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Permit No. 18576 BUILDING ADDRESS: i 5575 VERONESE DRIVE PERMIT NUMBER: 18576 BUILDING INFORMATION APPLICANT INFORMATION ;e, BUILDING PERMIT APPLICATION Address 5575 VERONESE DRIVE Name IAN GRIFFIN ,1-4, Community Development APN Address 7145 MAGNOLIA AVENUE,SUITE 100 .„:.: .;i 2001 Grand Avenue • Lot 14 City,Zip Code RIVERSIDE,CA 92504 Chino Hills,CA 91709 . tAl'' Cross Streets Phone/Pager (909)328-0777 I ext 17 CTrY°'I"."., LICENSED CONTRACTOR DECLARATION Tract/Parcel 14079-3 City Bus Lid/ 102-04775 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation $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 L 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 reasonAddress 17145 MAGNOLIA AVENUE,SUITE 100 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 1RIVERSIDE,CA 92504 Phone (909)937-0200 1 ext :, compensation,will do the work,and the structure is not intended or offered for sale Phone (909)328-0777 1 ext 17 Lie# O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# 02-04775 City Bus Lic# construct the project I am exempt under Section i I BPC for this reason Bus Exp 6/30/02 APPROVAL INFORMATION i CONTRACTOR INFORMATION WORKERS'COMPENSATION DECLARATION issued By YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor GRIFFIN COMMUNITIES 1 Date Issued 7/24/01 Address 7145 MAGNOLIA AVENUE,SUITE 100 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 RIVERSIDE CA 92504 Census Code 1101 which this permit is issued Phone or Pager 1(909)328-0777 ext 117 Final Date 1 Bus Lie# 102-04775 Final By 1 I have and will maintain workers'compensation,as required by Section 3700 of the 0 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 RICHARD J WILSON INSURANCE INFORMATION Lic Class 1B Approved By 1RICHARD J WILSON Insurance Company STATE FUND 1 PROJECT INFORMATION Policy Number 1545080 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 2/9/02 Structure 1LIVIBLE 1 3010 0 Section 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 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch 1PORCH 1 52 .California 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 Date: i i Signature: i i PLAN 3 STANDARD-12'SIDE HOA EASEMENT-41 49'-55 63'REAR LANDSCAPE I certify I have read this application and state that the above information is correct I agree to EASEMENT 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 i 0,•09 Date• 1 Z Signature. i / OTHER FEES REQUIRED ZO NG SETBACK S GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning PD Front Yard 16 5 Over X 1 0 1 Issuance $29 00 Electrical $331. 10 Land Use FR-2 Side Yard 5/5Cut 0 School YES Permit Fees: $2,258.80 I Plan PLAN 3 Rear Yard 15 Development YES Plan Check $134 31 Plumbing $247 50 Fill 0 SMIP 1 $20 80 1 Occ 1R3 SSY Total 0 Sewer YES Mechanical $98 79 Structural $1,343 10 Type VN 1 Water 1 YES Geo Review $0 00 Grading $75 00 1 Total Fee Due 1 $2,279.60 INS ECTION RECORD Permit Number ,/A ` 47 Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL I Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire MEM f DSI Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer o I' e(2,L) Final Grade U G Waste Plumbing r �7 �� Final Electric Water Service /Ma/ Final Plumbing Storm Drain/Catch Basins Final Mechanical U/G Conduit/Electrical Final Building/Construction 3//V/OL o Compaction Report Water Meter Number S//‘3 25 i(/4-_ ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Footings CERTIFICATE OF OCCUPANCY UFER Ground(Rebar/Copper) , Hardware/Hold-Downs (/ Piers/Caissons/Tendons / / - OTHER: Slab Grade %7 / .� cal DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED vvet ��_/r flr_ Shear Roof Nailing / Exterior Walls , D Interior Walls .47 -/ ✓� Hardware/Hold-Downs Rough Electnc Rough Mechanical Rough Plumbing/Topout Framingi-.4�/`/ `y COVER NO WORK UNTIL ABOVE IS AP RO`V � !�✓�� Insulation .;u1g / Drywall Interior/Exterior -/ Lath �l Stucco Scratch i4 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 2-27•1-*._ Gas Test j