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Permit No. 19162 IOW ADDRESS: 5539 VERONESE DRIVE PERMIT NUMBER: 19162 BUILDING INFORMATION APPLICANT INFORMATION ....;.44'et� BUILDING PERMIT APPLICATION Address 5539 VERONESE DRIVE Name SUNSET BUILDERS ,-1'i.k Community Development APN Address 4672 BRENTWOOD AVE I'I2001 Grand Avenue .j'''3 Lot 120 City,Zip Code RIVERSIDE,CA 92506 .. ;` , Chino Hills,CA 91709 :. . Cross Streets 1 Phone/Pager (909)687-1381 I ext C"°'. LS ....., LICENSED CONTRACTOR DECLARATION Tract/Parcel 114079-3 City Bus Lic# 01-02799 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$6,144 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 N/A OWNER BUILDER DECLARATION Name LUIS ZEGARRA Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 5539 VERONESE DRIVE City,Zip Code I,as the owner of the property,or my employees with wages as their whole City,Zip Code CHINO HILLS,CA 91709 Phone 1 ext O compensation,will do the work,and the structure is not intended or offered for sale Phone (909)393-2211 ext I Lie# 1 1 G I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie# City Bus Lic# I �construct the project I am exempt under Section I I BPC for this reason 1 1Bus Exp APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor SUNSET BUILDERS Date Issued 10/24/01 Address 4672 BRENTWOOD AVE 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 92506 Census Code which this permit is issued Phone or Pager (909)687-1381 1 ext 1 Final Date i z_�.--Z, Bus Lic# 01-02799 Final ByL� I I have and will maintainworkers'compensation,as required by Section 3700 of the C) Labor Code,for the performance of the work for which this permit is issued My Lie # 354164 Extension workers'compensation insurance carrier and policy number are Exp Date 18/31/03 Reviewed By ILAURO BUGARIN INSURANCE INFORMATION Lie Class IB Approved By ILAURO BUGARIN Insurance Company STATE FUND PROJECT INFORMATION Policy Number 1463603-07 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 07/01/02 Structure 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage I I certify that in the performance of the work for which this permit is issued I shall not employ Patio LATTICE (REAR 512 Sny person in any manner so as to become subject to the Workers'Compensation Laws of- Porch alifornia and agree that if I should become subject to the workers'compensation provisions of Other GAS/ELEC REAR Section 3700 of the Labor Code I shall comply with those provisions PROPOSED USE LATTICE PATIO COVER WITH(2)GAS LINES FOR FUTURE SPA&BBQ AND(2)ELEC Date: j/2y 4r/ I Signature: ��� I LINES FOR FUTURE SPA&BBQ W/A OUTLET I certify I have read this/application and state that th 4 e information is correct I agree to - - comply with all City Ordinances and state laws and her y authonze representatives of this City to COMMENTS enter upon the above mentioned property for inspection Date- d Signature: i OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning 1PD Front Yard 16 5 Over X 1 0 Issuance $29 00 Electrical $57 75 Land Use IFR-2 Side Yard 5/5 Cut I0 School I NO Permit Fees: $270.95 Development NO Plan Check $70 20 Plumbing $6 00 Plan ACCESSORY Rear Yard 15 Fill 0 p Occ R3 SSY Total 1 0 Sewer NO Mechanical $0 00 Structural $108 00 SMIP $0 70 Type VN Water I NO Geo Review $0 00 Grading $0 00 Total Fee Due 1 $271.65 INSPECTION RECORD Permit Number 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 Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade U.G.Waste Plumbing Final Electric Water Service Final Plumbing Storm Drain/Catch Basins Final Mechanical . U/G Conduit/Electrical Final Building/Construction A Compaction Report Water Meter Number ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Footings CERTIFICATE OF OCCUPANCY UFER Ground(Rebar/Copper) Hardware/Hold-Downs Piers/Caissons/Tendons OTHER: 6/4,6 Slab Grade OK 7.' Oev, DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear Roof Nailing Exterior Walls Interior Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Intenor/Extenor Lath Stucco Scratch 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 • Feaz,v,Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test