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Permit No. 2003-1718T IIIN BUILDING DIVISION OF COMITY DEVELOPMEAT DEPARTMENT � ��„r ' 2001 Grand Avenue,Chino Hills,CA0 91)709 .4-4,'.,.I Cit o�rChino Hills . Counter Phone -: 1,,,, Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE You must call before 3p m for a next business day inspection) `''` `"•�' City Hall Main Number (909)364-2600 cnruFcw�owus NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK I.F7, JOT 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 DESCRIPTIONPERMIT No SINGLE FAMILY RESIDENCE I 2003-1718 0 BUILDING ADDRESS APT/UNIT No ISSUED DATE I ISSUED BY 2069 OAK CANYON LN 0 09/08/2004 LLA APNPARCEL MAP# TRACT LOT/PARCEL BLOCK CONST TYPE ZONE OC LAND USEEE///LI 1031-061-10 I �TR 10379-1 I 43 I V-N I UN R-3 I Re§idential CENSUS CODES OVERLAY DIST BLDG SOFT P TYPE PROJECT PERMITS SETBACK FYSETBACK RY SETBACK SSY SETBACK SY 999 FR1 I0 IOth JBL ME ES PL PC 115 I 115/15 FEES Description Calc Paid WW JAMES PARSONS Plan Check PC $1,886 31 $1,886 31 2204 CALLE BIENVENIDA 0 CHINO HILLS CA 91709 Total Paid 10/10/2003 $1,886 31 5 Issuance/Suppl F $29 00 $29 00 S & W DEVELOPMENT SMIP $55 30 $55 30 20272 CARREY ROAD Structural $2,902 02 $2,902 02 1 WALNUT, CA 91789 Mechanical $167 61 $167 61 Electrical S $568 48 $568 48 O 909-598-8000 Plumbing $447 00 $447 00 0 1_ Contr Lic C22647 Total Paid 9/8/2004 $4,169 41 z Expiration 3/31/2004 v License Type Workers Comp 1649170-2003 Grand Total $6,055 72 $6,055 72 1 Expiration 7/9/2004 Bus License NEW Expiration 10/31/2004 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 a7LI- �IAb PROJECT DESCRIPTION /Date 4 ' /, ' 0 Contractor ( li/ cci)!!/'N IA I 1 OWNER-BUILDER DECLARATION SINGLE FAMILY RESIDENCE 1 ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 1 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 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do / i 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) I BALCONIES ❑❑❑❑❑❑009 1394 $42,503 06 ❑ I am Exempt under Article 3 of the Business and Professions Code JI Custom Home 000000000 5168 $477,523 20 Garage Custom 0009❑❑❑❑❑ 695 $32,109 00 Date Owner WORKERS COMPENSATION DECLARATION J I hereby affirm under penalty of perjury one of the following declarations O 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 $55 2,135 26 permit is issued I certify that I have read this application and state that the above information __ I_haveand will_maintain_workers'_comoensatinn_insurancP as_renuired_hv_Secfinn 17n0_thp_I is correct I agree to comply with all city and countyordmances_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�ppon 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 pure ses / 4 4 any person in any manner so as to become subject to the worker's compensation laws of I J 7(% , //it/ California,and agree that if I should become subject to the worker's compensation provisions N ///) �(/// I of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLICANT SIGNATURE DATE APPLICANT INFORMATION S & W DEVELOPMENT I 120272 CARREY ROAD - --1/0147/- WALNUT, CA 91789 I 7`I D e 9' 6' c) / Applicant 1909-598-8000 WARNING Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to cnminal 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 SafetyCode,which regulate the storage, interest,and attorney's fees 9 9 handling and use of hazardous materials • CITY OF CHIN LLS _W. COMMUNITY DEVELOPMENT—BUI ING &SAFETY DIVISigN , , 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 numbe 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 recce ds when job is complete INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading Block Wall Inspections Pregrade Meeting Footing, Rebar Rough Grade 1s'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 i Underfloor/Underslab Inspection .- Final Pool U/F Waste Plumbing :z -Z-495- /'� U/F Water Fire Protection Equipment U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F InsulationFlush Subfloor P' G ,10� Weld Outlet Insp ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection /,� Temp Power Pole Setback/Footing-OK to Pour /g-N,.