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Permit No. 2010-23485 tiJ City of Chino HillsBUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT/VA a .4 i 14000 City Center Dr.,Chino Hills,CA91709 { Counter Phone (909)364-2780 Building Permit ti 24-Hour Inspection Line (909)3642790 0 (NOTE:You must call before 3p.m.for a next business day inspection) jp City Hall Main Number (909)364-2600 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. CUSTOM SFR:FIRST FLOOR(2536 SQ FT,SECOND FLOOR(1735 SQ FT),GARAGE(1671 SQ FT),FRONT PORCH(106 SQ FT),PATIO COVER 22 SQ FT 2010-23485 31157 AND BALCONY(263 SQ FT) BUILD NG DDRESS ISSUED SSUED Y 11 575 ILA SIWhi eman A RRA DR 1 APT./UNIT NO. 19/22/2010 DATE 11n,,Rosemary A2368101 'TR1ACT MAN/ I-6 ;OT I FLOORS/UNITS I PROJECT PERMITS I P.TYPE CENCUS NEW SFCOR Detached S 1 CB CONST.TYPE 1 ZONING TYPE - IOCO 3CUPANCY TYPE 1 VALUATION$552,000.00 I TOTAL SQFT 0.001 BLDG.SQFT101_ 4,271.00 Current Owners: DIANE&MICHAEL VIERA-VIERA,MICHAEL&DIANE L LIVING TR Fees Address: 1102 CARRIAGE DR SANTA ANA CA 92707 Fee Group/ Fee Description Fee Amount Payments Ph: 714-412-0977 Transaction Type Email: 'Custom Nome:.`::.. ';.... :.::: . ;$6;285:37:........ . Contractor. OWNER BUILDER-OWNER/-BUILDER ,,'` Address: N/A CHINO HILLS CA 91709 8005 Strong Motion Instrumentation(Res) $55.20 55.20 Ph: N/A Email: B39-B53 Residential Structural Fee $3,019.50 3019.50 LIc.Information Exp.Date: LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 8003 Residential Plan Check Fee $1,962.68 1976.08 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with SB1473 $23.00 23.00 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. 8076 Electrical SF Residential $713.04 713.04 Date: Contractor. 8110 FAU/A-C=<100,000BTU $42.00 - 42.00 ' B124 Vent Fan $52.50 52.50 OWNER-BUILDER DECLARATION 8136 Plumbing Fixture $225.00 225.00 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 B137 Building Sewer New/Repair $31.75 31.75 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 B141 Water Heater $15.75 15.75 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) B143 Water Piping System New/Repair $12.60 12.60 I,as owner of the propterty,or my employees with wages as their sole compensation,will do the 9145 Lawn Sprinklers $19.00 19.00 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 B150 Gas Pipe Syst-Up to 4 Outlets $25.20 25.20 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 8151 Gaspipings sty or more $4:65 4.65 purpose of sale). y I,as owner of the property,am exclusively contracting with licensed contractors to construct the B126 Kitchen Hood $15.25 15.25 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). Pre-fab Fireplace $15.25 15.25 I am exempt under article 3 of the Business and Professions Code. 8001 Permit Issuance Fee $53.00 53.00 Date:?0/0 I 0 Owner. , r TOTAL FEES $6,286.37 AMOUNT PAID $6,298.77 WORKERS COMPENSATION DECLARATION - BALANCE DUE ($13.40) 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 �1 Code,for the performance of the work for which this permit is issued. My worker's compensation - "101,.."_../1.1,0.1 '/� /� // ) ® n�b insurance carrier and policy number are: < .!/ /.i" G��LG!/7/L. /.