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Permit No. 5978 City of Ci.,-:no Hills APPLIC, _ ON FOR BUILDING PERMIT ' Community Development 2001 Grand Avenue Chino Hills,CA 91709 Building Address: Proposed Use - St No. 2024 Street VISTA DEL SOL RETAINING WALL APN 1032-561-11 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot 74 Block Tract 13906-5 M Struct. ❑Plumb. Applicant MALINS POOLS ❑Mech. 0 Elect. ❑Gradina • No. 5135 Street EDISON AVE STE#4 Type of Project ®New 0 Alter ElAddition St N City CHINO Zip 91710 Phone 628-8734 0 Repair 0 Convert. ElN Demo ❑Occupancy Permit _ Owner ANDY PETTIT ProjectLocation on Size Description I Property in Sq.Feet C, St No. 2024 Street VISTA DEL SOL City CHINO HILLS Zip 91709 Phone 1. RET WALL I 1275 cn Engr/Arch RON LACHER Lic No. 2. I I a St No. 1332 Street N MILLER 3. I I City ANAHEIM Zip 92806 Phone714-528-8202 4. I I Contractor MALINS POOLS Lic No.438874 REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION -. Sewer I Min. Depth I S/F/100 Size St No. 5135 Street EDISON AVE STE #4 City CHINO Zip 91710 Phone 628-8734 Cubic Yards Excavation Fill Over Excavation City Business License License No. Expiration Date Licensed Contractor's Declaration I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect. • License Class C-53 License Number 4RRR74 Date Contractor MALINS POOLS Address City and Zip Phone 6?R-R714 Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason: i--1 I, as the owner of the property, or my employees with wages as their whole 4J compensation, will do the work, and the structure isi not intended or offered for sale. DI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. ,B&PC for this reason ' • Date Initial Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations: Zoning I Land Use a. I have and will ntafrs—a certificate of consent to self insure for workers' PD,IL1,FR1 compensation as provid Section 3700 of the Labor Code, for the performance of the I Model/Plan work for which t rmit is issued. Setbacks I have and will maintain worker's compensation,as required by Section 3700 of the FY 20 I SY 5,5 rCode, for the performance of the work for which this permit is issued. My worker's RY 15 I SSY compensation insuranc ca er and policy number are: Ins. Co.: Group/Division/Type Policy No: ' /.2-c529 Exp Date: -7- i- - } c VALUATION (This dection need not be completed if the permit is for one hundred doolars($100)or less). :13,300.00 El^^ c. I certify that in the performance of the work for which this permit is issued. I shall PERMIT FEES not employ arty person ' ny manner so as to become subject to the Workers' Compensation Laws of Califo d agree that if I should become subject to the workers' compensation I provisions Section 3700 of the Labor Code. I shall forthwith comply with those provi // Electrical f Structural $75.60 ' ( "iDare r Warning: Failure to secure workers' compensation coverage is unlawful, and shall subject an Plumbing Grading employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest,and attorney's fees. Mechanical Issuance $29.00 I certify that I have.read this application and state that the above information is co ect. I agree to comply with all City Ordinances Geo Review I Plan Check and state la and hereby authorize representatives of this City Issuance Approved Total Permit Fee to enter pon the above mentioned property for inspection DC !t104.60 L pun) 104 SD p"n) s; / -'- � Date Issued Permit Number Signature of Applicant or Agent n Date f �/,�` _4'X666__9 - 03/14/96 5978FINANCE CODE CENSUS CODE Print App{fcant's/Agent's Name C4 329 , .CONSTRUCTION LENDING AGENC' i I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.3097,CIV.C.). LENDER'S NAME LENDER'S ADDRESS • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRESA DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW. 0 I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING,FALSEWORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36 FEET HIGH. 0 AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT DIS ❑IS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY. BUILDING INSPECTIONS RECORD DATE INSPECTOR DATE INSPECTOR Setback/Location Rough Plumbing Temporary Power Shower Pan Test Foundation Reinforcing Steel Stucco Mesh or Exterior Siding Excavation and Forms Insulation Slab Grade Sewer Ground Plumbing Soil Interceptor Ground Plumbing Water Septic Tank Underslab Ducts Leach Line or Seep Pit Underslab Conduit Water Service Underslab Gas Lath or Drywall Nailing Fireplace Foundation Gas Line Air Test Joists and Girders Final Energy Electrical Ground Final Plumbing Mid-Height Bond Beam Final Heating/A.C. f / 8-Foot Bond Beam Final Construction c/q,'/'(p ?)() Final Bond Beam Final On Site Improvements / Fireplace Bond Beam Final Off Site Improvements Roof Sheathing Final Dedication Framing and Ventilation Final Zoning Roof Covering Final Electrical Rough Heating Final Gas Service and Ground Developer Fees Paid Rough Electrical Fire Dept. Approval Verified Bonding Certificate of Occupancy Over Head Electrical Fence Height Gates Heater Pool Drainage SEPTIC TANK GALS. SEEP. PIT X LEACH:LINE WIDE LONG X DEPTH OF ROCK N. W. E. S' Inspector's Signature and Initials DATE OF ISSUANCE PERMIT NUMBER