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Permit No. 13419 BUILDING ADDRESS: 2096 VISTA DEL SOL PERMIT NUMBER: 1 13419, BUILDING INFORMATION APPLICANT INFORMATION „at,�,,ot� BUILDING PERMIT APPLICATION Address: 12096 VISTA DEL SOL Name: 1RICK WATERS 41. ,t epic. CommunityDevelopment�.c'�i, P APN: 11032-561-02 Address: 115836 ASTRAL STREET 2001 Grand Avenue `';-1 -aP Lot: 165 City,Zip Code: (CHINO HILLS,CA 91709 r , _ Chino Hills,CA 91709 .--4›::,1 Cross Streets: 1 1 Phone/Pager: 1(909)393-3312 I ext. I a7Y°"'@°""'S LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113906-5 1 City Bus Lic#: 198-01962 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: I$500.00 I 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 hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 2096 VISTA DEL SOL City,Zip Code:(CHINO,CA 91710 I,as the owner of the roe Phone: 1(909)628-9611 ext. property,rty,or my employees with wages as their whole City,Zip Code: CHINO HILLS,CA 91709 0 compensation,will do the work,and the structure is not intended or offered for sale. Lic#: 19344 p Phone: (909)393-0741 1 ext. 1 , I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: City Bus Lic#:1 J construct the project. } I I am exempt under Section 1 I BPC for this reason 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 Date Issued: 112/4/98 Address: 15836 ASTRAL STREET Finance Code: 1C4 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 Census Code: which this permit is issued. Phone or Pager: (909)393-3312 1 ext. 1 Final Date: 1 i__ .2r. Bus.Lic.#: 98-01962 1 Final I have and will maintain workers'compensation,as required by Section 3700 of the By: Lic.#: 720523 O Labor Code,for the performance of the work for which this permit is issued. My Extension: workers'compensation insurance carrier and policy number are: Exp Date: 03/31/2000 I Reviewed By: 1ED LUM Lic.Class: B I Approved By: IED LU MINSURANCE INFORMATION Insurance Company: 1EXEMPT 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Policy Number: 1 I PROJECT INFORMATION Expiration Date: 1 1Structure: I , 0 Section need not be completed if permit is for one hundred dollars($100)or less I 1 I I I Garage: - I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: 1 1 1. I I any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 1 1 I 1 California and agree that if I should become subject to the workers'compensation provisions of 1 1 I• 1 1 Section 3700 of the Labor Code. I shall comply with those provisions. Other: PROPOSED USE ELECTRICAL AND GAS LINE FOR FUTURE SPA Date: I rz14/9 Fs I Signature: 112,,,A Gt)C�.—,---. 1 ,,: - _ , t _ 4 REFER TO P IT#13217 — Ft h,ok,\ i,'L[ LI -1 i T W` I certify I have read this application and state that the above information is correct. I agree to I comply with all City Ordinances and state laws and hereby authorize representatives of this City krW to enter upon the above mentioned property for inspection purposes. COMMENTS Date: k 2/4/' 15 I Signature: I 12.,,,..)4_ L(.) C •c' IV� OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT ISSUANCE PERMIT FEE INFORMATION Zoning: 1PD I Front Yard: 20 Over X: 1 0 1 Issuance: 1 $30.00 1 Electrical: 1 $22.50 1 Land Use: IFR-1 I Side Yard: 5/10 Cut: 0 School: 1 N Permit Fees' Plan: Rear Yard: 15 1 1 Development: N Plan Check: 1 $0.00 1 Plumbing: 1 $6.00 I $58.50 I Fill: 0 1 SMIP: 1 $0.00 1 Occ: 1R3 SSY: Total: 0 Sewer: N Mechanical: $0.00 I Structural: $0.00 1 Type: 1VN 1 Water: 1 N Geo Review: 1 $0.00 I Grading: 1 $0.00 1 Total Fee Due $58.50 INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections : Pregrade Meeting Footing, ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam • Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal 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 .Gow--T•es17t3r Conduit/Ro Elect 1-4,1-0 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 11 I 96 %-'34k A .• COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY Drywall Inspection: OK TO ISSUE Interior OTHER: Exterior Lath fir;rut)!6/%4TeAA36- Stucco Scratch /. e MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties,Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final •