Loading...
Permit No. 0407 13/C • APPLICATION FOR , 'ILDING PERMIT AND A CERTIFICATE OF USE I ".CUPAN . CITE OF CHINO HILLS 1W'.' 1a)4-/oa,oa-o ADDRESS /5Q&o Yia P> . CLEARED BY APPLICATION TYPE NO. v LOT 57 BLOCK TRACT 13651-2 i n OWNER The Fieldstone Company THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT 0 ADDRESS 145 S. State College Blvd. , #660 DSrnucr. ❑PLUMB. CMECH. ❑ELECTy CITY Brea ZIP 92621 PH. 990-3006 TYPE OF PROJECT i?•I NEW G ALTER 0 ADDITION ARCHITECT! LIC NQ 0 REPAIR 0 CONVERT 0 DEMO 0 OCCUPANCY PMT. ENGINEER Hales-Langston ADDRESS 3111 N. Tustin Ave. , #230 PROJECT LOCATION ON IN suE=FEET N. DESCR�I ION PROPERTY CITY Orange nP 92665 PH. 283-1770 IVO fra, I 58 coN'Acr°R Same 'as Owner UC.NQ 402826I. ' 515i-cryI I 1 ,114 r ADDRESS 2.dwo SToe.V I I 1 ,246 CITY ZJP PH. s R 67 I I 619 CITY BUSINESS LICENSE REMARKS/SPECIAL CONDITIONS I PROJECT DESCRIPTION LICENSE NO EXPIRATION OATF j� Q A r-- ,\ UCENSED CONTRACTOR'S DECLARATION .7-011(IQ 61 4- 63 — r,(•►4-S ! \''''' 1 h: ;' .' , m licensed under provisions of Chapter 9(commencing with Section 7000 of Iii Division S of die .4,1 a Coda.and my license le In full force and effect. A1.42'(_., (_ /4f----93 License Class Ucen 'I'.•.- , o Dde Contractor ~ `.. S•.e A--6 C. G T ADDRESS �+ • CITY AND ZIP PHONE � f tb CONSTRUCTION LENDING AGENCY Ra 1.4r I hereby allirm that Mei,fu.,':umiu'i;o:,.,.r,,,,•uL.id., for the performance of the work for which ' this permit Is Issued(See.1097,Civ.C)Lender's N True 5 i al [ Lender's Address (],1 OWNER•BUILDER DECLARATION �Q� I hereby ', .1 from the Contractor's License Law for the following reason: S S f"'�G e _ ' ❑I,as owner of the property,o ' • with wages as Ihelr sole compensallon,will do Me work,and the structure Is not Intended or:' • le. ❑I,as owner d the property,am exclusively contracting wit' •ntraclors to construct the `"�`^•^G� L�./ wood. ❑I am exempt under Sec. .B&PC for Ibis reason Dm: INITIAL WORKERS'COMPENSATION DECLARATION I hereby affirm Thal I have a certllicale of consent to sell Insure,or a cenlli a},e,4f War n' Compensation Insurance,or a certified copy thereof.POLICY NO. DWP 8 0 7 6 67 1 COMPANY Fireman' s Fund DATE EXPIRES: 5/1/93 o Codified copy Is hereby furnished CITY VERIFIEr• .Certified copy Is flied with the city GROUP DIVISION TYPE Dale' APPLICANT • CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE VALUATION I cert"• I'.,q;••, . •.0 Ince of the work for which this permit is Issued,I shall not employ any person In any mann. '1•"I .. • ,,,i, b'ect to the Workers'Compensation Laws of California, . Dv': •' 01 ' '•; PERMIT FEES. NOTICE TO APPLICANT IL after making this Cenilicale of Exemplion. •`I:r ome subject lej/ Io IM Workers'Compensation provisions of the Labor Code, ELECTRICAL: 151RUCRJRAL /7 Av Pe p you must lonhwd' lift such provision or this permit shall be deemed revoked. ,` `A PLUMBING: I GRADING: I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT.I AGREE TD COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS,AND MECHANICAL I ISSUANCE FEES: HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY TO ENTER UPON THE ABOVE GEO REVIEW PIAN CHECK: MENTIONED PROPERTY FOR INSPECTION PURPOSES. ISSUANCE APPROVED: TOTAL.PERMIT FEE: Signature of Applicant or Agent Dale ' 4�— /`�‘,.v DATE OF ISSUWE:' PERMIT NUMB[E,R,�:,- Print Applicant's I Agent's Name �' /l r�9 O I , CITY OF CHINO FILLS — /ADDRESS J '2 U j S.kcC21-1. /Yr. • Lght �:. BLOCK TRACT 13Ip5 j--2 BUILDING INSPECTIONS RECORD ps . OWNER . THE FIELDSTONE COMPANY POST IN CONSPICUOUS 145 5.511111b-COLLEGE-BLVD. PLACE ON THE JOB ADDRESS SUITE 660 ��p� Sn ��F�pY-92024 __ . CITY ZIP PH.7/1/.-%q D-39DL // PLUMBING DATE APPPROVEDIINSPR'S SIGNATURE• SIGN GROUND SOIL PI I 9 /Er11 ' -'^---- GROUND WATER P2 I /OA" ��✓ a REMARKS TOP OUT P3 /6/i� I SEWER PS I/o/1z/n t'LA '-'� . [ �} GAS TEST P6 J //i b I .q.-e Po 1 !O '`'"2 e_ LI q- / 7 (A/ 6r21(1e,E I/-6/-48 I Q`-P FINAL PLUMBING P12 I I MECHANICAL DATE APPROVEDIINSPR'S SIGNATURE UNDERGROUNDIFLOOR MI I I 1 / . ROUGH M2 I Z//i•/f.3 I (" AIR COND. M4 I I I I FINAL MECHANICAL M12 I I ELECTRICAL DATE APPROVEDANSPR'S . SIGNATURE TEMP.CONSTN.POWER E3 I I FX r - c/ c--"-- /7144-M,--,/,.1. - . UNDERGROUND PVC•METAL-D.B.G El I .47.eZO/' ROUGH WIRING I / I .G.1,----'.RECEPT.SPACING- SERVICE-CIRCUIT E2 • I I FINAL ELECTRICAL E12 I I STRUCTURAL DATE APPROVED/1NSPR'S. SIGNATURE REINFORCED FOUNDATION:LOCATION S1 I '?/ ' J7�I ^� REINFORCED ❑ UFER ❑ / G� • SLAB:REINF.J/MEMBRANE 0 53 I /0/9/121- 47LO UNDERPINNING S4 I I MASONRY 511 I I 1 FIREPLACE SI1 I/O// iq z_- I 4 C-----' ROOF FRAMING -/1'7 I ROOF SHEATHING SE /v//� _- 'Z FRAMING S6 IZ//6'^,-"! I 4- IN ENERGY S7 12 I/Y/'7 I i P - LATH EXTERIOR SE I''.7--/.7 17/1`1 I 4 LATH INTERIOR/GYPDOARD S9 Iiii 7)/11 I `le-- I r a I I APPROVED/11ISPR'S SIGNATURE-, DATE OF ISSUANCE PERMIT NUMBER BUILDING FINAL SI2 19/iyl9? I '/�"� 'Tb„i/z- ati-07 CITY- OF CHINO I: ELLS I B �' • ADDBUILREDING /38(„' V];S r�-'L. V 7 t-1 J.1 J SS ((/ LOT 6-7 . BLOCK TRACT 131051-2 BUILDING INSPECTIONS RECORD OWNER / THE FIELDSTONE COMPANY POST IN CONSPICUOUS 145 S.bLAI b LVD. PLACE ON THE JOB ADDRESS SUITE 660 v. ' CITY ZIP PH.7/I/ V qq -SOD/f/_ PLUMBING DATE I _I APPRROVEDANSPR'S C ' . SIGNATURE GROUND SOIL P1 I 1/r/1 (/ I g��_ GROUND WATER P2 I/�'/6/9 ti '/I ` __- I I REMARKS TOP OUT P3 SEWER PS l/o f il_ I AC4 se,.., GAS TEST PS I I FINAL PLUMBING P12 I I MECHANICAL DATE APPROVEDANSPR'S SIGNATURE • UNDERGROUNDIFLOOR 111 I I i ROUGH M2 I I i AIR COND. I.M I 1 I I 1 FINAL MECHANICAL 1112 I I ELECTRICAL DATE APPROJEDANSPR'S I SIGNATURE • TEMP.CONSTN.POWERI I UNDERGROUND PVC•METAL D.B.G El I ROUGH WIRING RECEPT.SPACING- SERVICE-CIRCUIT E2 I - I I FINAL ELECTRICAL E12 I I STRUCTURAL DATE APPROVEDANSPR'S. p/ /�f SIGNATURE FOUNDATION:REINFORCED L❑OCION UFER ❑SI I </ l� ` • SLAB:REINF. 0 MEMBRANE 0 S3 I /6/5 i.9-2. 1 .4e____ I UNDERPINNING S4 I I MASONRY S11 I �1 I FIREPLACE S11 1/03// (// I ROOF FRAMING I I ROOF SHEATHING SB • FRAMING S6 I I INSULATION I I SOUND/ENERGY ST LATH EXTERIOR SB I I LATH INTERIORIGYPBOARD S9 I I I I II SIGNATUREAPPNSPR'S DATE OF ISSUANCE PERMIT NUMBER BUILDING FINAL S12 I I