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Permit No. 2004-0335 `rik BUILDING DIVISION OF COM DEVELOPMENT DEPARTMENT • .44 .--441 2001 Grand91709. �'�.t•,sr City of Chino Hills CounerP oneenue,ChinoHills, (909)3 4-2780 1 ""' Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) ` '`i"• City Hall Main Number (909)364-2600 CI11 OF CHINO HILLS IMtQS?OIATS0 10,1 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED PLEASE USE PERMIT NUMBER WITHIN 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY BELOW WHEN MAKING TIME FOR MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY INQUIRIES OR REQUESTING OR STATE LAWS RELATING THERETO: INSPECTIONS PROJECT DESCRIPTION PERMIT No. UPGRADE SERVICE PANEL FROM 100 AMP TO 200 AMP SERVICE 2004-0335 0 BUILDING ADDRESS APT/UNIT No. ISSUED DATE ISSUED BY 16500 CELADON CT 0 I I 03/10/2004 I RHERN APN PARCEL MAP# TRACT LOT/PARCEL BLOCK CONST.TYPE ZONE OCC. LAND USE 1017-732-06 13610 ITR 13507-5 I 21 I 732 I V-N I UN I R-3 I Residential CENSUS 9CODES I OVERLAY DIST I OBLDG SQFT I nth PE� PROJECT PERMITS I SETBACK FY I SETBACK RY I SETBACK SSY SETBACK SY FEES Description Calc. Paid w CUTCHLOW, ADONIS L Electrical U $55.50 $55.50 16500 CELADON CT Issuance/Suppl F $45.00 $45.00 0 CHINO HILLS, CA 91709 Total Paid 3/10/2004: $100.50 Grand Total: $100.50 $100.50 re 0 0 Contr Lic: 00000000000D0000000000000D0000DDDODOD0000r00U❑7DD Expiration: 0000000000 License Type:000000000❑00❑00000000000000000❑❑ODDOUD000U0000❑100 Workers Comp:0000000000000000000000D000D0D000000000000000000IOU Expiration: 0000000000 Bus. License:0000000000DU0❑❑D❑D00D 00000000000000000000000000700 Expiration: 0000000000 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under 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. In securing this permit I am acting with the knowledge of and-on the behalf of the owner of the property. • • _ PROJECT DESCRIPTION • Date: Contractor: OWNER-BUILDER DECLARATION UPGRADE SERVICE PANEL FROM 100 AMP TO ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 200 AMP SERVICE the following reason(Sec.7031.5 Business and Professional 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 there from and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500) ❑ I,as owner of the property,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 improvements is sold within one year of completion,the owner-builder will have the burden of proving that he or 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 . •PROJECT INFORMATION the project(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 contracts for such Desc. I Location I Sq.Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law.) ❑ I am Exempt under Article 3 of the Business and Professions Code Dat 3"-/1 - 04 Owner: ( V 9m ( C�� ".::WORKERS COMPENSATION DECLARATION"' • ' • ' • I 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 provided for by Section 3700 of the Labor Code,for the performance of the work for which this Valuation $0.00 permit is issued. I certify that I have read this application and state that the above in formation ❑ I have and will maintain workers'compensation insurance, as required by Section 3700 the is correct. I agree to comply with all city and county ordinances and stale Labor Code,for the performance of the work for which this permit is issued. laws relating to building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes. n ,, any California,persoin any ag manner soIhaulto ecome subject tot the orker's compensationcompensalaws of /G, (L f ' /7'0y ornia,and agree that if I should become subject to the worker's compensation provisions • �l L of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. ( APPLICANT SIGNATURE DATE APPLICANT INFORMATION: - OWNER BUIILDER , CA Date: Applicant. WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000),in I certify that the use of this facility shall comply with sections 25505,25533, addition to the cost of compensation,damages as provided for in Section 3706 of the Labor Code, and 25534 of the Health and Safety Code,which regulate the storage, interest,and attorneys fees. handling and use of hazardous materials. CITY OF CHINO HILLS • COMMl7iNITY DEVELOPMENT—BUILDING&SAFETY DIVISION Call (909)364-2790 before 3:00 p.m.for next day inspection Post in a safe,conspicuous place at front of job. 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 when job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1s`Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3'd Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit Swimming Pools: Storm Drain/Catch Basin Location/Rebar/Bonding/Light DO NOT 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 Underfloor/Undersiab Inspection: Final Pool U/F Waste Plumbing U/F Water Fire Protection Equipment: U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection: Temp Power Pole Setback/Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO 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 (364-2774) Exterior Walls Fire (393-3888) Interior Walls Landscape (364-2766) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade 1. ' Combo inspection: Final Electric ,j7( Vv fl Framing Final Plumbing ' Rough Electric C�Lj —_ _ Final Mechanical +D -rid Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO 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 Access/Light/Switch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. This permit will expire if work is suspended or abandoned for a period of Patio Final 180 days.