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Permit No. 0414 1B/C APPLICATION FOR A _DING PERMIT,AND A CERTIFICATE OF USE & 'UPANCY ..___. - . ----- C. CITY 'OPCHINO HILLS _ 4-r,/.0 r A ,i 41-,,CIA40cD4 BUILDINGsi5efic vIpta. 6rtinite. br, CLEARED BY APPLICATION TYPE NO. ' .. .to C F o . LOT (a/ BLOCK 7RACT 13651-2 6 OWNER The Fieldstone Company I THE FOLLOWING WORK IS AUTHORIZED BY THIS PEPIMIT:, 753 ADDRESS 145 S. State College Blvd. , #660 I 0 s-rRuct 0 PLUMB. C MECH. 0 ELECT. M Ill CITY Brea ZIP 92621 PH. 990-3006 TYPE OF PROJECT it NEW G ALTER 0 ADDITION ARCHITECT/ ENGINEER Hales-Langston LIC NO. 0 REPAIR 0 CONVERT 0 DEMO 0 OCCUPANCY MAT. ADDRESS 3111 N. Tustin Ave. , #230 PROJECT I LOCATION ON DESCTIMA ION i PROPERTY 1 S INIZESCL FEET CITY Orange VP 92665 PH. 283-1770 avoi-a-, . 90 , cotmucron Same 'as Owner . (JCNU 402826 '- lj- 6T-or-v. I I 1 ,355 ADDRESS 2 a'" 104vI I 1 , 240 I CITY ZIP PH. 1 Ilf'.-A-c.--.6.: I 564 CITY BUSINESS UCENSE REMARKS/SPECIAL CONDITIONS I PROJECT DESCRIPTION -.„.......:. LICENSE Nr, EXPIRATION DATF UCENSED CONTRACTORS DECLARATION Zovixiii 4 C-024.5.4ia dt...J-S • . t . I h ' .'.I . m licensed under provislons of Chapter 9(commencing with Section 7000 ol - A - o • - DIvielon 3 Of the'01 •o11...... ,•,,v.,, • e Code,and my license Is In lug forca and eflecl. (_ Uarnse Cas Ucen -4^-...Aslialiantilisthioati, Date Contractor c.o.4-cp c- cks. ADOFIr '' CITY AND ZIP ' PHONF P1-0 CONSTRUCTION LENDING AGENCY RA Oar". I hereby atom hire there ii:','.;•.;,...I...:..., the performance of the work for which • Ibis permit Is Issued(Sec.1097,Civ.C)Lender s Narne' ." _- Lenders Address ' 5i •g-a- C** -.)N, OWNERBUILDER DECLARATION 3"-f-N s I hereby•' " I'. . i . .1 from the Contractor's License Law for the following reason: --_. 0 1,NO owner ol the properly,o ' . . with wage,es their sole compensation,will do the ...• work,and the structure Is not Intended or:""'...y le, C7 .. . 1\----1 0 I, as owner of the property,am exclusively contracting wit' `-'' . .ntrc ators to construct the .1oLe&f"'314-4-9 63t/Le--C4-.. •••9_K.- .... Pfpied• . . .. Otis,exempt under Sec. .BIPC for this reason • •i DaleINITIAL WORKERS'COMPENSATION DECLARATION . I hereby aKirm that I have a Wilieste of consent to sell Insure,or a cerlIfiiejt. 1 etrirs7' 1 Compensation Insurance,or a certified copy thereof.POLICY NO DWPbou , amemy Fireman' s Fund DATE EXPIRFS. 5/1/93 0 Codified copy Is hereby furnished CITY VERIFIFfl" It-Certified copy I,filed with the city GROUP DIVISION TYPE Dale. APPLICANT ' CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE VALUATION I cart'''1 ,L. ,,.,••.,Ince of the work for which this permit is Issued,1 shall not employ any person In any mann • I.••. ,.. bad to the Workers'Compensallon Laws of California. . Dale. .:-. ;ill . ,.. PERMIT FEES NOTICE 10 APPLICANT:II.after making this Canilicals of Exemplion; '•I , .. . .. me subject ELECTRICAL: I smucruRAI, /5.--,3 c,„ to the Workers'Compensation provisions of the Labor Code,you must fortiWni` '.' • .1th such provision or thls permit shell be deemed revoked. "`x.'1., PLUMBING: . I GRADING: I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION MECHANICAL I ISSUANCE FEES: IS(X)FIRECT.1 AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS CITY TO ENTER UPON THE ABOVE GEO REVIEW: I PLAN CHECK: MENTIONED PROPERTY FOR INSPECTION PURPOSES. • ISSUANCE APPROVED: TM_PERMIT FEE: .....