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Permit No. 20291 BUILDING ADDRESS: 5551 VERONESE DRIVE PERMIT NUMBER: 20291 BUILDING INFORMATION APPLICANT INFORMATION .4.".:v( .t ` BUILDING PERMIT APPLICATION Address 5551 VERONESE DRIVE Name (SUNSET BUILDERS -It.!c Community Development APN Address 14672 BRENTWOOD AVENUE '"'"i4; 2001 Grand Avenue fA" Lot 18 City,Zip Code 1RIVERSIDE,CA 92506 1 . : Chino Hills,CA 91709 ; .�, Cross Streets Phone/Pager 1(909)687-7381 I ext MY Of CHINO HLICENSED CONTRACTOR DECLARATION Tract/Parcel 14079-3 City Bus Lic# 1 1 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation $500 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 1N/A OWNER BUILDER DECLARATION Name MICHAEL SMITH Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason Address 5551 VERONESE 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)606-9780 1 ext 1 Lic# 41, I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic# City Bus Lic# i onstruct the project L I am exempt under Section I I BPC for this reasonI I Bus 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 1 Date Issued 6/25/02 Address 14672 BRENTWOOD AVENUE Finance Code C4 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 1(909)687-7381 ext Final Date (j/2 9 /vim Bus Lic# 02-02799 Final By � 4-P19-'^ � 1Q�_/ I have and will maintain workers'compensation,as required by Section 3700 of the ,y Labor Code,for the performance of the work for which this permit is issued My Uc # 354164 Extension workers'compensation insurance earner and policy number are Exp Date 8/31/03 Reviewed By 1DON FARLEY INSURANCE INFORMATION Lie Cl. B Approved By 1DON FARLEY 0 Insurance Company 1STATE FUND PROJECT INFORMATION Policy Number 14420036-03 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date 01/01/03 Structure 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage SI certify that in the performance of the work for which this permit is issued I shall not employ Patio ny person in any manner so as to become subject to the Workers'Compensation Laws of Porch ahfomia and agree that if I should become subject to the workers'compensation provisions of Other GAS AND ELEC LINE REAR Section 3700 of the Labor Code I shall comply with those provisions PROPOSED USE GAS AND ELECTRICAL LINE FOR BBQ 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 abovt mentioned property for inspectionpy,>�uses, Date. 1 L /02-1/25� Signature: `1 � i• I OTHER FEES REQUIRED ZONING SETBACKS C/GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning 1PD Front Yard 16 5 Over X 0 Issuance $30 00 1 Electrical $33 00 Land Use 1FR-1 Side Yard 5/5 Cut 1 0 School NO Permit Fees: $69.00 Plan 1GAS&ELEC Rear Yard 15 Fill 0 1 Development NO 1 Plan Check 1 $0 00 Plumbing $6 00 1 Occ 1R3 SSY Total 0 1 Sewer NO Mechanical $0 00 Structural $0 00 SMIP $0 00 Type 1VN Water NO Geo Review $0 00 Grading $0 00 Total Fee Due $69.00 *SPECTION RECON Permit Number 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 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/Electncal 642-44. / 1 Final Building/Construction 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: Slab Grade DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear Roof Nailing Exterior Walls Intenor Walls Hardware/Hold-Downs Rough Electnc Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Intenor/Exterior 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 Fence, Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test 04/61— L-