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Permit No. 2005-1490 IIP a,, BUILDING DIVISION OF COM•TY DEVELOPMENT DEPARTMENT H• 2001 Grand Avenue,Chino Hills,CA 91709 - 771.4q.. +R1 City of Chino Hills Counter Phone (909)364-2780 �: • .,' :fir': 24-Hour Inspection Line (909)364-2790 . Building Permit (NOTE You must call before 3p m.for a next business day inspection) .SAS., •NrrA,�"i[o��.�i City Hall Main Number (909)364-2600 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 LOFT ADDITION (264 SO FT) . ADDITION (600 SO FT) REMODEL (25 I 2005-1490 0 BUILDING ADDRESSDATE ISSUED B 16282 IVORY CT 0 I APT/UNIT No ISSUED 11/04/2005 I YMAR APN PARCEL MAP# I TRACT LOT/PARCEL BLOCK CONST TYPE ZONE OCC LYl\Rsidential E 1017-412-05 I ITR 13507-3 I 13 V-N UN I R-3 I i CENSUS CODES OVERLAY DIST BLDG SOFT P TYPE PROJECT PERMITS SETBACK FY 1 SETBACK RYSETBACK SSY`� SETBACK SY 999 OFR 0 ISA L ME ES PL PC 18 20 I 5/5 FEES w Description Calc. Paid 8 w LUGO, IGNACIO Plan Check PC $506.22 $506.22 16282 IVORY CT CHINO HILLS, CA 91709 Total Paid 9/14/2005: $506.22 Issuance/Suppl F $29.00 $29 00 TRI-PORTER DEVELOPMENT SMIP $10 70 $10.70 29992 HUNTER RD 105#159 Structural $876.48 $876 48 MURIETTA, CA 92563 Mechanical $38.85 $38 85 W Electrical S $122.93 $122 93 F- 951-232-0486 Plumbing $24.00 $24.00 0 I— Contr Lic: 779458 Total Paid 11/4/2005: $1,101.96 z O Expiration: 5/31/2006 0 License Type:B00 Workers Comp:EXEMPT Grand Total: $1,608.18 $1,608.18 Expiration: Bus. License:06 09521 Expiration: 3/31/2006 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 y/� //— of—OS— Contractor �/f/f `j�� i PROJECT DDESCRIPTION t D ft / � OWNER-BUILDER DECLARATION LOFT ADDITION (264 SQ FT) , ADDITION ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for (600 SQ FT) REMODEL (253.5 SQ FT) 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 I Desc I Location I Sq Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) ADDITION 600 $56,928.00 ❑ I am Exempt under Article 3 of the Business and Professions Code LOFT ADDITION 264 $25,048.32 REMODEL INTERIOR 254 $24,052.08 Date Owner. WORKERS COMPENSATION DECLARATION 1 I hereby affirm under penalty of perjury one of the following declarations 1 ❑ 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 Total Valuation 8106 028.40 permit is issued I certify that I have read this application and state that the above information ❑ 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 state 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 any California,persoin anyamanner soIhaulto ecome subject tot the worker's compensation laws of / �/'/ D I G'�`� /��/v S— of and agree that if I should become subject to the worker's compensation provisions �3Vt"/ /_ /(/`L of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLICANT SIGNATURE DATE APPLICANT INFORMATION TRI-PORTER DEVELOPMENT � � 29992 HUNTER RD 105#159 Dom. //---y '0S Applicant ;%' �-i�//1� MURIETTA, CA 92563 e - WARNING. Failure to secure worker's compensation coverage is unlawful,and shall subject an 951-232-0486 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 attorney's fees. handling and use of hazardous materials 4111- a CITY OF CHINO HILLS COMMUNITY 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 15t 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/Underslab Inspection: r/ 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 4/�-3% j Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons / FINAL INSPECTIONS Slab Grade—OK to Pour #i/i //{_E NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE/IS APPROV County Environmental Health Dept. (391-7570) Shear Inspection(Wood): Planning Dept. (364-2752) Roof Nailing / Public Works (364-2774) Exterior Walls �� ,s!% Fire (393-3888) •Interior Walls � � Landscape (364-2766) Hardware/Hold-Downs //X ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo inspection: Final Electric Framing / Rough Electric "T> / //. Final Final Mechanical mbing Rough Mechanical ,� /1�" n\ ✓� /��� Final Building/Construction r Rough Plumbing/Topout .,i COVER NO WORK UNTIL ABOVE IS APPROVED / Water Meter Number Insulation , e-7,o-oc� CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: OTHER: Interior _ Exterior EXT LATH Stucco Scratch v 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