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Permit No. 13217 BUILDING ADDRESS: 1 2096 VISTA DEL SOL PERMIT NUMBER: 13217 BUILDING INFORMATION APPLICANT INFORMATION BUILDING PERMIT APPLICATION Address: 12096 VISTA DEL SOL 1 bia'e\. `t, RICK WATERS Community Development APN: '1032-561-02 !I Address: if 115836 ASTRAL STREET ry; p 1 2001 Grand Avenue •{P Lot: 165 I... City,Zip CO: ICHINO HILLS,CA 91709 .. Chino Hills,CA 91709 -;=4- .,, Cross Streets: I I 'Phone/Pager:'' 1(909)393-3312 I ext. cmoFciI OnuLs LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113906-5 City Bus Lic#: 198-01962 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$6,120.00 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: (WILLIAM STAMPFL OWNER BUILDER DECLARATION Name: DAVE SLATE Address: 112709 EAST END AVENUE I I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 2096 VISTA DEL SOL City,Zip Code:ICHINO,CA 91710 • I,as the owner of the property,or my employees with wages as their whole City,Zip Code: CHINO HILLS,CA 91709 Phone: 1(909)628-9611 I ext. 1 ® compensation,will do the work,and the structure is not intended or offered for sale. phone: (909)393-0741 I ext. I Lic#: 119344 City #: O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: Bus Lic construct the project. i 0 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: RICK WATERS I Date Issued: 11/4/98 Address: 15836 ASTRAL STREET I 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: CHINO HILLS,CA 91709 I Census Code: which this permit is issued. Phone or Pager: (909)393-3312 I ext. I I Final Date: Bus.Lic.#: 98-01962 Final I have and will maintain workers'compensation,as required by Section 3700 of the By: Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 720523 Extension: workers'compensation insurance carrier and policy number are: Exp Date: 03/31/2000 Reviewed By: MIKE AUSTIN INSURANCE INFORMATION Lic.Class: B Approved By: MIKE AUSTIN Insurance Company: 'EXEMPT I PROJECT DESCRIPTION LOCATION SQUARE FT. Policy Number: I I PROJECT INFORMATION Expiration Date: I II I Structure: 0 Section need not be completed if permit is for one hundred dollars($100)or less I I I Garage: I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: I I (1� � any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: I I 1 California and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code. I shall comply with those provisions. Other: IRET.WALL (SIDE I 510 PROPOSED USE RETAINING WALL Date: '. I up g I Signature: I d'2 k_ (,0 , <._ 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 authorize representatives of this City l ,--1 to enter upon the above mentioned property for inspection purposes. COMMENTS Date: I lib 37 In I Signature: I I L (Ai r,,3-.-1 I OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: IPD Front Yard: 20 Over X: I 0 I Issuance: I $29.00 I Electrical: I $0.00 Land Use: IFR-1 Side Yard: 5/10 School: I NO I Cut: I 0 Plan Check: $0.00 Plumbing: $0.00 Permit Fees: I $137.00 Plan: RET.WALL Rear Yard: 15 Development: I NO I Fill: I 0SMIP: I $0.00 I OCC: IR3 SSY: Total: 0 Sewer: I NO I Mechanical: I $0.00 I Structural: $108.00 I Type: IVN Water: I NO I Geo Review: I $0.00 I Grading: I $0.00 1 Total Fee Due I $137.00 I INSPECTION RECORD ':- INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections : Pregrade Meeting Footing. ReBar //--/6-49c-- A6., Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam • Sub Drains 3rd Lift Bond Beam I 1 /2D,/c3.----i'f -17/ Finish Grading Drain/Seal 1 i 1 2_o/cz/ '—Y --LO' Soils Certification ReRoof: Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools : Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line S Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence,Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning,etc. Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing Thrust Blocks U/F Water Hydro U/F Mechanical Flush • U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro - Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Electric Release Foundation Inspection: Gas Test Setback/Footing UFER Ground(Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs NO OCCUPANCY PERMITTED WITHOUT FINAL I Piers/Caissons/Tendons County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) Shear Inspection(Wood): Planning Dept (364-2790) Roof Nailing Public Works (364-2770) Exterior Walls Fire (393-3888) Interior Walls Landscape' (364-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: Final Electric Framing Final Grade Rough Electric Final Plumbing Rough Mechanical Final Mechanical Rough Plumbing/Topout Final Building/Construction COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY Drywall Inspection: OK TO ISSUE Interior , t Exterior OTHER:, Lath OR(I A 0 li.711A-S2 on 59-$2.vm i :\-- 9 0?, Stucco Scratch r-e-)v-v1" ,oa,c.-\-- I Ain -tAK.-, c le_.4-1 H .._ , MISCELLANEOUS INSPECTIONS A - ' Li I 2---t-5/1' Masonry Masonry Fireplace i ) ,- r) ( 4 I 11 1 Plate Ties, Fire Block, - t9'A cuTAA RisIca PATIO/DECK: Footing Access/Light/Switch Patio Final ____7