-^2: Cartier. Policy#: PLICANT SIGNATURE DATE I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant DIANE&MICHAEL VIERA-VIERA,MICHAEL&DIANE L LIVING TR person in any manner so as to become subject to the worker's compensation laws of California,and agree Address:• 1102 CARRIAGE DR SANTA ANA CA 92707 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: 714-412-0977 Email: Date: Applicant:: tic.Information Exp.Date:, .. WARNING: Failure to secure worker s compensation coverage is unlawful,and shall subject an employer I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition to the cost Safety Code,which regulate the storage,handling and use of hazardous materials of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. 1 CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING&SAFETY DIVISION Call(909)364-2790 before 3:00 p.m.for next day inspection R• <, Post in a safe, conspicuous place at front ofjob. Provide permit number when calling for inspection. Have approved p'iarrs on job at time of inspection. NO WORK SHALL BE COVERED WITHOUT INSPECTION File this perrnit with your permanent records+,utien job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradiig: Block Wall inspections: Pregrade Meeting Footing,Rebar Rough Grade 151 Lift Bond Beam Terraces 2m Lift Bard Beam Sub Drains 301 Lift Bond Beam Finish Grading Drain!Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergrotnd Site Inspections: Sheath Nailing Building Sewer Line I0-1-(0 Roof Final Water Supply Line UIG Electrical Service Conduit Swinrriing Pools: Storm Drain.!Catch Basin Location I Rebar I Bonding!Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderfloorfUnderslab Inspection: Final Pool UE Waste Plumbing 10-1-to UIF Water Fire Protection Equipment: UT Mechanical UG Pipe UT Electrical /0—f—Jo _Aar. Thrust Blocks UfF Framing Hydro UIF Insulation Flush Subfleer /(-3.0 iiir5 Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycko Foundation Inspection: Temp Power Pole Setback 1 Footing—OK to Pour Electric Release � F• l l•l l G¢irw� UFER Ground(RebariCopper) �v Gas Test CA-Mel Hardware 1 Hold-Downs ."..57.„.0.1 �� Piers/Caissons!Tendons FINAL INSPECTIONS Slab Grade—OK to Pour PQ -Ce NO OCCUPANCY PERMITTED WITHOUTFINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear inspection(Wood): Planning Dept.(364-2752) Roof Nailing 041.1-1°10 Public Works (364-2774) Exterior Walls gyvbci.. n le j Fire (393-3888) Interior Walls Landscape (364-2766) Hard ware!Hold-Dovwns 11 4-_q�1_ io ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade r1 Combo mspedhon: Final Electric \\'>/ r,eX Framing S‘3)l l (. Final Plumbing Rough Electric � r ��N X � Final Mechanical CO/ Rough Mechanical Final Building/Construction /` 7 Rough Plumbing.!Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED ] )lt ,�, /� CERTIFICATE OF OCCUPANCY Insulation (/31(/ �-""""V OK TO ISSUE Drywall inspection: OTHER: Interior (II /ACV • ►, �1 __I Exterior IO—'t`-Lo 90;1:9 ^O. M 1/ � h` d'/ EXT LATH '4)1 f c l O ►o ' .ke Stucco Scratch `//l3//L Miscellaneous Inspections: Masorry Fi-eplace Plate Ties,Fire Block Patio!Deck: Footing Frame Access/Light/Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This pemiitwill expie if work is suspended or abandoned for a period of 180 days. SOILS AND GEOLOGY GROUP Soils Engineering • Engineering Geology 17231 EAST RAILROAD STREET,SUITE 200,CITY OF INDUSTRY,CA 91748 TELEPHONE(626)964-2314 FAX(626)965-3802 NOTICE OF FOOTING EXCAVATION INSPECTION JOB LOCATION: /? S'•"--1,..