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Permit No. 13660 BUILDING ADDRESS: 13461 PARKVIEW TERRACE PERMIT NUMBER: 13660 I BUILDING INFORMATION APPLICANT INFORMATION ,;,. BUILDING PERMIT APPLICATION Address 13461 PARKVIEW TERRACE Name 1ClV CONSTRUCTION .-..i.o,%is Community Development APN 11023-371-35 I Address 13315 LITTLE DIPPER ';'.."4:-. 2001 Grand Avenue "' 1''''./ Lot 171 I City,Zip Code 1MIRA LOMA,CA 91752 --7- Chino Hills,CA 91709 ,,1•:*:e S;'„'. Cross Streets IPETYON&OLYMPIC I Phone/Pager 1(909)681-4757 I ext I HAO HD LS MY Of.....,„, LICENSED CONTRACTOR DECLARATION Tract/Parcel 112581 I City Bus Lic# 198-03224 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$4,608 00 I ENGINEER/ARCHITECT1NFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect OWNER INFORMATION Name N/A OWNER BUILDER DECLARATION Name LARRY DAY Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason. Address 13461 PARKVIEW TERRACE City,Zip Code I,as the owner of the property,or my employees with wages as their whole City,Zip Code CHINO HILLS,CA 91709 I Phone I ext I © O compensation,will do the work,and the structure is not intended or offered for sale Phone (909)627-9820 1 ext I I Lic# a® I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie# N/A City Bus Lic# construct the project Bus Exp. APPROVAL INFORMATION © I am exempt under Section I i BPC for this reason i WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION issued By YVETTE MARTINEZ I hereby affirm under penalty of penury one of the following declarations Contractor IC V CONSTRUCTION Date Issued 1/19/99 Address 113315 LiTTLE DIPPER Finance Code C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation © as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code IMIRA LOMA,CA 91752 Census Code which this permit is issued Phone or Pager (909)681-4757 ext Final Date Bus Lie# 198-03224 Final By I have and will maintain workers'compensation,as required by Section 3700 of the ® Labor Code,for the performance of the work for which this permit is issued My Lie # 1405924 Extension workers'compensation insurance earner and policy number are Exp Date 111/1/99 Reviewed By KEiTH L PRYOR INSURANCE INFORMATION Lie Class IBI Approved By KEITH L PRYOR Insurance Company (STATE FUND I PROJECT DESCRIPTION LOCATION SQUARE FT. Policy Number 1790123 I PROJECT INFORMATION Expiration Date 19/1/99 11 1 I I 1 1 Structure © Section need not be completed if permit is for one hundred dollars($100)or less Garage 1 I 1 I certify that in the performance of the work for which this permit is issued I shall not employ Patio (LATTICE I (REAR 384 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch I I California and agree that if I should become subject to the workers'compensation provisions of OtherI Section 3700 of the Labor Code I shall comply with those provisions ,�� : � PROPOSED USE LATTICE PATIO COVER ` , 1 Date: V—i �',- 9'9i Signature: e..7„,„•• - ---,/,...t.„..----�/� - // \ tS\I �j I certify I have read this application and state that the above inforrect I agree to . ( ......1\2:._j ' I comply with all City Ordinances and state laws and hereby authorizere tativ this ty to enter upon the above mentioned property for inspection purpo COMMENTS \ ‘10‘./ Date: Signature: ` /�/ 9�f i g /r`1 ��i1�'/l/� 4".- ---- l/ EES REQUIRED v PRIOR TO ACTUAL PERMIT ,,A ZONING SETBACK S G I ISSUANCE PERMIT FEE INFORMATION C V" Zoning 1PD Front Yard 20 Over X 0 issuance 1 $29 00 1 Electrical $0 00 Land Use IFR-1 Side Yard 5/5 Cut 0 School 1 NO 1 Permit Fees: I $135.92 I 1 Plan Check $42 12 Plumbing00 PlanRear Yard 15 Development 1 NO I I $0 1 I 1 Fill 1 0 1 SMTP 1 $0 50 1 Occ (ACCESSORY SSY Total 0 1 Sewer 1 NO 1 Mechanical I $0 00 Structural 1 $64 80 1 Total Fee Due I $136.42 Type ITO R3 Water 1 NO I Geo Review 1 $0 00 I Grading 1 $0 00 INSPECTION RECORD • • INSPECTION DA TE INSPECTOR INSPECTION DATE INSPECTOR Grading• Block Wall Inspections : Pregrade Meeting Footing, ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal ; Soils Certification ReRoof Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools : Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE 00 NOT BACKFILL UNTIL ABOVE IS APPROVED Fence,Gate&Alarm Verify Soils Engineering: Final Pool Compaction, moisture,conditioning, etc Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing Thrust Blocks U/F Water Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor • Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release Foundation Inspection: Gas Test Setback/Footing UFER Ground (Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs NO OCCUPANCY PERMITTED WITHOUT FINAL I Piers/Caissons/Tendons County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) Shear Inspection(Wood): Planning Dept (364-2790) Roof Nailing Public Works (354-2770) Exterior Walls Fire (393-3888) Interior Walls Landscape (364-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG • Combo Inspection: Final Electric Framing Final Grade h Rough Electric Final Plumbing Rough Mechanical Final Mechanical Rough Plumbing/Topout Final Building/Construction COVER NO WORK UNTIL ABOVE IS APPROVED I Pi*" CERTIFICATE OF OCCUPANCY VI Insulation r4 Drywall Inspection: OK TO ISSUE Interior Extenor OTHER: Lath Stucco Scratch MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties, Fire Block, • • PATIO/DECK: Footing Access/Light/Switch Patio Final • • •