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Permit No. 13640 BUILDING ADDRESS: 2101 VISTA DEL SOL NUMBER: 13640 11 1--- UILDING INFORMATION APPLICANT INFORMATION ,aof BUILDING PERMIT APPLICATION Address: 2101 VISTA DEL SOL Name: 1JUAN ANTONIO RANGEL .1 Community Development APN: 1032-482-30 Address: 23-50 WATERS EDGE DRIVE 2001 Grand Avenue 1 y^•P Lot: 1116 City,Zip Code: IBAYSIDE,NY 11360 ' .. Chino Hills,CA 91709 ;'sc :>"`` .' Cross Streets: (EUCALYPTUS/AVENIDA DEL SOL I Phone/Pager: 1(718)281-2473 I ext. I ""°'°'°°'""` LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113906-5 I City Bus Lic#: IN/A I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$7,000.00 IENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect. OWNER INFORMATION Name: N/A OWNER BUILDER DECLARATION Name: JUAN ANTONIO RANGEL Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 23-50 WATERS EDGE DRIVE City,Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code: BAYSIDE,NY 11360 Phone: I ext. I 0 compensation,will do the work,and the structure is not intended or offered for sale. Phone: (718)281-2473 ext. Lic#: I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: N/A City Bus Lic#: construct the project. 0 I am exempt under Section I I BPC for this reason 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: OWNER BUILDER Date Issued: 1/13/99 `s,I have and will maintain a certificate of consent to self-insure for workers'compensation Address: I Finance Code: C4 • ® : provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: Census Code: which this permit is issued. Phone or Pager: 1 ext. F Final Date: t Bus.Lic.#: I' Final I have and will maintain workers'compensation,as required by Section 3700 of theBy: 0 Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 1 Extension: workers'compensation insurance carrier and policy number are: Exp Date: 1 Reviewed By: Lic.Class: 1 Approved By: I. INSURANCE INFORMATION Insurance Company: (Exempt PROJECT DESCRIPTION LOCATION SQUARE FT. Policy Number: 1 PROJECT INFORMATION Expiration Date: I 1 11 Structure: 0 Section need not be completed if permit is for one hundred dollars($100)or less I 1 Garage: 1 II I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: ,'I' 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 a rkers'co ensation provisions of Section 3700 of the Labor Code. I shall comply with ose pr visions. ^ Other: (SPA 1 (REAR 1 `\ A PROPOSED USE ELECTRICAL SPA Date: I 1.--1 01 I Signature: I \____..,1,,..\/\\N \`!n I h( SPA ALREADY INSTALLED. I certify I have read this application and state that the ove'nformati in i correc. I agree to comply with all City Ordinances and state laws and h eby a hori,e -pres-ntatives of this City to enter upon the above mentioned property for inspection pu ose i COMMENTS Date: I \\ ,---qq I Signature: I — N \' I \I I OTHER FEES REQUIRED ZONING SETBACKS V N---...7 GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE'INFORMATION ISSUANCE Zoning: 1PD Front Yard: Over X: 1 0 1 Issuance: 1 ',$45.00 1 Electrical: 1 $22.50 1 Land Use: FR-1 Side Yard: 5/5 Cut: 1 0 1 School: 1 NO I Plan Check: $0.00 1 Plumbin $0.00 Permit Fees: I $67.50 Plan: SPA Rear Yard: 15 Development: NO 1 g 1 Fill: 1 0 SMIP: 1 $0.00 Occ: ISSY: Total: 1 0 1 Sewer: 1 NO 1 Mechanical: 1 $0.00 I Structural: 1 $0.00 1 Type: 1 Water: I NO 1 Geo Review: I $0.00 I' Grading: 1 $0.00 1 Total Fee Due I $67.50 I INSPECTION RECORD INSPECTION DATE INSPEL:TOR 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 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 OTHER: Exterior / P/26 vo C Ge-eza ib Lath Lath Stucco Scratch /- - .0, ;(/..9-t_ 0-141709-A:sz, MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties,Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final •