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Permit No. 2004-0267 (2) - 111111 BUILDING DIVISION OF COM•TY DEVELOPMENT DEPARTMENT 2001 Grand Avenue,Chino Hills,CA 91709 City of Chino Hills 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) City Hall Main Number (909)364-2600 mi 4F CHMO HILLS NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT 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 DESCRIPTION I PERMIT No RETAINING WALLS I 2004-0267 0 BUILDINGADDRESS CANYON LN 0 I APT/UNIT No I ISSUED 05/05/2004 ATE ISSUED BY 2069 RHERN APN PARCEL MAP# TRACT LOT/PARCEL BLOCK CONST TYPE ZONE UCC LAND USE 1031-061-10 I ITR 10379-1 43 I V-N I UN R-3 I Residential CENSUS CODES I LAY DIST BLDG SQFT IP TYPE PROJECT PERMITS SETBACK FY SETBACK RY SETBACK SSY I SETBACK SY 999FR1 0 OB15/15 FEES Description Calc. Paid w JAMES PARSONS Plan Check PC $119 34 $119 34 2204 CALLE BIENVENIDA 0 CHINO HILLS CA 91709 Total Paid 3/3/2004 $119 34 Issuance/Suppl F $29 00 $29 00 S & W DEVELOPMENT Structural $183 60 $183 60 20272 CARREY ROAD WALNUT, CA 91789 Total Paid 5/5/2004 $212 60 0 909-598-8000 0 Grand Total $331 94 $331 94 Contr Lic C22647 O Expiration 3/31/2004 0 License Type Workers Comp 1649170-2003 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 secunng this permit I am acting with the knowledge of and on the behalf of the owner of the property I PROJECT DESCRIPTION Date ag_ 05_ d� Contractor — I / /� I OWNER-BUILDER DECLARATION RETAINING WALLS ❑ 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, pnor 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 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, as owner of the property,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 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 I 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 RETAINING WALL FRONT YD 1120 $13,440 00 ❑ 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 provided for by Section 3700 of the Labor Code,for the performance of the work for which this / Total Valuation $13,440 00 permit is issued I certify that I have re €1,4ttplication and state that the above information. __ _❑ I have and.will maintain workers'compensation insurance, as required by Section 3,700 the is correct I agree to comply with all city and county ordinances and state. Labor Code,for the performance of the work for which this permit is issued laws�eiaung to budding construction and-nerebyauttionze repfee'ntativ'e"s of this county to enter upon 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 purposes any person in any manner so as to become subject to the worker's compensation laws of I / California,and agree that if I should become subject to the worker's compensation provisions K of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLI T SIGNATURE DATE APPLICANT INFORMATION S & W DEVELOPMENT 20272 CARREY ROAD Date l.J5--05"04 Applicant � WALNUT, CA 91789 909-598-8000 WARNING Failure to secure worker's compensation coverage is un ul,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 Safety Code,which regulate the storage, interest,and attorney's fees handling and use of hazardous matenals • CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING&SAFETY DIVISION 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 number 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 records when job is complete INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading Block Wall Inspections. Pregrade Meeting 5-).4-644 f, Footing,Rebar Rough Grade 1st 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 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 Engineenng Ro Elect Compaction,moisture,conditioning,etc POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underfloor/Underslab Inspection Final Pool U/F Waste Plumbing U/F Water Fire Protection Equipment U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F 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(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/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/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 Rough Plumbing/Topout Final Building/Construction �.y�-dip �„�� 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 Scratch Miscellaneous Inspections Masonry Fireplace Plate Ties,Fire Block Patio/Deck Footing Frame Access/Light/Switch NOTICE TO OWNER Call for FINAL INSPECTION on every job This permit will expire if work is suspended or abandoned for a period of Patio Final 180 days