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Permit No. 2004-1332 '— i 1 . - / ot • BUILDING DIVISION OF COM DEVELOPMENT DEPARTMENT < +e: M• 2001 Grand Avenue,Chino Hills, 91709 -1;,•:!/". Cit 01 Chino Hills Counter Phone 909)364-2780 ". .t Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE You must call before 3p m for a next business day inspection) .4'' iN:1 City Hall Main Number (909)364-2600 <?ti T-44orUl�T[�c1W ..'i � i 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 DESCRIPTIONPERMIT No I FIRST AND SECOND STORY ROOM ADDITION I 2004-1332 0 BUILDION98DDOAKCREST DR 0 YMARTIN APT/UNIT No I ISSUED DATE I2/08/2004 I ISSUED RTIN 3 APN 1031 331-76 I PARCEL MAP# ITR 12625 TRACT I LOT/PARCELBI BLOCK I CONST V NE I ZONEO I OCC R 3 I LAND USE Residential CENSUS 43ODES I FRl OVERLAY DIST I OBLDG SOFT ISA P PE` IBL PROJECMCT PES ITSPL PC I SETBAC2KOFY I SE2TOBACK RY I SETBACK SSY 1 5/10 SETBACK SY FEES ' Description Calc Paid cc w PETERSON, BRIAN R Plan Check PC $333 33 $333 33 • 3098 OAKCREST DRIVE CHINO HILLS, CA 91709 Total Paid 8/30/2004 $333 33 , ' Issuance/Suppl F $29 00 $29 00 KNECHT PLASTERING & GENERAL CONSTRUCTION SMIP $4 60 $4 60 3020 PLUM STREET Structural $512 82 $512 82 CHINO HILLS, CA 91709 Mechanical $68 82 $68 82 O Electrical S $75 02 $75 02 o 909-841-6960 , Plumbing $96 00 $96 0( F p Contr Lic 388967 Total Paid 12/8/2004 $786 26 V Expiration 4/30/2004 License Type B Workers Comp EXEMPT Grand Total $1,119 59 $1,119 59 Expiration Bus License 05 07862 Expiration LIC7�NIfc.ofJTRACTORSDECLARATION 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 licepse is in full force and effect In securing this permit I am acting with the knowledge of and on the b alf of the owner of the property t A I 1 PROJECT DESCRIPTION mate 1 � 0L( Contractor I 1 1 OWNER-BUILDER DECLAIpATION ❑ I hereby affirm under penalty of perjury that I am exempt from%1 Contractors License Law for FIRST AND SECOND STORY ROOM ADDITION 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) (k-11:::;) -. ❑ 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) LI 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 Desc I Location I Sq Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) ❑ I am Exempt under Article 3 of the Business and Professions Code ROOM ADDITION SECOND ST 499 $33,582 70 ROOM ADDITION FIRST STO 183 $12,315 90 Date Owner WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of penury 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 permit is issued I certify that I have read this application and state that the%'bbve8kiifbrAtion ❑ 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 building construction,and hereby authonze representatives of this unty jo 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 purses II ,.. I any person in any manner so as to become subject to the worker's compensation laws of I / I California,and agree that if I should become subject to the worker's compensation provisions S X 4,,,i,i' r� �� 0'1) of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLI ANT•Gh A DATE APPLICANT I1- OR 1.TION ng prnIT ODTnM D lnoo rmvpprom noTuv Date 0 (/ 0 pplicant ,l4, rNTNO HILLS CA 91 709 WARNING Failure to secure worker's compensation cov rage u awful,and shall subject an I 909-597-7,r7 employer to criminal penalties and civil fines up to one hun red th and 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 Footing,Rebar Rough Grade 1"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 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) i/ Gas Test �o� � Hardware/Hold-Downs /- Piers/Caissons/Tendons " FINAL INSPECTIONS Slab Grade–OK to Pour /J��, �� NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE Ts APPROVEh ' 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 9 / Framm Final Plumbing Rough Electric '77 Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing/Topout / Water Meter Number COVER NO WORK UNTIL ABOVE IS A PROVED / Insulation ?' G�/ CERTIFICATE OF OCCUPANCY / `7/�4 Dc(/ j OK TO ISSUE ' l Drywall Inspection OTHER Intenor Exterior EXT LATH / i�% �if irf,C/ /. SES ®�- �1� Stucco Scratch cW "k1.449 ' Miscellaneous Inspections v 741^V/� Zd;zf e.,4 ' �'� J��F cii�Zf Masonry Fireplace L1 3' — J� �� Plate Ties,Fire Block I— l?E'9 � b7,� r r�� ) 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 ~ •