond Beam Final On Site Improvements -Roof'Sfs88t}rng Pg-4/4- 1/'AD"? v�=� Final Off Site Improvements Framing and Ventilation I Final Dedication 'g4' / 7r J j Ided, Final Zoning Rough Heating I Final Electrical 13s a-•"'"....- . Electrical Service and Ground I Final Gas .1°4 Rough Electrical li-ac-VI I8t Developer Fees Paid WC (YIN) Ind Saf (Y/N) Certificate of Occupancy I 1 ,a SEPTIC TANK GALS SEEP PIT X ONTARZ LEACH LINF WIDE /� X LONG X DEPTH OF ROCK M N. %I ONPUETED DATIE: # W E S Inspector's Signature and Initials 12-17589-469 Rev 3/88 -