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Permit No. 16227 BUILDING ADDRESS: 1 2008 VISTA DEL SOL PERMIT NUMBER: L_ 16227 -- BUILDING INFORMATION APPLICANT INFORMATION ;roti BUILDING PERMIT APPLICATION Address: 2008 VISTA DEL SOL I Name: ISEUNG INKIM 1,,; Community Development APN: 1 1 Address: 11341 MALAGA STREET '1.« 2001 Grandvenue Lot: 176 I City,Zip Code: 'UPLAND,CA 91784 — A , Chino Hills,CA 91709 ,''t .= Cross Streets: (EUCALYPTUS/CHINO HILLS PKWY 1 Phone/Pager: 1(909)931-2868 1 ext. 1 °`"°`°""°HILLS LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113906-5 1 City Bus Lic#: 'NEW I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$8,100.00 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: N/A OWNER BUILDER DECLARATION Name: MR.AND MRS.WYATT Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 2008 VISTA DEL SOL AVENUE City,Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code: CHINO HLLS,CA 91784 Phone: 1 ext. I C) compensation,will do the work,and the structure is not intended or offered for sale. Phone: 1 ext. 1 Lic#: F, I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: City Bus Lic#: construct the project. ® I am exempt under Section 1 I BPC for this reason I 1Bus Exp: APPROVAL INFORMATION i WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: 'YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor: SEUNG INKIM Date Issued: 106/13/2000 Address: 1341 MALAGA STREET 1Finance Code: 1C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation City,Zip Code: UPLAND,CA 91784 .,...7as provided by Section 3700 of the Labor Code,for the performance of the work for Census Code: _ which this permit is issued. Phone or Pager: (909)931-2868 1 ext. I Final Date: 'rte% Bus.Lic.#: NEW IFinal I have and will maintain workers'compensation,as required by Section 3700 of the By: Qi Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 751855 I Extension: If workers'compensation insurance carrier and policy number are: Exp Date: 7/21/00 I Reviewed By: 1LAURO BUGARIN Lic.Class: B 1A By: LAURO BUGARIN INSURANCE INFORMATION pp roved `'Insurance Company: 'STATE FUND ' PROJECT INFORMATION Policy Number: 11578139-00 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 12/1/01 1 1 Structure: 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 1 1 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: 1LATTICE (REAR 1 675 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 1 1 California and agree that if I should become subject to the workers'compensation provisions of Other: 1 Section 3700 of the Labor Code. I shall comply with those provisions. PROPOSED USE LATTICE PATIO COVER 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 authorize representatives of this City to COMMENDS enter upon the above mentioned property for inspection purposes. 1 Date: 1 `rlj-(wI Signature: I /- -'� 1 ', 1 ^OTHERFEESREQUIRED l ' ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: IPD I Front Yard: 20 Over X: I 0 Issuance: $29.00 I Electrical: $0.00 I Land Use: IFR-1 1 Side Yard: 5/5 Cut: 0 School: 1 NO 1 Permit Fees: I $242.84 1 Development: NO Plan Check: 1 $84.24 I Plumbing: 1 $0.00 I Plan: 'ACCESSORY Rear Yard: 15 Fill: 1 0 p SMIP: 1 $0.90 Occ: Total: 1 0 1R3 SSY: Sewer: 1 NO I Mechanical: 1 $0.00 1 Structural: 1 $129.60 Type: IVN Water: 1 NO 1 Geo Review: 1 $0.00 1 Grading: 1 $0.00 I Total Fee Due I $243.74 1 ' . INSPECTION RECORD ` INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections: Rough Grade Footing,ReBar Terraces 1St Lift Bond Beam Sub Drains 2nd Lift Bond Beam F/n/ohGnod/no 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification Rammcf: Rough Tear-off,Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final Building Sewer Line Swimming Pools: Supply Water Line Location/Rebar/Bonding/Light Storm Drain/Catch Basins Gas Test U/G Conduit/Electrical Gr Conduit/Ro Elect DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering: POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compoouvo,moiotum,conditioning,etc. Fence,Gate&Alarm Underfloor/Underslab Inspection: Final Pool U/F Waste Plumbing Fire Protection Equipment: U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet lnsp. 8uunour Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection: Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL I Shear Inspection(Wood): County Environmental Roof Nailing Health Dept (3s1'7ero) Exterior Walls Planning Dept (un*-27sU) Interior Walls Public Works (304-277O) Hardware/Hold-Downs Fire (n93'oa8n) Combo Inspection: Landscape (ue*arS7) Framing Trust Acoounts....(as4-2r6e) Rough Electric ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Mechanical Final Electric Rough Plumbing/Topout Final Grade COVER NO WORK UNTIL ABOVE IS APPROVED Final Plumbing Insulation Final Mechanical Drywall Inspection: Final Building/Construction /-7-e57/ Interior Water Meter Number Exterior Lath CERTIFICATE OF OCCUPANCY Stucco Scratch OK TO ISSUE MISCELLANEOUS INSPECTIONS Masonry Fireplace OTHER: Plate Ties,Fire Block, Patio/Deck: Footing Access/Light/Switch Patio u Fino/ '^ ___