< Lai DMS ri JOB NO.: /A' g ''- OWNER OR CONTRACTOR- //' J It s Pi' ./1/ 1t OWNERS ADDRESS. DATE FOOTINGS INSPECTED f I-7-l6 • TOTAL NUMBER OF FOOTINGS OR CAISSONS: 1/,. P 1 *rei1)711ne.f.S J DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: 1/' 1;) - ✓ ., fr6✓67-rl2al, • OFEBSI0/44 PRIOR TO PLACING CONCRETE ANY LOOSE SOILS SHOULD BE REMOVED FROM THE EXCA 0 ` • ST<<< F?. � The undersigned has inspected the footings and/or caisson excavations listed above on the referen -rty ands � same were excavated in accordance with our recommendations in the preliminary foundation repo , ti - Buildie005 T ` tO 11 Code of the C�/�' „ J 'JJ15 O EP. s9ForECN ,7gr0/ CA / 424-- 'S GNATURE �r . STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system,for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 at other sections of the code. Report No. ) This report includes all construction work through / day of ,2O ibPage No.J of / oject Address ,� is til Obs ero�e�m+,/.,' %PhQ G� ullding Permit No! ��gral Obseivation perf d y. Prolgssion al LiciReg.No.,ofObserver.. Phone too.of Observer. '7� OBSERVED STRUCTURAL 6 9 ENTS AND THBR CONNECTIONS r FOUNDATION WALL I FRAMES FLOOR I PORTION OBSERVED,IF NOT WHOLE Iooting,Stem Walls, ❑Concrete I❑Steel Moment Frame ❑Concrete I El Mat Foundation ❑Masonry I ❑Steel Braced Frame ❑Steel I I ❑Caisson,Piles, Grade Beams ❑Wood I ❑Concrete Moment Frame ❑Wood I ❑ Retaining Foundation' ❑Other: ❑Masonry Wall Frame 0 Others: Hillside Special Anchors 0 Others: i I ❑Lathers: OBSERVED DEFICIENCIES: - ill i/D VE ; I ' 1 • • r; I DECLARE THAT THE FOLLOWING STATEMENTS ARETRUETO THE BEST OF MY KNOWLEDGE: QS, 4 1. I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE4 i/ JO J•' '4,� CHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTS tf C 4 , n OF THE CITY'OFCORONA. C 13077 2. I,.OR.ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER r MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH Nb.---.VJ�ATE Q. SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL l' 4 CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; ` li, `. Ot�. 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICATED ABOVE; 4. 1 RECOMMEND THAT AC TANCE OF THE STRUCTURAL SYSTEMS BY THE CITY OF CORONA BE WITHHE UNTIL ALL OB RVED DEFICIENCIES ARE CORRECTED. / • 7 V STAMP OF STRUCTURAL DESERVER OF RECORD R-/STGNATURE • tiATE • . , • • , Pete Volbeda, Architect 180 N. Benson Ave., Unit D Upland, CA 91786 • • . STRUCTURAL OBSERVATION REPORT FORM STRUCTURAL OBSERVATION means the visual observation of the structural system, for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibilityfor the inspections required by Section 106, 1701 or other sections of the code. Report No. _ 2.. This report includes all construction work througN 2......day of ... r..... ,20 11 Page No. I of I Project AcIdrp.,.:., 1 . I SItotural Observer of Revd(SOR): I Phone k4o.g SOR: L. 6 s % sq..rt.b , c.i-1 \- % 140 s rxtirsv. vokiwg‘ to 77 fl %co Eu„din,FeimitAIo.: . ispir Siru(Aura I Observation performed by: I Professional pc./Reg.No.of Observer. j Phon of 04server: 1..•0% U ...Gs t7E,NIC..•V 0‘/(°)V\7%1 C.- \v2 u-7 1 I 9 I 1) I % Pt:, . i . OBSTAVISO STRUCTURAL ELIDAENTS AND THEN CONNECTIONS FOUNDATION WALL FRAMES r FLOOR PORTION OBSERVED,IF NOT WHOLE ._ Er Footing, Stem Walls, 0 Concrete 1 0 Steel Moment Frame 0 Concrete 0 Mat Foundation 0 Maio ...- 0 Steel Braced Frame 0 Steel ..----- • ' Caisson, Files,Grade Beams' Ri<cTod 1 0 Concrete Moment Frame I lerWood .