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Permit No. 7394 City of Chi- ) Hills APPLICATI( ^ FOR BUILDING PERMIT Community Development • ,. 2001 Grand Avenue r vo Chino Hills,CA 91709 Building Address: Proposed Use - St No. 1 r1 1,t Street VIA LORETO SWIMMING POOL/SPA APN 1032 181 29 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot U Block Tract 13906.3 II Struct. ❑Plumb. Applicant CURTIS CUSTOM f COLS n""'^" �_ Pisani. n r..� Type of Project Zip ®New III Alter El Addition St No. .5-3.1r, Street R VERClr\r City n,, v ` _a_uv, 01 71(1 Phone ai'i4.AGOR El Repair El Convert. El Demo El Occupancy Permit Owner VA IA IAI /I!AA Project 1 Location onSize Description Property I in Sq.Feet St No. 1 V 1 1„^� Street VIA L01?E?^ I City ruinln wii i c Zip 917nq Phone cn7 R6gr. 1. POOL Engr/Arch Lic No. 2. I I St No. Street 3. I I City Zip Phone 4_ I I Contractor REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION CURTIS CUSTOM POOLE Lic No. 661075 Sewer I Min?,Depth I S/F/100 I Size St No. 3"4 Street nn rnv cNr RS.CityZip 1 n Phone Cubic Yards Excavation Fill Over Excavation Cl-llftn -9171.„ 4 64-9608 City Business License License No. 95 0108' Expiration Date 01-30-97 Licensed Contractor's Declaration I V 1 1 y ' I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section •e--)6P/{`e /7►rvPri 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect. �121/1? ^ License Class License Number I l.. 0011)/3 Date Contractor �•.___ _ •_ -••_••• _— �. _ • I LUCIIJ 1..IJ I. , Address City and Zip Phone Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ----- liI—Y I, as the owner of the property, or my employees with wages as their whole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec.__,B&PC for this reason Date Initial Workers' Compensation Declaration • r(Ihereby affirm under penalty of perjury one of the following declarations: Zoning I Land Use Da. 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 which this permit is issued. Setbacks I Model/Plan ❑ b. I have and will maintain worker's compensation, as required by Section 3700 of the FY I SY c c I LaborCode, for the performance of the work for which this permit is issued. My worker's Ry I SSY • compensation insurance carrier and policy number are: - 'I"Ins. Co.: ,,w, C� o Group/Division/Type Policy No: 0 q(,, I.i I I3 A 4 Exp Date: C9 i v I.&I 19 1 VALUATION (This dection need not be completed if the permit is for one hundred doolars($100)or less). 0 $25,000.00 c. I certify that in the performance of the work for which this permit is issued. I shall• PERMIT FEES not employ any person in any manner so as to become subject to the Workers' Compensation . Laws of California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code I hall forthwith comply with those provisions.I I O� �� Electrical $90.00 Structural $302.40 Date I 4 signature 1 Warning: Failure to secure workers' compensation coverage is u awful, and shall subject an Plumbing Grading employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the.. . 'cc: _, - fees. rviechanical Issuance $29.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all City Ordinances Geo Review I Plan Check and state laws and hereby authorize representatives of this City Issuance Approved I Total Permit Fee to enter pon the above mentioned property for inspection ��9'��� l 1106 ti9L � �^Z' ^C purposes. Date Issued Permit Number Signat of IcaVit or Argent Datt } k�CS 11/8/96 7394 , FINANCE CODE CENSUS CODE Print Applicant's/Agent's Name e4 Rig 'I • :ONSTRUCTION LENDING AGE! l I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT iS ISSUED (SEC.3097,CIV.C.). LENDER'S NAME LENDER'S ADDRESS DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW. ❑ I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING,FALSE WORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH. ❑AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT DIS DIS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY. • BUILDING INSPECTIONS RECORD DATE INSPECTOR I DATE INSPECTOR Setback/Location J (/ 7/146 � �),A"- Rough Plumbing I Temporary Power ` � " Shower Pan Test Foundation Reinforcing Steel I\ f(� /J�,,� Stucco Mesh or Exterior Siding I Excavation and Forms ' I Insulation Slab Grade Sewer I Ground Plumbing Soil Interceptor I Ground Plumbing Water Septic Tank I Underslab Ducts Leach Line or Seep Pit • r Underslab Conduit /- //0/'4, Water Service Underslab Gas Lath or Drywall Nailing , I Fireplace Foundation Gas Line Air Test I 1 I k t AO' Joists and Girders Final Energy . Electrical Ground Final Plumbing Mid-Height Bond Beam Final Heating/A.C. 8-Foot Bond Beam Final Construction Final Bond Beam Final On Site Improvements Fireplace Bond Beam Final Off Site Improvements Roof Sheathing Final Dedication Framing and Ventilation Final Zoning Roof Covering Final Electrical Rough Heating Final Gas Service and Ground Developer Fees Paid Rough Electrical Fire Dept. Approval Verified Bonding Certificate of Occupancy Over Head Electrical Fence Height `7 I.-91 ,O' Gates Heater Pool Dr*inpge , t (JI - 60-VL ffiv r,A1o. V1\1,1. 101,1_, Pc J fv %27 IQ 1 C,0 RIA n - czs' / ..6f l2 /5/16 (doq) • • -,$.-Q 'Veep C ��s�t2P1�-i�r ; 4 mut P/.r&A I ©pe4?_A-T A) reNpkL earl- SEPTIC TANK GALS. SEEP. PIT X LEACH LINE WIDE LONG X DEPTH OF ROCK • N. W. E. S. Inspector's Signature and Initials. DATE OF ISSUANCE • PERMIT NUMBER SOILS AND GEOLOGY INC. Soils Engineering•Engineering Geology•Environmental Engineering 17231 EAST RAILROAD STREET, SUITE 200, CITY OF INDUSTRY, CA 91748 TELEPHONE(818)964-2314 FAX(818)965-3802 NOTICE OF/l- -hL INSPECTION JOB LOCATION /57/ k to r; JOB NO. IG X 70,4 DATE OF INSPECTION /i--/f-96 CLIENT/OWNER Ae CLIENT'S ADDRESS '32_2D 1)1 ' DESCRIPTION OF AREA INSPECTED: .7 , zee 4r4ek v JOB SUPERINTENDENT: INSPECTED BY: - tLP SIGNATURE - SIGNATURE 666_ Saz