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Permit No. 2010-23801 1 City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMEN i — r e 14000 City Center Dr.,Chino Hills,CA91709 0Counter Phone (909)364-2780 \ Building Permit 24-Hourinspection Line (909)3642790 ,1 i (NOTE:You must call before 3p.m.for a next business day inspection) j 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 DESCRIPTIONPROJECT No. PERMIT No. PRECISE GRADING FOR CUSTOM SFR(54 CV)[FOR BPA#189] 12010-23801 31460 BUILDING ADDRESS I APT./UNIT NO. I ISSUED 0 ATE I BeeleMelissa D BY 13575 LA SIERRA DR 1APN 02368101 I TRACT 13EMAP# I LOT I FLOORS/UNITS I PROJECT PERMITS I P.TYPE 9 EN Unknown COD ES I CONST.TYPE 'ZONING TYPE I O 3CUPANCY TYPE 'VALUATION $2,500.00I TOTAL SOFT 0.001 BLDG.SOFT 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: Residential Grading` : :$169.00::.:...:.:.-;' ' Contractor. OWNER BUILDER-OWNER/BUILDER Fees Address: N/A CHINO HILLS CA 91709 8173 Grading Permit Fees(51-100 cubic yards) $115.00 115.00 Ph: N/A Email: _ B001 Permit Issuance Fee - $53.00 - 53.00 Lic.Information LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 581473 $1.00 1.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with TOTAL FEES $169.00 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. AMOUNT PAID $169.00 Date: Contractor. 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 N 1 Ithat 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/ 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 a/ .t am exempt under article 3 of the Bj:tiness and Professions Code. Uate: h/ . (fid Owner._ _1LOLTA. � C 111 /1 V - 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 La..r c Code,for the performance of the work for which this permit is issued. My worker's compensation /) insurance carder and policy number are: . F,_ _ -/D/A Q i ,Y .' i_r ,.A — 1(/l o -, ` Carrier: • Policy#: -., •.•PLICANTSIrr ATURE DATE I certify that in the performance of the work for which this permit is issued,I shall not employ any Appuicant PETE VOLBEDA- person in any manner so as to become subject to the worker's compensation laws of California,and agree Add that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, ress: 180 N.BENSON#0 UPLAND CA 91786 I shall forthwith comply with those provisions. Ph: 909-373-1150 Email: Date' Applicant:: Lic.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 attorneys fees. CITY OF CHINO HILLS COM MUNITYDEVELOP.MENT—BUILaING&SAFETY DIVISION Cali(909)364.2790.before 3:00 p.m.for next day inspection Post in a safe,conspicuous place,at front of lob. Provide permit number when calling for-inspection: Have approved.plans-on job.:at time:of inspection. NO WORK SHALL.BE,COVERED.'W1THOUT_INSPECTION . File this-perrnit:Withyour permanent records.wiienjob is complete.: INSPECTION RECORD INSPECTION DATE. INSPECTOR INSPECTION DATE. INSPECTOR Grad'ng Block Wall Inspections: Pregrade:Meeting Footing,Reiter Rough GradeViVP0 1 z1 Lift Bond Beam- Terraces 2ntl Lift,Bond Beam- Sub Drains 3"Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergromd:Site:lnspediorrs: Sheath Nailing Building Sewer Line Roof Final Water Supply Line 1.110 Electrical Service.Conduit SwirnringPools; Storm Drain:1 Catch Basin Location!Rebar.:Y Bonding/Light DO NOT BACKFILL UNTIL ABOVE-IS APPROVED Gas`Test Gr-Conduit Verify SOiki Engineering: Ro:Elect Compaction,;moisture,;conditioning,:etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,-Gale,&Alarm .UndernoorlUnderslab:Inspectian Final•Pool UIF Waste Plumbing UIF Water Fire Protection Equipment; UIF Mechanical UG,Pipe UIF Electrical. -,-Thrpst-Blocks UIF Framing Hydro UIF 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 Electric Release UFER Ground(RebarfCopper.) GM'Test Hardware/.Hold-Downs Piers/Caissons/Tendons FIIIALQISPECTIONS Slab Grade—.OK to Pour NO OCCUPANCY PERMITTED_WITHOUT FINAL.. DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental. Health-Dept: (391=7570)' Sheer Inspection(Wbod)d Planning Dept.