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Permit No. 2009-29960 BUILDING DIVISION OF COMMUNITY DEVELOPMENT a PARTM Cityof Chino Hills i ) �f 14000 City Center Dr,Chino Hills,CA91709 Counter Phone (909)364-27 t„. .,,. uilding Permit 24-Hour Inspection Line (909)364 790 / 7. ; ,� (NOTE You must call before 3p m for a nextbusiness da '...._,...411 City Hall Main Number (909)364-2600 r - , 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 BELOW WHEN MAKING INQUIRIES MORE 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 POOL&SPA,GAS&ELECTRICAL LINE FOR FUTURE BBQ !2009-22261 129960 B8621821VOR YCT,Apt 0 RESS I OAPT I UNIT NO 'ISSUED� DATE 'ISSUED Castro,Monica A01N41205 ITR CT0M7 3P# I;OT (FLOORS/UNITS I Poo PROJECT PERMITS IP TYPE CE USCOnES (CONST TYPE IZZ0NINGTYPE (OCCUPANCY TYPE (VALUATION $2800000ITOTALSOFT O�IBLDG SOFT 99 Current Owners IGNACIO LUGO- Fees Address 16282 IVORY CT CHINO HILLS,CA 91709 Fee Group/ Fee Description Fee Amount Payments Ph 909-597-0945 Transaction Type Email Pool&Spa, ,n $759 45 Contractor BLUE FOUNTAIN POOLS-BLUE FOUNTAIN POOLS , , d,i Address 221 West F Street Ontario CA 91762 B001 Permit Issuance Fee $52 00 52 00 Ph 909-983-7665 Email B078 Private Swimming Pool $93 00' 93 00 LIc Information331356 Exp Date 12/31/2010 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION B143 Water Piping System New/Repair 6 20ea $6 20 6 20 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with B150 Gas Pipe Syst-Up to 4 Outlets 6 20ea $12 40 12 40 Sec 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect - f In secunng this permit I am acting with the knowledge of and on behalf of the owner of the property B39-B53 Residential Building permit, $339 30 339 30 i5;.. 2Date 2-2- D I Contractor- — B003 Residential Plan Review Fee $220 55 220 55 4 SB1473 $2 00 2 00 OWNER-BUILDER DECLARATION Misc Electrical $34 00 34 00 , 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 TOTAL FEES $769 45 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 AMOUNT PAID $759 45 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) BALANCE DUE $0 00 J 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 Owner 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 authonze issued representatives of this city to enter upon the above-mentioned proptery for inspection purposes I have and will maintain workers'compensation insurance,as regwred by Section 3700 of the Labor /1 . L' \, 5/0/0 / for the performance of the work for which this permit is issued My workef s compensation ' insurance ca er and policy number are I !/ Gamer',/ Policy# AP (CANT SIGNATURE DATE _I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant BLUE FOUNTAIN POOLS-BLUE FOUNTAIN POOLS person in any manner so as to become subject to the worker's compensation laws of California,and agree Address 221 West F Street Ontario CA 91762 that rf I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions / ,7 Ph 909-983-7665 Email 3-2-D� A_ .� Uc Information331368 Exp Date 12/31/2010 Date Applican / v I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING Failure to secure worker's compensation coverage is unlawful,and shall subject an employer Safety Code which regulate the storage,handling and use of hazardous matenals 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 i CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION f Call(909)364-2790 before 3:00 pFo.for next day inspection Post in a safe,conspicuous place at front offob Provide pe.rn" P`rurCer!v hen 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 v\hien job is complete INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1''•Lrft Bond Beam Terraces 2m Lift Bond Beam Sub Drains 3itl Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit Swiwring Pools: Storm Drain/Catch Basin Location I Rebar I Bonding I Light 36,4'6) —4ft? DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test • Gr Conduit rd �c Verify Soils Engineering: Ro Elect 57- Compaction, Compaction,moisture,conditioning,etc POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE( Fence,Gate&Alarm UndertloorfUnderslab Inspection: Final Pool 2I Al• •- UF Waste Plumbing U/F Water Fire Protection Equipment: U1F Mechanical UG Pipe UIF Electrical Thrust Blocks USF Framing Hydro UhF Insulation Flush Subfloor Weld Outlet lnsp 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 I 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 I Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo inspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: Interior OTHER• Exterior r �� (''ji6/ i r7' 11�W* EXT LATH Stucco Scratch Miscellaneous inspections: Masonry Fireplace Plate Ties,Fire Block Patio I Deck: Footing Frame Access/Light/Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This pemitwill eerie if work is suspended or abandoned for a period of 180 days. When a permit is issued for your project the approved plans will contain a pink inspection card (job card), which will be your record of inspection. The approved plans and job card must be kept on site accessible to the inspector at all times The plans and job card should be kept in a safe location out of the sun and rain. The job card contains a space for the inspector to sign-off for the final inspection. The City recommends that prior to making any final payment or signing any release, the homeowner verifies that the City inspector has finaled the project. The City also recommends that you refrain from using your pool/spa until the project has passed final inspection. The final includes inspections of your pools' electrical system and other life safety items that are important to your family's safe enjoyment of your new pool/spa. If you have any questions regarding compliance with pool fencing or safety glazing requirements prior to signing this document or at any time during your project please do not hesitate to call Building and Safety at (909) 364-2780. Your family's safety is our primary concern. Continued - In order to insure that all homeowners are aware of how the requirements contained within the Uniform Building Code may affect their project, Building & Safety Division is requiring that the statement below be signed and dated by the homeowner, prior to permit issuance. A copy of the 2007 California Building Code is attached for your review. I have read the attached CBC requirements for Swimming Pool/Spa Barriers, sections 3109.4.4.2, sections 3109.4.4.3, section 2406.3 regarding safety glazing requirements and the amended sections included herein. As the owner of the property I agree to comply with all the applicable requirements contained within these attachments as they relate to my Pool/Spa project. Project Address. b2- rf,i - Pool Contractor: `%1A )e, Coon-ha] Y1 QrxLR Homeowner Name: y\ WC/0 C(A17/A'4, Homeowner J iigriature: Date: ytfr-- S\Community Development\REVISED Applications(2008)\CD57d-Pool Bamer Compliance Letter(rev 04-08-08)doc Rev 07/15/08 - SOILS AND GEOLOGY imp Soils Engineering • Engineering Geology • Environmental Engineering r 17231 EAST RAILROAD STREET, SUITE 200, CITY OF INDUSTRY, CA 9178 TELEPHONE(626)964-2314 FAX(626)965-3802 NOTICE OF '760L. ri/eravANiv INSPECTION JOB LOCATION 142 BZ Tvori v✓7/ v JOB NO. 05- 006 Cj DATE OF INSPECTION /1 -�d CLIENT/OWNER 131a# PC)U)7 1l/ti ?e,015 CLIENT'S ADDRESS DESCRIPTION OF AREA IN PECTED: r'e ezfl/ ¢-G�vd74Ph ;J /rile)D /J-P—/,,/I-OGL A//7/l_,h a,� 4 4,1,-a�� O¢eidej -6-.4'/e-- ,fi/$'the • Da-5IGH i e,‘4Om/+ve-rtG-41./✓i' s JAi pz/K v a.7,o2.-I dg9`� 64 • Z3 gazli 510"12 v t e,i v/s, k /id. / A... .�1= 0°-.1,-7/L,1•7 !J aY✓.Ol�aev y-tfi---' , Pa_i.-I Ke-e--/A-7 tet, Q�tOFESs7o /�Q,'`P�,,k C. Si; 49, (( :-°O9z r trr s � - , JOB SUPERINTENDENT: INSPECTED BY: 9`FOTCHN\G"_\P i +, 4,CAL1n —. .,7eiC's , i SIGNATURE SIGNATURE - - v