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2017-35822 12-5-2017 5089 JADE GAS/ELECTRICAL City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-27801111 Building Permit 24-Hour Inspection Line p (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection . (]; t)1.) M 1:l' City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBEF 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. (N)GAS LINE TO FIREPIT&BBQ.(N)ELECTRICAL FOR OUTDOOR LIGHTING. 2017-35822 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 5089 JADE TR 12/5/2017 Freeman,Nicole APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101750319 TR 14285 19 •/ • CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $900.00 0.00 Current Owners: Fees Name:RENE&KAREN LOPEZ Fee Group/ Fee Description Fee Amount Payments Address: 5089 JADE TER CHINO HILLS CA 91709 Transaction Type Ph: 951-545-6783 Rear Yard $232.00 Email: M@CH.ORG Improvements Contractor: WILLIS CONCRETE-WILLIS CONCRETE 23 Rear Yard Improvemente Non-Structural Plan $69.30 69.30 Check Address: 15295 AQUEDUCT CHINO HILLS CA 91709 23 Rear Yard Improvements Non Structural $161.70 161.70 Ph: 909-597-2533 Email: W/Permit TBWILLIS@VERIZON.NET SB1473 $1.00 1.00 Lic.Information398749 Exp.Date:1/31/2019 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 'TOTAL FEES $232.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing AMOUNT PAID ' - $232.00 with Sec.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 behalf of the owner of the property. BALANCE DUE $0.00 Date: Contractors L is,1 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) 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. Date: Permittee: Print Full Name: 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 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-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 insurance carrier and policy number are: 409 • Carrier: Policy APPLICANT SIGNATURE DATE Applicant: TOM WILLIS I certify that in the performance of the work for which this permit is issued,I shall not employ any per on in any manner so as to become subject to the worker's compensation laws of California,and -Address: 15295 AQUEDUCT LANE CHINO HILLS CA 91709 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: 909-234-7995 Email: TBWILLIS@VERIZON.NET Date:dit4. / 1 Lic.Information Exp.Date: Applicant- I certify that the user of this facility shall comply com I with sections 25506,25533 and 25534 of the Health and WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an Safety Code;which regulate the storage,handling and use of hazardous materials 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. 1 a;\\\..\ ,)) \\K?\ \Y 3:00 z\ in \. \ \ „\,..,,\a.,,.,a•.,,a\.\:,.as..\\.ti„ place a\front a \ \eProvide \ cti ai, i\ ea \k\li\ ..•..\\ ,.n.\ \ inspection I,lave „a ,N. a \., . Kw,int-, \ OK) \, \ a B\ :O.. _ .... \ \ION thi,, .,.`,.,,a a a.\a\. ..n e 1..o g,,,,`tt r\•..•'..•i i f r anent \ a\r•,.,h,3 Al\,,,,•n �a�•\ J-..., complete !SSPECI' INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradiig: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Litt Bond Beam Terraces 2 Lift Bond Beam Sub Drains 3N Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Und grotud Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit S iiiiiii Pools: Storm Drain I Catch Basin Location/Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS,APPROVED Gas Test Gr Conduit Verify Soils EngirrhU: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderfloorfUnderslab Inspection: Final Pool UaF Waste Plumbing UF Water Fire Protection Equipment: UFF Mechanical UG Pipe UFF Electrical Thrust Blocks UaF Framing Hydro UAF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION IIPSPE TIOIN Overhead Hy&o Foundation Inspection: Temp Power Pole Setback,Footing—OK to Pour Electric Release LIFER Ground(Rebar/Copper) Gas Test Hardire/Hold-Downs Piers/Caissons I Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FILIAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear im ction(wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hard ere/Hold-Dogs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo o i s tion: Final Electric Framing /IV Final Plumbing � Rough Electric ... ' Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing I Topout Water Meter Number COVER 110 WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: 1, r r� 5yp1 i..e, ^1', 1✓ ¢/ 7 ,/yi/y®(' ,,' �' Y.J.# 1 .�1 4 If Exterior EXT LATH Stucco Scratch Miscellaneous Ir sI pctiors: Masonry Fleplace Plate Ties,Fire Block Patio I Deck: Footing Frame ? Light r �cl� NOTICE TO OWNER:Call for FILIAL INSPECTION on every job. This p ermit ill eivie if work is suspended or abandoned for a Patio Final i)eriod of 180 days. _._r..J..raw^'[,;tvr-r++c+°•�r'�R'trar!W."a'.'ex'rw""°"an mr,.r'�.w'1`f"s ,, „, ,, u P ' ”-..--;- ,----"------z.:,t 447, A' 1' .`. .., IIpM�" ,,. .' t-. ( ..- I -'• ' 1( 6ifTi--- V . �' yw...�.-��W" ri , \ f`r �ry}� ' 1Ii�'k r/,px� 7: 7 '`xr3 �, ',~4 - fir. ' }3; , ,,7,,,,,..,4,,:,,,,,,,; 1/ • . ,,, ,•• f, ,,,,,,i. 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C, 4. . t r :;:"L'k" ' 41:-.—"4:,,..44,71'1::."""e":1,'"'", xrM+ " • A `tyw wp E 4 -`� 4 ,<µ r i ., �ir x.,. / .w Y Q� gyp,, rtF 'i t ::: PP :41 LILL'7 r t� f ,d 4 r � �J rn'•,4,. ,4,i� . . , ill, —,,(3 -� strati y -- t,) �n S, f ,.i r_.;i .,dam F �r -- . t �� ,,,Ti A C__'A- 41,„), ' f t'4',"0:,,,, ,:,t„, F, ,F /ti Y"�' t 7 .r/:f /t yt1 ' j Ain;; it e a r(V 5-:-; 1 it "tit Cs'i, ' s,p' r' ' ,--7 414,‘,....irea., • / '''S,3 0',' .. ` ,-•' iJ , s„,,, • ,,,,,,,.,........4.4,44 yi ,kd"+W , 4.- p„...... \<,, 5" ,r , CITY OF CHINO HILLS 0 JOB ADDRESS L.90 , , vitio NAME SUBMITTAL DATE USE t.1%)1-, IFL-6---e--1 'flflAL DATE 'f.?Fv3FW