(364-2752) Roof Nailing Public-Works (364-2774)' Exterior Walls Fire (393.3888)- Interior Walls Landscape.: (364=2766). Hardware/Hold-Downs -ALL ABOVE MUST BE APPROVE D=BE FO RE FINAL BLDG.. Final Grade SI l b \ LA/WI Combo nspection: .Final Electric Framing Final Plumbing Rough Electric Final Mechanical. Rough Mechanical Final Building/Construction g'�-t,11\ Vw' - Rough plumbing/.Topout,: Water.Meter Number COVER NO WORK UNTIL ABOVE IS-APPROVED- ' . CERTIFICATE OF OCCUPANCY Insulation OK TO:ISSUE • Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scrateh. Miscellaneous Inspections: Masonry Fireplace Plate Ties;Fire Block Patio 1 Deck: Footing Frame NOTICE I LighflSwtcii dIOTICE=TO OWN ER:-Call.for FINAL INSPECTION on every:job. Thispemitwill eap eWwark is suspended or.abandoned far a Patio,Final period of-784 days. 0 JerryRonnebeck, Engineering 163-A West Bonita Avenue, San Dimas, CA 91773 o ? 909-599-3253 * 909-599-2572 fax Website:Ronnebeck.com /11/C September 27,2010 Mike and Diane Vieira 1102 Carriage Drive Santa Ana, CA 92707 Re: 13575 La Sierra Drive,City of Chino Hills Per your request I have verified the rough pad elevations and the setbacks for the residence located at 13575 La Sierra Drive. The as-graded conditions conform to the requirements as set forth on the approved grading plan as prepared by Pete Volbeda. Respectfully, _ QPc sero .RONN� __ I, AO/ 90/ Gerald E. Ronnebeck % 1 RCE 42853 (Exp. 3-31-12) * 1o.42853 * rikiri City of Chino Hills Community Development Department Building Division 14000 City Center Drive Chino Hills, CA 91709 CITY OF CHINO HILLS (909) 364-2780 Fax (909) 364-2795 — _ , INCORPORATED l/•1. www.chinohills.org GRADING INSPECTION REPORT Property Owner: /ejtii_ei / Z je r"I� Tract No.: /„�2I/5 4, Lots: Job Address: ll- -1 St 1›.3 1. - Date: 9/ilm ❑ ROUGH GRADING INSPECTION ❑ ENGINEERING GEOLOGIST(If Required) Grading on the site was completed in accordance with the approved Engineering Geology Report Cut slopes are stable at their graded inclinations: Certified Lots: Date: Geologist: Registration No: Signature: Telephone No.: ( ) Address: ❑ SOILS ENGINEER All fills were installed upon properly prepared base material,benched and compacted in compliance with Section Appendix Cha.,------�BC and where the report of an engineering geologist has recommended the installation of buttress fills or other measures, ,•aSizO completed in accordance with the approved design.Fill settlement monitoring(if any)has been completed on all certified lots Oq�G. sr/ F Expansive Soils: X Yes ❑ No Lots: . 4Q``�� 'r e? Certified Lots: Date:;:!!(5eptue r�15 M110 Soils Engineer. Fratk C.. StiU ni/a ) Registration No: 8f \ Erp 6-9 x Signature: ,4[ 4''�.L-- Telephone No.: ( 626 ).461+,.2314 ,c7--;:r Address: 17231 E. Railroad St. , #200 / City of Industry_ . CA. 91748 4-- N c�7 Remarks: ...:`p r�P • ❑ GRADING ENGINEER The rough grading has been completed in accordance with the approved plans including; grading to approximate final elevations, property lines staked, swales and terraces ready for paving; berms installed, required drainage slopes provided, and where report of engi eering geologist and/or soils engineer have been pre ared,the recommendations contained therein have been followed. ',y f 19 Certified Lots: /" I�3 �►� Date: 77 o�pFE; j j�' O Grading Engineer: Af '� • ,a Registration No: /hob4). , �• y Signature: / ' Telephone No.: ( ) ( ''iP Address: 1 6 N S c. k•, U 9, z ii//S'4 I*r - ' I Remarks: ` ,�V.0 l Ft) , \ AL DATE S� ❑ FINAL GRADING INSPECTION 9�o`t' The grading has been satisfactorily completed in accordance with the approved plans.All required drainage devices have be- --..