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Permit No. 2005-0064 • BUILDING DIVISION OF COMITY DEVELOPMEN i DEPARTMENT 2001 Grand Avenue,Chino Hills,CA 91709 ,. t•:s�, City of Chino Hills Counter Phone (909)364-2780 24-Hour Inspection Line• '� �`' Building Permit p (909)364-2790 ^�< (NOTE You must call before 3p m for a next business day inspection) City F1all Main Number (909)364-2600 ZirvorF.HA taus 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 PERMIT No POOL & SPA 2005-0064 0 BUILDING ADDRESS APT/UNIT No ISSUED DATE ISSUED BY 15913 OAK CANYON DR 0 03/14/2005 MBEELER APN PARCEL MAP# TRACT LOT/PARCEL BLOCK CONST TYPE ZONE OCC LAND USE 1031-341-17 1310 [I'R 12625 325 341 UN UN Residential CENSUS 0 PR L PROJECT EU P CODES OVERLAY DIST BLDG SOFT ( PP TYPE PEIPC PERMITS SETBACK FY SETBACK RY SETBACK SSY SETBACK SY 999 FEES Description Calc Paid cc W JASMINE-BUTLER, THOMAS Plan Check PC $196 56 $196 56 15913 OAK CANYON DR CHINO HILLS, CA 91709 Total Paid 1/21/2005 $196 56 Issuance/Suppl F $29 00 $29 00 BLUE HAVEN POOLS Structural $302 40 $302 40 2318 S VINEYARD AVENUE Electrical U $90 00 $90 00 ONTARIO, CA 91761 Plumbing $6 00 $6 00 o' O 909-947-6474 Total Paid 3/14/2005 $427 40 U Contr Lic 618892 O Expiration 5/31/2005 Grand Total $623 96 $623 96 0 License Type C53 Workers Comp 06KR0000891 Expiration 3/10/2005 Bus License 05-08983 Expiration 5/31/2005 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 <ate 3/5"//476 Contractor Z../„ _ �� 1 PROJECT DESCRIPTION OWNER-BUILDER DECLARATION POOL & SPA ❑ 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 �ROJECT INrefRNIATION 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 toot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) I / ❑ I am Exempt under Article 3 of the Business and Professions Code Date Owner I / 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 $25,000 00 permit is issued I certify that I have read this application and state that the above information ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 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 relating to build ng construction,and hereby authorize representatives of this county—el r upon the adv)-me coned property for inspection ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes )7/' any California,persoin any manner soIhaulto ecome subject to the worker's compensation compensai compensation laws of is / / /, q f�/ {/2� "3// A',2_5 of ornia,and agree that if I should become subject to the worker's compensation provisions X 11 / II-//7/ of Section 3700 of the Labor Code,I shall forthwith comply with those provisions s'APP2t21NT SI ATUR DATE 7 APPLICANT INFORM ION r BLUE HAVEN POOLS 2318 S VINEYARD AVENUE . date 3// //� Applicant (�� , / (ONTARIO, CA 91761 Y C. �l` r 1909-947-6474 WARNING Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($100,000),in I certify that the use of this fatality 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 regulatectio the storage, interest,and attorney's fees9 handling and use of hazardous materials ` • 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 lob Provide permi4 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 Footing, Rebar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd 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 6�Z7 � 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 Underfloor/Underslab Inspection Final Pool U/F Waste Plumbing o - ./ 'Ar'r 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 lnsp 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 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 Exterior EXT LATH Stucco Scratch Miscellaneous Inspections Masonry Fireplace Plate Ties, Fire Block Patio/Deck Footing Frame Access I 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 4111 : lrS AP ENGINE ING, INC. 2607 Pomona Boulevard, Pomona, CA 91763§Tel(909)869-6316 §Fax(909)869-6318 GEOTECHNICAL INSPECTION REPORT Report No. Client: � . 7 Owner Name: iDay: /Zov. Date: /4./44-/as— T)444., /y-/ '$Lu t t i1rgat4 Par., Weather: Temp: Bo y d' $1.40 ► y -low Job Address: i Sri 13 G,,,,ALD r• ) (:: vw V,1(6 Type of Work: AV r Inspection Report Left At: P-ex, .i- PA gyp- _ _ ( 2 iNp Loa Approved 0 Not Approved 0 See Comment Below Comment: I5Z .C.6-4/1A-A" 1523(Q)t rinho 'Al 33 I L k j 17 " 40 • - , AA +"U boAtmA sor i S 5 i 1$i 5n.-t4 £t) C;fs GLS cow%pe-a. prod✓ vv o }e-e- i D-{ o'wt, Ary,4 4(.4 -Q `1:44zA4 ` 1\-1- br1. wA svltr„oe o ,(244 "c1 cky 4) c bud 1 c-c., r-e .e)c cct-W-41' , Anacv �� -nir.w{ 1.4 Action Items: I. 1:7 fr L.1.414;( 044.-e . - fk,•> yrunu4va /) f( No15 )) aF C A��FQ Signature of Engineer/Technician On Site 14n