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2018-36853 5-31-2018 4896 FAIRWAY METER PEDESTAL n\44 City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) jai in() Hills 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 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. INSTALL(N)PERMANENT METER PEDESTAL FOR STREET LIGHTING 2018-36853 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 4896 FAIRWAY BL 5/31/2018 Freeman,Nicole APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE &? R CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 437_Non-Res Add/Alter U $2,000.00 Current Owners: Fees Name:CITY OF CHINO HILLS-CITY OF CHINO HILLS Fee Group/ Fee Description Fee Amount Payments Address: 14000 CITY CENTER DR CHINO HILLS CA 91709 Transaction Type Ph: 909-364-2600 Zero Fee Permit Admin Override $0.00 Email: m@ch.org Contractor: OWNER BUILDER-OWNER/BUILDER $0 Fee-Zero Dollar Fee $0.00 Admin Override Address: N/A CHINO HILLS CA 91709 TOTAL FEES $0.00 Ph: N/A Email: AMOUNT PAID Lic.Information Exp.Date: LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing 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. Date: Contractor: 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. /3 Date: . 5I I Permittee: VC) 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 ° >'.< 4� - — rr? j f insurance carrier and policy number are: Carrier: Policy APPLICANT SIGNATURE DATE 4: Applicant: EVAN VONRANZOW I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California,and -Address: 14000 CITY CENTER DR 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: 909-364-2743 Email: EVON RANZOW @C H I NO H I LLS.O RG Date: Applicant:: Lic.Information Exp.Date: WARNING: Failure to secure workers compensation coverage is unlawful,and shall subject an I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and employer to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition Safety Code,which regulate the storage,handling and use of hazardous materials to the cost of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. \\Tx 0 122. 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Nn NIRECORD wD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade VI Lift Bond Beam Terraces 2nd Lift Bord Beam Sub Drains 3n1 Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergromd Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line LUG Electrical Service Conduit S iimir Pools: Storm Drain I Catch Basin Location/Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engirrlig: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate 8 Alarm Underflooritinderslab Inspection: Final Pool U/F Waste Plumbing U/F Water Fire Protection Equipment: U F Mechanical UG Pipe UF Electrical Thrust Blocks U F Framing Hydro • U F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation Inspection: Ternp Power Pole Setback!Footing—OIC to Pour Electric Release IAF E R Ground(Rebar/Copper) Gas Test HarcM ere/Hold-Downs Piers/Caissons/Tendons FINIAL 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 (393-2888) Interior Walls Landscape (364-2766) Hardwere f Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Oho isl ckion: Final Electric .... 1 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. CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior FINALED. SYSTEM Exterior EXT LATH Stucco Scratch Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio Deck: Footing Frame Light Swich NOTICE TO OWNER:Call for FINAL INSPECTION on ems'job. This permitwill expie if WC&is suspended or abandoned for a Patio Final period of 180(1a . .k\k • • -o P 1 I •e I s 111111! _ • -61,),5-(31,,-,:--- •I q 17:1-00 18-400 C OI,y5T U'C TIO', NOTES E %-,,,,,\44?„:„.„:„.N. , . .. ,.. : Q / 4:€ , , . . . / 41/4,0 - I i —.- — – '''''' , '''': . '1-.'"--.---.-' -':-----•-'--..'"1 7-'- --41'-.---.,. '.''-:--' ------' _ .---- - , , -, . '----: – - — - " ' - ..i - _ c),) . if----.' / ,, - --- 1 r i if - „ I I I I I . I i I I I 1 /, - i . 72 LIGHTING NOTES O INSTALL NEW STREET LIGHT POLE AND FOUNDATION PER CITY OF CHINO HILLS / STANDARD DRAWING Nos.407&409. A, i 1' (- ( 'I / / 2 INSTALL NEW SERVICE PEDESTAL PER CITY OF CHINO HILLS STANDARD DRAWN '4v, No.410. I; ' Underground Service Alert I l I • I / / i U3 INSTALL 2 PVC(SCHEDULE 40)CONDUIT W/3-#8 WRE CONDUCTORS y2.., Fie r, � . •v a. U Call: TOLL FREE b: r•' r. ST iX, `S98 -0� ::T: ::::::::::::::;: :::::::::: C*-41D. -,_, / ,� - . #irj 1111 W W W.Ca1181 .corn %,.', i•--,, © EXISTING EDISON-OWNED STREET"LIGHT TO BE REMOVED AND SALVAGED BY SCE �r, _, FORCES \NN, .T.: _ . _ ..-‘1" i of _ t _.., Two VOWING DAYS BEFORE YOU MG M (� INSTALL BROOKS No.3 12 PULL BOX STAMPED"CHINO HILLS STREET LIGHTING PER CITY OF CHINO HILLS STANDARD DRAWING No.407. PREPARED UNDER THE SUPERVISION OF: CITY O F CHINO HILLS ",",' BENCH MARK: BASIS OF BEARINGS REVISIONS 4¢°FEs�,a� LOS SERRANOS 1 I I '`�F� s�'a� PUBLIC WORKS DEPARTMENT—ENGINEERING DIVISION INFRASTRUCTURE STREETr1P;+':N°,sss�i M �,. OE51CNED BY ORAV4 BY: CNECK D BY ----R I z EV I EV I MR S15008 3P1/19 �� a • -.. IMPROVEMENTS — ATPL 5467 (012) Pk01117:C: —A 1 s, r ', SUBMITTED BY STREET LIGHTING PLAN 1 .,,`'.c.,,,,,„00, mew*.re: t or; ;--1',.:.•„:7,,,-,:::.!,'-'-'11-7. SHEET 19 OF 21 ►�o- I �� .� j oA� MARK L RAAB,P.E. SATEASSISTANT CITY ENDNEER DATE PHEASANT S T.