-,:i enf planting established and adequate provisions have been made for drainage of surface waters from each building site.The recommen•-1. o the soils engineer and/or engineering geologist(if such persons were employed)have been incorporated in the work. Certified Lots: Date: Grading Engineer: Registration No: Signature: Telephone No.: ( ) Address: Remarks: \\CHMD\CDShare\Community Development\Applications&Forms\CDBD_1038-Grading Inspection Report.wbk Rev.1/6/2010 1 of 2 jgarcia *REVERSE SIDE IS FOR DEPARTMENT USE ONLY* DEPARTMENT USE ONLY ❑ N/A As Graded Geology Report By(Name) • Review Date: Compaction Report by(Name) Review Date: c� Rough Grade Inspector(Signature) Date: ��[�c� tQ Final Grade Inspector(Signature) Date: • t '.7 tiyy 2 of 2 City of Chino Hills Community Development Department Building Division - 14000 City Center Drive Chino Hills, CA 91709 OF CHINO films (909) 364-2780 Fax (909) 364-2795 INCORPORATZD I f f l www.chinohills.org GRADING INSPECTION REPORT Property Owner: Tract No.: Lots: Job Address: I, 5 -1 51-1>S ,' Date: ❑ ROUGH GRADING INSPECTION ❑ ENGINEERING GEOLOGIST(If Required) Grading on the site was completed in accordance with the approved Engineering Geology Report.Cut slopes are stable at their graded inclinations: Certified Lots: Date: Geologist: Registration No: Signature: Telephone No.: ( ) Address: ❑ SOILS ENGINEER All fills were installed upon properly prepared base material,benched and compacted in compliance.with Section Appendix Chapter J of the CBC and where the report of an engineering geologist has recommended the installation of buttress fills or other measures, such work has been completed in accordance with the approved design.Fill settlement monitoring(if any)has been completed on all certified lots. Expansive Soils: ❑ Yes ❑ No Lots: Certified Lots: Date: Soils Engineer. Registration No: Signature: Telephone No.: ( ) Address: Remarks: ❑ GRADING ENGINEER The rough grading has been completed in accordance with the approved plans including; grading to approximate final elevations, property lines staked, swales and terraces ready for paving; berms installed, required drainage slopes provided, and where report of an engineering geologist and/or soils engineer have been preg_ared,the recommendations contained therein have been followed. Certified Lots: �/"3 �� Date: .�It 414'7, Grading Engineer. Al. � •v. t ,� A Registration No: "�: y Signature: ' / Telephone No.: ( .) f�`' , f--7124 ;i Address: 1 ;1446 N t=i4 S ca 4.4 �!U 4 t-72/1 r 6 tP Remarks: ` �vT I L ,o f : : \ �'p DDAT sem+ _ .,a i ❑ FINAL GRADING INSPECTION - :K1"'t' �� The grading has been satisfactorily completed in accordance with the approved plans.All required drainage devi« •h.,•':.„)0. a.1.-,.4 e•:: — lantin established and adequateT. :lit planting provisions have been made for drainage of surface waters from each building s',-'` rri=' • f he soils engineer and/or engineering geologist(if such persons were employed)have been incorporated in the work. i H►r / : � 5� Certified Lots: r. 'x,!,e: a Grading Engineer: �� RIN Registration No: r 0-7 r f Signature: Telephone No.: s _ 3115. Address: / N [;L p t`1 tS O N I L _ - ,a. Remarks: Yr \\CHMD\CDShare\Community DevelopmenMpplications&Forms\CDBD 1038-Grading Inspection Report.wbk 4,4. -,4 /... ,``T" •,,^ 1 of2 'A, .-R .. . *REVERSE SIDE IS FOR DEPARTMENT USE ONLY*