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2014-28864 6-12-2014 4726 Fairway Bl Temporary Power Pole ..;-$:`,„..,%:'''''';':'''''' tT ''A r ." t ', BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT `£carr r a `. 1 of 111o Hil 14000 City Center Dr.,Chino Hills,CA91709 it Counter Phone (909) 364-2780,', y .; k r. �: 1`,.f . Building ®■ 24-Hour Inspection Line (909)364-2790s , (NOTE:You must call before 3p.m.fora next business day inspection) t' !',;;, .�max: `�, • ., ' " City Hall Main Number (909)364-2600 i_ ,, J a ii48,140aiiiikiifige'; NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE •BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. TEMP POWER POLE ON PRIVATE PROPERTY 2014-28864 .. .•- BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ' ISSUED BY 4726 FAIRWAY BL • 6/12/2014 L'' Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102813118 TR 2576 4 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE `VALUATION 'TOTAL SQFT BLDG.SQFT 434 Res Add/Alter .VB R-S R-3 $800.00 0.00 Current Owners: Fees Name:HONG WANG Fee Group/ Fee Description Fee Amount Payments Address: 162 CALIFORNIA ST,A ARCADIA CA 91006 Transaction Type Ph: 818-389-6881 Temporary Power $11a00 Email: M@CH.ORG Contractor DVARGAS CONSTRUCTION -DVARGAS CONSTRUCTION B001 Permit Issuance Fee $56.00 56.00 Address: 6854 MURRAY ST RIVERSIDE CA 92504 • B082 Temp Svc Pole or Pedestal $56.00 56.00 Ph: 951-662-9370 Email: m@ch.org Lic.Information804755 Exp.Date:2/29/2012 • SB1473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $113.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec.7000)of Division 3 of the Business and Professions Code,and my license is in full force and AMOUNT PAID $113.00 effect. In securing this permit I am acting with the knowledge of and o ehalf of the owner oft -, property. .,..' BALANCE DUE $0.00 k f, '------"..-1,1,S4 tl ''';`.."' /*„71 ' Date: ontractor: " —> ,'"`.ter' e NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the following reason,(Sec,7031.5,Business and Profesional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Sec.7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more that five hundred dollars($500.00) I,as owner of the propterty,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: • The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he she did not build or improve for the purpose of sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor (s)licensed pursuant to the Contractors License Law). I am exempt under article 3 of the Business and Professions Code. r Date: Permittee: Print Full Name: WORKERS COMPENSATION DECLARATION aII hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers'compensation,as I I certify that I have read this application*and state that the above information is correct. I agree to comply provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is with all city and co my ordina res and state laws relating to building construction,and hereby authorize issued. representatives- this city enter otbOve-mentioned proptery for inspection purposes. I have and will maintain workers'compensation insurance,as required by Section 3700 of the -`' '-.-' Labor Code,for the performance of the work for which this permit is issued. My worker's compensation ,. ' ' - /1":„..,- L2-- ( LI insurance carrier and policy number are: . Fn.__. ---4-0/".- er,- --,-,, '..4.." r ,,,,„, / Carrier: Policy APPLICANT SIGNATURE;, DATE #: a.—( '' fid"^ `Ap_lint:_: .CARLOS- ARGAS ..�� .,�:r.x I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers compensation laws of California,and .Address: 6871 RIVERDALE PL RIVERSIDE CA 92509 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Ph: 951-662-9370 Email: m@ch.org F "` • ,,ri 1 „.- Lic.Information Exp.Date: $ I cerci that the user of this facilityshall comply with sections 25506,25533 and 25534 of the Health and .7Appli`cant:�::-`" ,��'" fY P Y Safety Code,which regulate the storage,handling and use of hazardous materials A Fai;f-e'''''''a to secure workers compensation coverage is unlawful,and shall subject an e•.o jerto criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition • lT cost of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION Call 4:909)364-2790 before 3:00 p.m.for next day inspectiolk Post in a safe, conspicuous place at front ofjob, Provide permit number when calling for inspection. Have approved plans on job at time of inspection. NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permit with your permanent records vytien job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-ail,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line LliG Electrical Service Conduit Swinming Pools: Storm Drain/Catch Basin Location Rebar/Bonding Light DO HOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE, Fence,Gate&Alarm UnderfloorlInderslab Inspection: Final Pool UiF Waste Plumbing UiF Water Fire Protection Equipment: UF Mechanical UG Pipe UF Electrical Thrust Blocks UiF Framing Hydro UIF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycko Foundation Inspection: Temp Power Pole Setback,Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware Hold-Downs Piers/Caissons 1 Tendons FINAL INSPECTIONS Slab Grade—OK to Pour 110 OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear Inspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware/Hold-Dens ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade A • Conibo hspection: Final Electric \\I\ \ • Framing Final Plumbing J Rough Electric Final Mechanical (\V)A Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER 110 WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scratch Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio"'Deck: Footing Frame NOTICE TO O'WHER:Call for FINAL INSPECTION on every job. Access Light./SWtch This permitwill expie if work is suspended or abandoned for a Patio Final period of 180 days.