Loading...
Permit No. 17432 BUILDING ADDRESS: 5515 VERONESE DRIVE PERMIT NUMBER: 17432 �\ BUILDING INFORMATION APPLICANT INFORMATION ..\ BUILDING PERMIT APPLICATION Address 5515 VERONESE DRIVE Name (IAN GRIFFIN �..,,«.H' Communit Develo ment - Y P APN 1 Address 17145 MAGNOLIA AVENUE,SUITE 100 1 %"`'=` 2001 Grand Avenue >v• Chino Htlls,CA 91709 Lot 124 I City,Zip Code !RIVERSIDE,CA 92504 ,r::s Cross Streets I Phone/Pager 1c909)328-0777 1 ext 117 ii;: "°`°"°"P LICENSED CONTRACTOR DECLARATION Tract/Parcel 114079-3 I City Bus Lic# 101-04775 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$209,000 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 L D KING ! OWNER BUILDER DECLARATION Name GRIFFIN COMMUNITIES 1 Address 2151 CONVENTION CENTER WAY ! I hereby 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 Phone (909)937-0200 I ext 1 0 compensation,will do the work,and the structure is not intended or offered for sale Phone (909)328-0777 I ext 117 Lie# ® I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic 4 - _ 01-04775 City Bus Lie 4 - construct the project Bus Ex 6/30/01 rz I am exempt under Section � i BPC for this reason i I p I " 1 APPROVAL INFORMATION ' ! �' ' CONTRACTOR INFORMATION WORKERS'COMPENSATION DECLARATION Issued By IYVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor !GRIFFIN COMMUNITIES I Date Issued 11/10/01 Address 17145 MAGNOLIA AVENUE,SUITE 100 I Finance Code C4-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 1 Census Code 1101 / which this permit is issued Phone or Pager (909)328-0777 1 ext 117 . 1 Final Date 1/�/4•In Bus Lic# 101-04775 1 Final By I A v `/: I have and will maintain workers'compensation,as required by Section 3700 of the Oi Labor Code,for the performance of the work for which this permit is issued My Lic # 1638223 Extension 1 — �� workers'compensation insurance carier and policy number are Exp Date 14/30/01 Reviewed By !KEITH L PRYOR INSURANCE INFORMATION Lic Class 1B I Approved By !KEITH L PRYOR I Insurance Company (STATE FUND r PROJECT INFORMATION I Policy Number 1154080-99 PROJEC D RIPTION LOCATION SQUARE FT. Expiration Date 12/1/01 1 Structure ILIVIBLE 1 1 1 3010 O Section need not be completed if permit is for one hundred dollars($100)or less Garage (GARAGE 1 1 563 I certify that in the performance of the work for which this permit is issued I shall not employ Patio 1 1 1 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch !PORCH ! 52 Califomia and agree that if I should become subject to the workers'compensation provisions of Other !DECK I 72 ection 3700 of the Labor Code I shall comply with those provisions PROPOSED USE SINGLE FAMILY RESIDENCE Date. i i Signature: 1 i PLAN 3 W/DECK I certify I have read this application and state that the above information is corect I agree to comply with all City Ordinances and state laws and hereby authonze representatives of this City to COMMENTS enter upon the above nention d property for inspection purposes i Date: ///,��Cj� Signature: �Gj /fi' OTHER FEES REQUIRED V 1 l ZONING SETBACK S_ GRADING PRIOR TO ACTUAL PERM i pERMIT FEE INFORMATION ISSUANCE Zoning 1PD 1 Front Yard 16 5 Over X 1 0 1 Issuance $29 00 1 Electrical I $331 10 I Land Use IFR-2 Side Yard 5/5 Cut 0 School 1 YES � Permit Fees: $2,344.64 I Develo ment YES 1 1 Plan Check I $134 77 1 Plumbing $247 50 1 Plan PLAN 3 Rear Yard 15 Fill 0 p SMTP 1 $20 90 I Occ IR3 I SSY Sewer YES 1 Mechanical 1 $98 79 1 Structural I $1,338 48 I Type vN Total 0 Water YE5 Total Fee Due 1 $2,365.54 1 1 1 1 Geo Review 1 $0 00 1 Grading 1 $165 00 1 - - - '- - - r�....- ' ' . ��� INSPECTION~• RECORD � Permit Number /7� ' - napmctipn Date Inspector Inspection Date Inspector = 3,ad|nQ: . zegnado Meeting FINAL INSPECTIONS(Inspector verify following) sough Grade NO OCCUPANCY PERMI flED WITHOUT FINAL! [enacen County Environmental Sub Drains Health Dept ^� , Finish Grading Planning Dept ��u~°�' '+r /^r ���� Soils Certification Public Works 1417 I _~~~~' GnodmgCortifinoUon Fine . / Rough Landscape ^4*0er°/ AmBui|tAppvmved ^~ Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building SewerFinal Grade ^// ^// �t &° ~ ~^ Water Service 44/741" - �^-/�- '� Final Electnc -' / Storm Drain/Catch Basins FinaiP|umbmg /^ /U/3Condu/�Bo��noa| - Final Mechanical ,~~^ ,~~~ Compaction Report Final Building/Construction ~^° �r ^ ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION ^� ~ ' ,- ��mtmrWYmterNunnber r,f~Tt�.r7i Footings / '' ' ^/ ' - ' UFER Ground(Rebar/Copper) .. I A^ / CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs " ~ Pmrs/Caiuoona/Tendonu 1._' ' Slab Grade 9 -.17//re:,./' .4— OTHER: OCJNOT POUR C{�NCRETEUNTIL ABOVE0g KPP��jV�Q ~^° //die) Shear ~ /�� / *c�^ �~��� ~ ~ ��� ~ -- ' Roof Nailing • - Extenor Walls ,,-------- I �-- |nbunorVVoUo °~ \ .-) Hardware/Hold-Downs 1� Rough Electnc - \ Rough Mechanical 4 I Rough Plumbing/Topout 1 I Framing k I ' COVER NO WORK UNTIL ABOVE IS APPROVED ' Insulation //' '�� +~�^/ --f". ."--- Drywall v"DrywaU |ntehnr/Extenor x , Lath Stucco Scratch Roof Covenng ' ^ Block Wall Inspections : Footing,ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Locmdon/Rebar/Bondmg/Lxght Gr Conduit Ro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Final Pool Temp Power Pole / Electric Release ^^ Gas Test 7071Y, v • ,1n(r e-' '~����-