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Permit No. 17426 BUILDING ADDRESS: 5539 VERONESE DRIVE PERMIT NUMBER: 17426 BUILDING INFORMATION APPLICANT INFORMATION et BUILDING PERMIT APPLICATION Address 5539 VERONESE DRIVE Name 'IAN GRIFFIN Community Development APN 1 ' Address 17145 MAGNOLIA AVENUE,SUITE 100 2001 Grand Avenue Lot 120 I City,Zip Code 'RIVERSIDE,CA 92504 Chino Hills,CA 91709 Cross Streets 1 1 Phone/Pager 1(909)328-0777 I ext 117 "TT LICENSED CONTRACTOR DECLARATION Tract/Parcel 114079-3 1 City Bus Lic# 10 1-0477 5 y lav that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation $208,000 00 1 ENGINEER/ARCHITECT INFORMATION ision 3 of the Business and Professions Code)and my license is in full force and OWNER INFORMATION Name L D KING OWNER BUILDER DECLARATION Name GRIFFIN COMMUNITIES Address 2151 CONVENTION CENTER WAY reby affirm that I'm exempt from the Contractor's License Law for the following reason Address 7145 MAGNOLIA AVENUE,SUITE 100 1 City,Zip Code ONTARIO,CA 91764-4464 I,as the owner of the property,or my employees with wages as their whole City,Zip Code RIVERSIDE,CA 92504 1 Phone (909)937-0200 1 ext 1 compensation,will do the work,and the structure is not intended or offered for salephone (909)328-0777 ext 117 1 Lie# I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# 01-04775 i City Bus Lie# construct the project t Bus Exp 6/30/01 I am exempt under Section i i BPC for this reason i I APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ • y affirm under penalty of perjury one of the following declarations Contractor 1GRIFFIN COMMUNITIES Date Issued 1/10/01 Address 17145 MAGNOLIA AVENUE,SUITE 100 Finance Code C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation s provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code 'RIVERSIDE,CA 92504 Census Code 101 1 hich this permit is issued Phone or Pager (909)328-0777 1 ext 117 Final Date I I have and will maintain workers'compensation,as required by Section 3700 of the Bus Lie# 10 1-0477 5 Final By 23 bor Code,for the performance of the work for which this permit is issued My Lie # 16382Extension orkers'compipsation insurance carrier and policy number are Exp Date 14/30/01 Reviewed By KEITH L PRYOR INSURANCE INFORMATION Lie Class IB Approved By KEITH L PRYOR surance Company 'STATE FUND 1 PROJECT INFORMATION olicy Number 1154080-99 1 PROJECT DESCRIPTION LOCATION SQUARE FT. xpiration Date 2/1/01 Structure ILIVIBLE 1 ' 1 I 3010 ection need not be completed if permit is for one hundred dollars($100)or less Garage (GARAGE 563 I certify that in the performance of the work for which this permit is issued I shall not employ Patio 1 1 II ny person in any manner so as to become subject to the Workers'Compensation Laws of Porch 'PORCH I I 52 alrfomra and agree that if I should become subject to the workers'compensation provisions of Other ection 3700 of the Labor'Code I shall comply with those provisions PROPOSED USE SINGLE FAMILY RESIDENCE ate: i i Signature: I i t PLAN 3 STANDARD-37'REAR LANDSCAPE EASEMENT certify I have read this application and state that the above information is correct I agree to omply with all City Ordinances and state laws and hereby authonze representatives of this City to nter upon the above mentioned property for inspection purposes COMMENTS / / / /1 ate Signature. I i'___-12 ..-Al G.---.,��i., _..--� OTHER FEES REQUIRED I.1117 ZO IN SETBACKS G G PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning 1PD Front Yard 16 5 Over X 1 01 Issuance $29 00 I Electrical I $331 10 ' Land Use IFR-2 I Side Yard 5/5 Cut 0 School 1 YES Permit Fees: $2.348.80 DevelopmentYES Plan Check 1 $134 31 Plumbing 1 $247 50I Plan 1PLAN 3 Rear Yard 15 Fill 1 0 1 1SMS I $20 80 Occ 1R3 I SSY Sewer 1 YES 1 Mechanical 1 $98 79 Structural 1 $1,343 10 1 Type VN Total Water YESI Total Fee Due $2,369.60 T T yp 1 1 _ I 1 Geo Review 1 $0 00 I Grading 1 $165 00 1 7rI f �� % Permit Number/�' 7S' nspection Date Inspector Inspection - - Date Inspector 3rading: ` regrade Meeting FINAL INSPECTIONS'(Inspector verify following) ' lough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL! terraces County Environmental Sub Drains Health Dept A, - --� Finish Grading g Planrnng Dept * Soils Certification Public Works 41 --/- Grading Grading Certification Fire /r Rough Landscape ', ", / As Built Approved - Underground Site Inspections: / ALL ABOVE MUST BE APPROVED BEFORE FINAL B DG { Building Sewer _ .- Final Grade GJ�,( ^ Water Service Final Electnc / Storm Drain/Catch Basins Final Plumbing / / U/G Conduit/Electncal Final Mechanical Compaction Report Final Building/Construction / ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number Footings // 29S�9 � j UFER Ground (Rebar/Copper) CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs � ,, / Piers/Caissons/Tendons 1 Slab Grade �/-iJ/�/ OTHER: 'DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED �� -.2-/-7.7 , ..// Shear:‘ � -) , /Q/©/ / Roof Nailing id/ / Exterior Walls Interior Walls Hardware/Hold-Downs , Rough Electnc Rough Mechanical `...m.--c.," -n,y / Rough Plumbing/Topout 6% A'c' Framing / COVER NO WORK UNTIL ABOVE IS APPI(OVED Insulation 53r-x)1 Zz' , ,t `,�-- Drywall c r Intenor/Extenor / Lath Stucco Scratch 74:,/,41- �/ Roof Covenng Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam _ Drain/Seal SWIMMING POOLS : Location/Reber/Bonding/Light Gr Conduit • Ro Elect - POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Final Pool Temp Power Pole , Electric Release I, .,frl C: Gas Test 7 '�i 1