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Permit No. 18260 BUILDING ADDRESS: 5551 VERONESE DRIVE PERMIT NUMBER: 18260 � BUILDING INFORMATION APPLICANT INFORMATION ntBUILDING PERMIT APPLICATION Address 5551 VERONESE DRIVE Name IAN GRIFFIN -;1,s , Community Development APN Address 7145 MAGNOLIA AVENUE,SUITE 100 1 - 2001 Grand Avenue`, '=� Lot 18 City,Zip Code RIVERSIDE,CA 92504 n;..•. Chino Hills,CA 91709 Cross Streets Phone/Pager 1(909)328-0777 I ext 117 1 n .,..,..„.„, 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 1L D KiNG 1 OWNER BUILDER DECLARATION Name GRIFFIN COMMUNITIES Address 12151 CONVENTION CENTER WAY11 I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 7145 MAGNOLIA AVENUE,SUITE 100 City,Zip Code 1ONTARIO,CA 91764-4464 I I,as the owner of the property, Phone (909)937-0200 ext I O or my employees with wages as their whole City,Zip Code RIVERSIDE,CA 92504 compensation,will do the work,and the structure is not intended or offered for sale Phone (909)328-0777 1 ext 17 Lie# 1 O 1,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie# 01-04775 City Bus Lie# 1 construct the project iiiI am exempt under Section BPC for this reason I I Bus Exp 6/30/01 APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By 1YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor GRIFFIN COMMUNITIES Date Issued 15/11/01 Address 7145 MAGNOLIA AVENUE,SUITE 100 1 Finance Code C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation O 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 101 a which this permit is issued Phone of Pagel (909)328-0777 1 ext 17' Final Date Bus Lie# 101-04775 Final By 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 Lie # 638223 Extension workers'compensation insurance carrier and policy number are Exp Date 4/30/03 Reviewed By KEITH L PRYOR Lic Class B Approved By KEITH L PRYOR INSURANCE INFORMATION Insurance Company STATE FUND PROJECT INFORMATION Policy Number 1545080 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 2/9/02 Structure LIVIBLE 3010 O Section need not be completed if permit is for one hundred dollars($100)or less Garage 1GARAGE 563 I certify that in the performance of the work for which this permit is issued I shall not employ Patio 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch 1PORCH 52 �California and agree that if I should become subject to the workers'compensation provisions of Other .ction 3700 of the Labor Code I shall comply with those provisions PROPOSED USE SINGLE FAMILY RESIDENCE Date- i i Signature: I i PLAN 3 STANDARD-33 99'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 I / Date. [//'/a/ i Signature: I'/f:3��� OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning PD Front Yard 16 5 Over X 0 1 Issuance $29 00 Electrical $331 10 Land Use FR-2 Side Yard 5/5 ' Cut 0 School YES Permit Fees: $2,258.80 Development YES Plan Check $134 31 Plumbing $247 50 Plan PLAN 3 Rear Yard 15 o p Fill 0 SMIP $20 80 Occ 1R3 SSY Total 0 1 Sewer 1 YES Mechanical $98 79 Structural $1,343 10 Type 1VN Water YES Geo Review $0 00 Grading $75 00 Total Fee Due $2,279.60 IN ECTION RECORD Permit Number /J2 Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept 1. Sods Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ��,�� � ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer d' r 4 '' Final Grade Water Service Storm Drain/Catch Basins Final Electric Final Plumbing U/G Conduit/Electrical n Final Mechanical , Compaction Report P Final Building/Construction //i„/_i A ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number d4,1(6, Footings UFER Ground (Rebar/Copper) CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs Piers/Caissons/Tendons Slab Grade OTHER: DO NOT POUR CONCRETE UNTIL ABOVE IS APPROV D v p plo , G-saa-ii Aa- Shear 'P11e6 7/7,./ra Roof Nailing Exterior Walls Intenor Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Interior/Extenor Lath f �•� 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 : 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 /a 1, o (P_„(j0 Gas Test /.. 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