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Permit No. 18611 BUILDING ADDRESS: 2120 VISTA DEL SOL 1 PERMIT NUMBER: 18611 BUILDING INFORMATION APPLICANT INFORMATION BUILDING PERMIT APPLICATION Address: 12120 VISTA DEL SOL 1 Name: 'ALPINE CUSTOM POOLS :i,;,+, Community Development APN: 11032-482-28 Address: 11232 N.MONTE VISTA#8 zN` 2001 Grandvenue A '_ .;� Lot: 162 City,Zip Code: 'UPLAND,CA.91786 •'1.y;,., Chino Hills,CA 91709 t ,,. , Cross Streets: I Phone/Pager: 1(909)982-2165 I ext. ""°'°""°""s LICENSED CONTRACTOR DECLARATION Tract/Parcel: 113906-05 City Bus Lic#: I I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1825,000.00 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: OWNER BUILDER DECLARATION Name: JOE&MARIE GONSALES Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 2120 VISTA DEL SOL City,Zip Code: I,as the owner of theroe Phone: ext. p p riy,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. Phone: (909)597-1056 I ext. I Lic#: I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: City Bus Lic#: construct the project. I Bus Exp: APPROVAL INFORMATION I am exempt under Section I I BPC for this reason WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: ILAURO BUGARIN I hereby affirm under penalty of perjury one of the following declarations: Contractor: ALPINE CUSTOM POOLS Date Issued: 17/31/01 Address: 1232 N.MONTE VISTA#8 Finance Code: 1C4 I have and will maintain a certificate of consent to self-insure for workers'compensation 0 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: UPLAND,CA.91786 Census Code: which this permit is issued. Phone or Pager: (909)982-2165 I ext. I Final Date: ' FA y 4d/ Bus.Lic.#: 99-02708 l By: I have and will maintain workers'compensation,as required by Section 3700 of the Fina0Crn v Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 711711 Extension: / workers'compensation insurance carrier and policy number are: Exp Date: 1/31/02 Reviewed By: ILAURO BUGARIN 1 Lic.Class: C-53 Approved By: ILAURO BUGARIN INSURANCE INFORMATION Insurance Company: IFAIRFIELD INS.CO ' PROJECT INFORMATION Policy Number: IAM00002048 I / PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 111/01/02 I 1I Structure: © Section need not be completed if permit is for one hundred dollars($100)or less Garage: I I I I I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: I I I any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: I I I I California and agree that if I should become subject to the workers'compensation provisions of Other: IPOOUSPA I REAR ' Section 3700 of the Labor Code. I shall comply with those provisions. d/ --- - OO./ PROPOSED USE POOL/SPA Date: l }K-/ --O I l Signature: y//zj/�/� ,z,-,7‘...---1/4_4 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 COMMENTS enter upon the above mentioned property for inspection purposes./ O� Date: I 7—Q / I Signature: ee`f er �j��i ! v . .� „ �, OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: IPD Front Yard: 25 Over X: I 0 Issuance: I $29.00 ' Electrical: I $90.00 ' Land Use: IFR-1 Side Yard: 5/5 Cut: I 0 School: I N IPermit Fees: $421.40 Development: N I Plan Check: I $0.00 Plumbing: ' $0.00 Plan: Rear Yard: 18 Fill: 1 0 SMIP: I $0.00 I Occ: 1R3 SSY: Total: I 0 Sewer: I N I Mechanical: I $0.00 I Structural: I $302.40 I Water: N Total Fee Due I $421.40 I Type: VN I I Geo Review: $0.00 Grading: 1 $0.00I INSPECTION RECORD Permit Number Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS(Inspector verify following) Rough Grade NO OCCUPANCY PERMITTED WITHOUT FINAL! Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer Final Grade 1 Water Service Final Electric Storm Drain/Catch Basins Final Plumbing U/G Conduit/Electrical Final Mechanical Compaction Report Final Building/Construction WzykA ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number Footings UFER Ground (Rebar/Copper) CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs Piers/Caissons/Tendons Slab Grade OTHER: DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Shear Roof Nailing Exterior Walls Interior Walls Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation Drywall Interior/Exterior Lath Stucco Scratch Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/Bonding/Light g/22/O) Gr Conduit y/moo) Ro Elect y1j'z,b- [9(, POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE a Fence, Gate&Alarm Final Pool Temp Power Pole Electric Release Gas Test