__ Retaining Foundation 0 Other: U Masonry Wall Frame I 0 Others: hillside Special Anchors 1 - ; f:C.thers: I 1 0 Others: 1 OBSERVED DEFICIENCIES: I li,‘ • . V44 4.0 V...E. • A e.e__ ria 6),, ) 1,1 a, ii .• • . • . . !DECLARE THAT THE FOLLOWING STATEMENTS ARETRUE TO THE BEST OF MY KNOWLEDGE: ' Cit:4 0 i-R- I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE , A...). CHARGE FOR THE STRUCTURAL OF3SERVATION IN ACCORDANCE WITH THE REQUIREMENTS ' W•k, c--' 01 c., a „...„-.. 7 5.--a) • OF THE CITY OF CORONA. 1 .*: :t;':,C 13077. lit 1 2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER — • MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS AT EACH .. RENEWAL DATE .7.4- / SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; \ *S3 ' 3. ALL DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN INDICA I EU ABOVE; - 4. I RECOMMEND THAT AQflPTANCE OF STRUCTURAL SYSTEMS BY THE CITY OF CORONA BE WITHHE UNTIL ALL 0 ERV ED DEFICIENCIES ARE CORREC itU. 2- 771Ptit STMIP OF STRUCTURAL OESSRVER OF RECORD • SIGNIATVolif DATE - , . _ . . • . - . • . . . . . STRUCTURAL OBSERVATION REPORT FORM - STRUCTURAL OBSERVATION means the visual observation of The structural system,for general conformance to the approved plans and specifications,at significant construction stages and at completion of the structural system. Structural observation does not include or waive the responsibility for the inspections required by Section 108, 1701 orothersections of the code. Report No. 3 This report includes all construction work througn 2, 6 day of PI 1416 r• C41, ,201% Page No. V of 1 IProject Address . Structural Observer of Rd : I Phone No.of SCR: (MI ! t T"q."11e--VO L'TPV%1:4 6- tY 1:19 : 1 I 5`b Euilding Perma No: I S Ideal Observation-performed by: i ProTessionel Lic./Reg.No.of Observer. Phone o.of Observer: I rVM:Ni cie%S.1110 I C- t; 0-77 I I st, DBSETVED STRUCTURAL ELEMENTS AND THaR CONNECTIONS „ • „ . • FOUNDATION 1 WALL FRAMES FLOOR PORTION OBSERVED,IF NOT WHOLE I Footino.Stem Walls, I 0 Concrete 0 Steel Moment Frame 0 Concrete El Mat Foundation I 0 Masonry 0 Steel Braced Frame 0 Steel _ . , . • D Caisson. Piles. 'Grade Beams' Peo-od I 0 Concrete Moment Frame I RIVood I — •___.; Retainirrgi Foundation I 0 Other: 1 0 Masonry Wall Frame 0 Others-. hillside Special Anchors n C-thers"„ I Het5thers: yt \-,-,15-51N I I OBSERVED DEFICIENCIES: Ki 0 vv._ „ _ ! ' •, . • • - . - . . • • . - . • DECLARE THAT THE FOLLOWING STATEMENTS ARETRUE TO THE BEST OF MY KNOWLEDGE:::.;‘,„--.. . ,:, ', _:”, • ....:., \,. 1_ I AM THE ENGINEER OR ARCHITECT RETAINED BY THE OWNER TO BE IN RESPONSIBLE/ •,.'"' _ . , cHARGE FOR THE STRUCTURAL OBSERVATION IN ACCORDANCE WITH THE REQUIREMENTt OF THE CITY OF CORONA. ,',- 3 : , ,; , 1 4 2. I,OR ANOTHER ENGINEER OR ARCHITECT WHO I HAVE DESIGNATED ABOVE AND IS UNDER t.--...', i -,: .) MY RESPONSIBLE CHARGE, HAS PERFORMED THE REQUIRED SITE VISITS ATEcu / ,) •:1-.,fi SIGNIFICANT CONSTRUCTION STAGE TO VERIFY IF THE STRUCTURE IS IN GENERAL, , , •1,/ CONFORMANCE WITH APPROVED PLANS AND SPECIFICATIONS; -' '"••••• s, t-.) ,...r./.,...,, ..,...--cs.\•-`,. ....-:.-, e 3. AU_DEFICIENCIES WHICH REMAIN TO BE CORRECTED HAVE BEEN'INDICA 1W ABOVE: -‘,.:',/,.. .:2•0...f•'---41_2.2,,:iv„.:..:1::„..2.,''..,..: ,'•?1 ,'4' 4_ I RECOMMEND THAT AC ' ANCE OF THE STRUCTURAL SYSTEMS 13Y THE CITY OF - oi •CORONA BE •THH ..--"iNTI OBSERVED DEFICIENCIES ARE CORRECTED. , . 3 2s, g Pki ..,- sw,F OF STRUCRIRAL OESERVER OF RECORD SIGNATURE DATE - • . •