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2015-29834 1-20-2015 4726 FAIRWAY PATIO COVER BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENTCity OT t.;pnino Hills, t 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 044.444e,'4,1"..„'Or Bulicring Permit24-Hour Inspection Line (909)364-2790 7tl {z k z , (NOTE:You must call before 3p.m.for a next business day inspection k'�4k L r$ City Hall Main Number (909)364-2600 lilt '11*, Ow w, NO TICE: THIS PEkMIT BECOMES NULL AND 1/0ID OF WORK IS NOT COMMENCED WIT I PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR I I BELOW WHEN A I G INQUIRIES THAN IF WORK IS DONE IN VIOLATIONI OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. PATIO COVER 11'X 17'(187 SF)NO ELECTRICAL 2015-29834 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 4726 FAIRWAY BL 1/20/2015 Sarah,Larios 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 $7,000.00 0.00; 187.00 — Current Owners: Fees Name:PEDRO ROMERO Fee Group/ Fee Description Fee Amount Payments Address: 4726 FAIRWAY BLVD CHINO HILLS CA 91709 !Transaction Type Ph: 562-209-1082 Patio Covers,l $440.31 Email: M@CH.ORG Trellises,Shade __..... Structures W/Energy Contractor. T F MEADOR CONSTRUCTION SMIP Residential $0.91 0.91 Address: PO BOX 713 WILDOMAR CA 92595 Ph: 951-837-6180 Email: SB 1473 $1.00 1.00 TFMCONST@YAHOO.COM Lic.Information639087 Exp.Date:4/30/2015 11 Patio Covers,Trellises,Shade Structures- $295.68 295.68 Permit w/Energy LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 11 Patio Covers,Trellises,Shade Structures- $126.72 126.72 Plan Check w/Energy 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 OL-Business License Monthly $16.00 16.00 effect In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. T TOTAL FEES 440.31' Date: //3 Contractor: i AMOUNT PAID $440.31 BALANCE DUE $0.00 OWNER-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) F7: f,t f; y 17 is(s , � �x�{i.. �t tom` a ���� z' ii � ti I,as owner of the propterty,or my employees with wages as their sole compensation,will do the y �.,. �r �� z:� � � 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. Date: Permittee: Print Full Name: WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-insure for workers'compensation,as 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 county ordinances and state laws relating to building construction,and hereby authorize issued. representatives of this city to enter upon the above- entioned proptery for inspection purposes. A I have and will maintain workers'compensation insurance,as required by Section 3700 of the / ,. // 6)/1' �- Labor Code,for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: �. � R Carrier. Policy APPLICANT SIGNATURE DATE #: Applicant: TOM MEADOR 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 worker's compensation laws of California,and Address: PO BOX 713 WILDOMAR CA 92595 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: 951-837-6180 Email. M@CH.ORG Lic.Information Exp.Date: e: /21-71/,/ �- Dat ) // I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and Applicant: Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to criminal penalities 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. CIT.( OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING& SAFETY DIVISION Cali 49051 364-2790 before 3:00 flun.for nem'.day insilectio 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 WTI OUT INSPECTION File this permit with your pelynanent records vytien job is complete. INS P-C7 CII,:); ,otECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall kmicti 4: Pregrade Meeting Footing,Rebar Rough Grade 151Lift Bond Beam Terraces 2 Lift Bor Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Und ire .d Ske I 4" dig Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit 5w rrj P : Storm Drain I Catch Basin Location I Rebar I Bonding I Light DO HOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit VerifySoils Engi ;-;-, Rn Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate 8,Alarm Und;- mr11.1 lab km N Final Pool UF Waste Plumbing UF Water Fire R-utedim Equi rr. 'if Mechanical LIG Pipe LIF Electrical Thrust Blocks LIF Framing Hydro U.IF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycth Foundation h - P Pole Setback!Footing=OK to Pour Electric Ra UFER Ground(RebariCopper) Gas Harchivave I Hold-Downs PiersiCaissons I 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) She kmi ion(Mai): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364-2766) Hardqvare I Hold-Dowre ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade CI No- - (1i : Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing I TOpOltit Water Meter Number COVER NO •RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmuldim OK TO ISSUE D all kmimdicwo: OTHER:,,,s Iriterior Exterior 0 EXT LATH Stucco Scratch MlsII -iuskmredi 4: FE-eplace Plate Ties,Fire Block Patio I Deck: Footing Frame Access I Light I Swich NOTICE TO OWNER.:Call for FINAL INSPECTION on e iob Thus im will eq f - I s - -d abauk, fora Patio Final imrkoci of180