��/�iU Electric Release 5 I'7 T UFER Ground(Rebar/Copper) Gas Test ... ".27 Hardware/Hold-Downs //. - 7 ' / .. -... ------ Piers/Caissons/Tendons // _ __ FINAL INSPECTIONS Slab Grade-OK to Pou g `D NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRE NTIL ABOV(IS ArPROVtD7- County Environmental Health Dept (391-7570) Shear Inspection(Wood) Planning Dept (364-2752) Roof Nailing 31,U-i2 O_ / Public Works (364-2774) Exterior Walls Fire (393-3888) ' Interior Wallsff_i( 7 Y',/?' Landscape (364-2766) Hardware/Hold-Downs ,-'7 ' ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Final Grade — /} / Combo inspection /�� Final Electricmbs //�' / Framing �Qh /'fes/`� /Final Plumbing �� I, Rough Electric 1��J�� ���� Final Mechanical /�,, ` ���� Rough Mechanical /y�3� _� Final Building/Construction Rough Plumbing/Topout 9�j1�_� --i-;- Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED ' �'' 1,....../yJ` —� CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE DrywallteriorInspection >-i� OTHER: Interior A����> _ /� , ��tdlyc Exterior ! / " ' ' 4A,Qsa/a�T, i 7.4 '405'"1=7 '�. EXT LATH / 1/ %-/� C =. 4070©^'�r�s`,v Stucco Scratch z--- -- ��jf�� /e2.Z5-eP9 I) le J- Miscellaneous Inspections /_ �` 1i/�o%v /sue co) /�d b4c 6- wed 2�Li f T .QTc ee Masonry Fireplace 60(c av1i-1- Plate Ties,Fire Block /f/(o/•' / (jr,D4p 0 C41024,2 DA- Da //, 0 -r CI (Z) S/dr Patio/Deck cc/A-(4.20�,'f�, mlc Vyy Footing /7.....-2.0.-2:251 �-t�T7.4 l7/ , 4 -Ai,7r-l) Frame ,/"41�;c& (7 - - ) NOTICE TO OWNER Call for FINAL INSPECTION on everylOb This Access/Light/Switch permit will expire if work is suspended or abandoned for a period of Patio Final 180 days s -�.� Cir 2c? %pyl'B`�'' , L G`aG ��, Ct • 7✓ Z e1✓��p� 1 f iVS -4f Nor2 v» 7.°44-45, �L.�Q, dO,1,ldjviT �yl��,y��� t,91411--°C Pe-1%/�I/-‹.�,1'�. BUILDING AND SAFETY DIVISION ENGINEID -- GRADING INSPECTIC,REPORT Owner Tract No. Job Address Z"6? - a'7yo'7 RcAcr, %ne M/6 s Permit No. ® ROUGH GRADING INSPECTION 0 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! 'y,E� Certified Lot Nos. Date Geologist 44(1. Lia •- /62Liotiet.-.4 Registration No.(.G62• `` FJ4.AFtaKlA\V% Signature A,LJP Telephone No. ( 7X) No.2051 v-4 Address S76 �. Za,..4, r- , d , Sr-eat ,Z46Z / 62//0 ENcGtAEEAIko uc�-vulb 1 SOILS ENGINEER 9j ,.� All fills were installed upon properly prepared base material,benched and compacted in compliance with t«' •a,.:. 1 .r' and where the report of an engineering geologist has recommended the installation of buttress fills or other m y .., . I work has been completed in,accordance with the approved design. Fill settlement monitoring(if any)has been completed on all certified Jot. Expansive soils Yes Lot Nos. Certified Lot Nos. Date Jd„ Lo d54 Soils Engineer' S -tae&dee /�?k 'l1 CewsrgurRegistration No. Signatures;_� 7 �.L�. Gr-L., Telephone No. (74e) 2 .,4L "4 Address S7h . cr'.ir.b mal , Afea , 92 st-L/uu ►��, ���z ```�� Remarks r;11. Eze t, a GRADING ENGINEER ' i r e- �� The rough grading has been completed in accordance with the approved plans including: grading to appro re-n,61# property lines staked: swales and terraces ready for paving; berms installed; and required drainage slopes provi• • .1a• where report of an engineering geologist and/or soils engineer have been prepared,the recommendations contained therein have been followed. Certified Lot Nos. Date le-4. 2-065.f Grading Engineer Tgc4 Jee/7/ Z-( EzRegistration No. ..Ciceiz. Signature C G.�-��� Telephone No. ( ) 6 27- /d Address 5'26 E. GP�t'�er� I. ,e9za . ate/ Remarks 4:4111110_ ❑ FINAL GRADING INSPECTION The grading has been satisfactorily completed in accordance wiht the approved plans. All required drainage • • installed;slope planting established and adequate provisions have been made for drainage of surface waters fro !'1. - site. The recommendations of the soils engineer and/or engin logist(if such persons were employed)hay 4,1.11: incorporated in the work. ovaoFEssio Certified Lot Nos. ��P 'A �FF 9�� Date AiQy 3/, Zoo(, Grading Engineer /4' / s'ibeevbs,91, ? No , •. Registration No. 4°8 70 Signature C-_-_,106.-%/<--`-` * ExP r m phone No. ( 7/ ) 6�/-/ 5 c7 ' Address ..-5-‘7.6 i,ie Aa 28 --7 Remarks ��or DEPARTMENT USE ONLY ❑ N/A As Graded Geology Report By (Name) Review Date Compaction Report by (Name) Review Date Rough Grade Inspector (Signature) Date Final Grade Insnector (Signature) Date