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Permit No. 19495 BUILDING ADDRESS: 5545 VERONESE PERMIT NUMBER:' 19495 BUILDING INFORMATION APPLICANT INFORMATION As,.. -,fit BUILDING PERMIT APPLICATION Address 5545 VERONESE Name SUNSET BUILDERS I + Community Development APN 11017-693-19 Address 4672 BRENTWOOD AVENUE ..' r 2001 Grand Avenue ;� Lot 119 City,Zip Code RIVERSIDE,CA 92506 Chino Hills,CA 91709 : A Cross Streets 1 Phone/Pager I ext CITY Of.16011ILLSLICENSED CONTRACTOR DECLARATION Tract/Parcel 114079-3 City Bus Lic# I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation 1$4,400 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 OWNER BUILDER DECLARATION Name JEFF KLANTE Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 5545 VERONESE STREET 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 I1 ext compensation,will do the work,and the structure is not intended or offered for sale Phone (909)597-0801 ext Lie# I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# City Bus Lie# 1 construct the project ® I am exempt under Section i i BPC for this reason i I Bus Exp APPROVAL INFORMATION WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By DORIS CARPENTER I hereby affirm under penalty of perjury one of the following declarations Contractor SUNSET BUILDERS 1 Date Issued 1/30/02 1 Address 14672 BRENTWOOD AVENUE 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 RNERSIDE,CA 92506 Census Code which this permit is issued Phone or Pager 1(909)687-1381 1 ext 1 Final Date Bus Lie# 02799 Final I have and will maintain workers'compensation,as required by Section 3700 of the By O Labor Code,for the performance of the work for which this permit is issued My Lie # 1354164 Extension workers'compensation insurance earner and policy number are Exp Date 18-31-03 Reviewed By CHRIS OBERLE INSURANCE INFORMATION Lic Class IB Approved By ICHRIS OBERLE Insurance Company State Fund IPROJECT INFORMATION Policy Number 229-01 UNIT 0022400 I r" PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 1-1-03 Structure 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage IlikI certify that in the performance of the work for which this permit is issued I shall not employ Patio LATTICE REAR 360 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch 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 LATTICE PATIO Date: I I Signature: i i 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: 'Z Signature: c4� I OTHER FEES REQUIRED ZO IN SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning I Front Yard 17 Over X 1 0 I Issuance $29 00 Electrical $0 00 Land Use Side Yard 5/5 Cut 0 School N Permit Fees: $171.56 Development N , Plan Check $56 16 Plumbing $0 00 Plan Rear Yard 15 p Fill I0 SMIP I $0 50 Occ SSY Total 1 0 Sewer N Mechanical $0 00 Structural $86 40 Type Water N Geo Review $0 00 Grading $0 00 Total Fee Due $172.06 • INSPECTION RECORD Permit Number ispection Date Inspector Inspection Date Inspector ,rading: regrade Meeting FINAL INSPECTIONS (Inspector verify following) ,ough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL I erraces County Environmental .ub Drains Health Dept inish Grading Planning Dept oils Certification Public Works trading Certification Fire Rough , Landscape ks Built Approved Inderground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG luilding Sewer Final Grade J.G.Waste Plumbing Final Electric Vater Service Final Plumbing ;tom Drain/Catch Basins Final Mechanical JIG Conduit/Electrical Final Building/Construction -7—i--(2?— .3ompaction Report Water Meter Number kBOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION :ootings CERTIFICATE OF OCCUPANCY LI JFER Ground(Rebar/Copper) 74-)e-t -k /20e.r..cg lardware/Hold-Downs iers/Caissonsfrendons OTHER: 'Slab Grade 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 Interior/Exterior Lath Stucco Scratch Roof Covering Block Wall Inspections : Footing,ReBar ath•2__ j 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 Gas Test