-.-•-• Signalure o4 Applicant Of Awl Data .= :7 e /s ..._3, DATE OF ISSUANCE: / PERMIT NUMBER: Print Applicants I Agents Name q //s-7 9 -\.__- c:, 47/(L/ , CITY OF, CHINO IT LLS - . BUILDING 3 X J 2 I//)S,Q n ()I r _ „/ j� b ' ADDRESS ;7 v iL�-LY'/L Yl)1//IlY/1 .fl J_1'1//- L • 441,. BLOCK TRACT /31,51'-2 BUILDING INSPECTIONS RECORD OWNER THE FIELDSTONE COMPANY POST IN CONSPICUOUS 145 S. sri i -COLLEGE-BLVD. PLACE ON THE JOB ADDRESS SUITE 060 BRE -GAL''ccORN 1 CITY ZIP PH.7/4...,9610_3006, PLUMBING DATE APPROVIIEDNSPPRSS ' SIGNATURE GROUND SOIL P1 I /, /2J✓ G.I-I-. GROUND WATER P2 I/0/67 --_ TOP OUT P9 I /0/i 3 I "1---C.___ i REMARKS SEWER P5 /OA-1111-1 Ci C - .F;u3 b ` 12.Y ,.��— q-111-9 3 GAS TEST P6 J ////r1 I 1 CS-At-i,,,,_ F/t-(i/C- /d/2. /2 - I C _ . FINAL PLUMBING P12 I I MECHANICAL DATE APPROVED/INSPR'S SIGNATURE IUNDERGROUND/FLOOR MI y/� ROUGH M2 IG - /�- `�}3 I �/ -e_.. • AIR COND. M4 I I I I FINAL MECHANICAL MI2 I I • ELECTRICAL DATE APPROVED/INSPR'S SIGNATURE 654-7 � /6'P/-$‘_._._ A/if-A-CJvil 4 1 TEMP.CONSTN.POWER E3 I I -/i‘Ea-,‘- '?dr///9 ? C cam' UNDERGROUND / - D. PVC-METAL- B.C. El ROUGH WIRING RECEPT.SPACING- 21/7/ J I L./ SERVICE-CIRCUIT E2 ' FINAL ELECTRICAL E12 I • STRUCTURAL DATE APPROVED/INSPR'S. SIGNATUREN FOUNDATION:LOCATION SI re,/ ( ///L) , 7 Ter REINFORCE9.-Er UFER 0 / \ ' SLAB:REINF�U MEMBRANE 0 S3 I/O/ U t,�I e______ UNDERPINNING S4 I I MASONRY S11 I -q I FIREPLACE S11 I / /1 I ROOF FRAMING / ' ROOF SHEATHING S5 Z h0//1 I .=a=L.--' FRAMING S6 I '�j//'I/I�1j ' ? TION SOUND/ENERGY /',J/ 9 3 I Si ' ' LATH EXTERIOR SB 2 /2-/2J /i1 I l� LATH INTERIOR/GYPBOARD S9 12/2-S'/i 3 I ' F-- I I APPROVEDANSPR'S SIGNATURE DATE OF ISSUANCE PERMIT NUMBER BUILDING FINAL S12 I V//'/i�/-1 I 4.. — ?/, 4 Ott./ CITY OE CHINO I'TLLS _ ;„6,e,‘ . . . , BUILDING n 1/)076t LJ�/v '.r�A�, 1�„�' ADDRESS /��I? f�� L01 6/ . BLOCK TRACT 13151-2 BUILDING INSPECTIONS RECORD OVNER THE FIELDSTONE COMPANY POST IN CONSPICUOUS 145 5.51Alb mittEc st vo. PLACE ON THE JOB ADDRESS SUITE 660 1 • CITY ZIP PH.7/4--q`�U-30010 PLUMBING DATE // APPPROVED/INSPR'S ' SIGNATURE - GROUND SOIL P7 I 63/Lr///--I ' e GROUND WATER P2 I /6/4'14 C4--(2--- TOP OUT p3 I I REMARKS SEWER P5 I/45 /7/7 I GAS TEST P6 I I I I FINAL PLUMBING P12 I I MECHANICAL DATE APPROVEDIINSPR'S SIGNATURE UNDERGROUND/FLOOR MI I I ROUGH M2 I I • AIR COND. AN II • I I FINAL MECHANICAL 1412 I I ELECTRICAL DATE APPROVEDIINSPR'S SIGNATURE TEMP.CONSTN.POWER E3 I I UNDERGROUNDI I • • PVC•METAL•D.B.C. El ROUGH WIRING RECEPT.SPACING- SERVICE-CIRCUIT E2 I . I 1 FINAL ELECTRICAL E12 I I STRUCTURAL DATE APPROVED/INSPR'S. • SIGNATURE . FOUNDATION:LOCATIONS1 I 1 /i/h • REINFORCED 0 UFER ❑ ( <9_, • SLAB:REINF. 0 MEMBRANE 0 S3 1/10/8//g2/L/ / I -4 e-- UNDERPINNING Si I I MASONRY S71 I I FIREPLACE SII I/19/2?., I .e..-- ROOF FRAMING ROOF SHEATHING S5 I • FRAMING S6 I I INSULATION SOUND/ENERGY ST I I LATH EXTERIOR 56 I I LATH INTERIORIGYPBOARD S9 I I APPSIGNATURE INSPR'S DATE OF ISSUANCE PERMIT NUMBER SIGNATURE BUILDING FINAL S12 I I `