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Permit No. 17427 BUILDING ADDRESS: 5527 VERONESE DRIVE I PERMIT NUMBER: 17427 // BUILDING INFORMATION APPLICANT INFORMATION /y4: ,\+tBUILDING PERMIT APPLICATION Address 5527 VERONESE DRIVE Name 1IAN GRIFFIN -: , ;.3:�;� Community Development APN I ' Address 17145 MAGNOLIA AVENUE,SUITE 100 1,-414.-.«.:, 2001 Grand Avenue '4t ~ ";.�,r Lot 22 City,Zip Code 'RIVERSIDE,CA 92504 ,MS:': Chino Hills,CA 91709 Cross Streets Phone/Pager 1(909)328-0777 ' ext 117 ""°`C °"'S LICENSED CONTRACTOR DECLARATION Tract/Parcel 114079-3 ' City Bus Lic# 101-04775 ' I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$208,000 00 ENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect OWNER INFORMATION Name IL D KING OWNER BUILDER DECLARATION Name 'GRIFFIN COMMUNITIES Address 2151 CONVENTION CENTER WAY ' I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 17145 MAGNOLIA AVENUE,SUITE 100 City,Zip Code 1ONTARIO,CA 91764-4464 I,as the owner of the property,or my employees with wages as their whole City,Zip Code 1RIVERSIDE,CA 92504 Phone 1(909)937-0200 1 ext 1 0 compensation,will do the work,and the structure is not intended or offered for sale Phone 1(909)328-0777 1 ext 117 Lie 4 1 -4I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# 01-04775 I City Bus Lie# ' , construct the project •Bus Exp 16/30/01 I I am exempt under Section I BPC for this reason I APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor GRIFFIN COMMUNITIES I Date Issued 11/10/01 Address 7145 MAGNOLIA AVENUE,SUITE 100 Finance Code 1C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation 00 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code RIVERSIDE,CA 92504 Census Code 1 101 Phone or Pager (909)328-0777 ext117 , which this permit is issued g Final Date Bus Lie# 01-04775 I have and will maintain workers'compensation,as required by Section 3700 of the Final By Lic # 638223 Qi Labor Code,for the performance of the work for which this permit is issued My Extension workers'compensation insurance earner and policy number are Exp Date 4/30/01 Reviewed By 1KEITH L PRYOR Lic Class B -INSURANCE INFORMATION Approved By KEITH L PRYOR Insurance Company 1STATE FUND PROJECT INFORMATION Policy Number 1154080-99PROJECT DESC TION LOCATION SQUARE FT. Expiration Date 12/1/01 Structure 'LIVIBLE ' I ' 3010 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage 1GARAGE 1 ' 1 563 I certify that in the performance of the work for which this permit is issued I shall not employ Patio I 1 1 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch 'PORCH ' 1 i 52 (California and agree that if I should become subject to the workers'compensation provisions of Other Section 3700 of the Labor Code I shall comply with those provisions PROPOSED USE SINGLE FAMILY RESIDENCE Date: i i Signature. i • PLAN 3 STANDARD-41'-31'REAR LANDSCAPE EASEMENT I certify I have read this application and state that the above information is correct I agree to comply with all City Ordinances and state laws and hereby authonze representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes Date: i t ` /A /U/I Signature: I // j� OTHER FEES REQUIRED 1 1117 ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT ISSUANCE PERMIT FEE INFORMATION Zoning 1PD ' Front Yard 17 Over X 1 0 1 Issuance 1 $29 00Electrical 1 $331 10 1 Land Use 1FR-2 1 Side Yard 5/5 Cut 0 School 1 YES ' Permit Fees: $2,348.80 Plan PLAN 3 Rear Yard 15 Development YES Plan Check 1 $134 31 Plumbing $247 50 Fill 0 ' SMIP 1 $20 80 1 Occ IR3 1 SSY Total 1 0 I Sewer 1 YES Mechanical 1 $98 79 1 Structural $1,343 10 ' Type IVN 1 Water 1 YES Geo Review 1 $0 00 Grading $165 00 1 Total Fee Due I $2,369.60 „.. ill INSPECTION RECORD Permit Number ./. •# . 7 nspection Date Inspector Inspection Date Inspector 3rading: Dregrade Meeting FINAL INSPECTIONS(Inspector verify following) sough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL! rerraces County Environmental �� Sub Drains Health Dept Finish Grading Planning Dept , g v A �.<./7 .7 Soils Certification Public Works ,/S” c Grading Certification Fire //Mr / Rough Landscape . /v- / As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG, Building Sewer —S.* Final Grade / / /l/ Water Service Final Electnc ��33/L< /' `'y !� Storm Drain/Catch Basins Final Plumbing �/ U/G Conduit/Electncal Final Mechanical / / Compaction Report Final Building/Construction / ./ //A ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number 2q 9€0/A,,!,<, v Footings J d UFER Ground (Rebar/Copper) / CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs /I/`,,; -- Piers/Caissons/Tendons / Slab Grade � DO NOT POUR CONCRETE UNTIL ABOVE IS PPROVIE/f' OTHER: -2-Iv-JO/ Shear ,¶ ,-SIZY �--•-• "1/� — ''tic/nom Roof Nailing -taeAv .#z Extenor Walls Interior Walls Hardware/Hold-Downs Rough Electnc ,�?Y Rough Mechanical `)-4� Rough Plumbing/Topout 4'/� Framing 7 COVER NO WORK UNTIL ABOVE IS APPROVED Insulation 5-11-0 i ,$ - '1_1,-....E.e_ Drywall Interior/Exterior4vv Lath hY� /ti Stucco Scratch .Fi. . Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/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 / MI a J.,- Gas ✓Gas Test ;.f/, 1 .