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Permit No. 2004-1706 111 / ,, -.:a. BUILDING CIiISI,ON or COMM DEVELOPMENT DEPARTMENT .0_. � 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 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 1 OR STATE LAWS RELATING THERETO INSPECTIONS PROJECT DESCRIPTION I PERMIT No RETAINING WALL 42" X 50' 2004-1706 0 BUILDING ADDRESS APT/UNIT No ISSUED DATEISSUED BY 3342 PAISLEY ST 11/05/2004 I CFRUCT APN I EL MAP# ITRACT I LOT/PARCEL BLOCK CONST I ZONE OCI LANDU 1017-531-39 94B TR 9230 OTYPE R-3 USE CENSUS 99CODES I FRl LAY DIST I BOLDG SQFT I P TYPE I BL IROJEECCT PERMITS I SETBACK FY I SETBACK RY I SETBACK SSY I SETBACK SY Oth FEES ir Description Calc Paid Lu BERGMAN, BRAD & DOROTHY Structural $64 80 $64 80 3342 PAISLEY ST Plan Check PC $42 12 $42 12 CHINO HILLS, CA 91709 Issuance/Suppl F $29 00 $29 00 Total Paid 11/5/2004 $135 92 MARTINEZ CONCRETE SERVICE 1462 BEXLEY LANE CHINO HILLS, CA 92821 Grand Total $135 92 $135 92 re 0 714-609-2798 ¢U ZContr Lic 823887 O Expiration 9/30/2005 0 License Type CO8 Workers Comp EXEMPT Expiration Bus License NEW' Expiration 11/30/2005 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 t owner of the property l I PROJECT DESCRIPTION Dat/ VII 6 I v4 Contractor ///iy // I OWNER-BUILDER DECLAATION RETAINING WALL 42" X 50' ❑ 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 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) .......,,,,--:;----7) , ' 0 I,as owner of therope p rty, 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 PROPECT INFORMATIONS 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 Locab I S9...5°°1-' I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) I RETAINING WALL SIDE YARD 175 $2,100 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 62,100 00 permit is issued I certify that I have read this application and state that the above information __ .❑ _-Lhave-and-will maintain_workerscompensation_insurance, as•required_by Sectinn_3700_the_is corrggq'ct-,l 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 re ating to building construction,and hereby authonze representatives of this gc�bunty 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 purp es any person in any manner so as to become subject to the worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions / X d 1 1/05/0,(.j of Section 3700 of the Labor Code,I shall forthwith comply with those provisions V APP&Pr(JT SIGNATURE DATE i APPLICANT INFORMATION MARTINEZ CONCRETE SERVICE • 1462 BEXLEY LANE I 40 ate 11 5�V—` Applicant -` CHINO HILLS, CA 92821 WARNING Failure to secure worker's compensation cdvelage isnlawful,and shall subject an 714-609-2798 employer to cnminal penalties and civil fines up to one hundred th usand 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 materials II • 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 //le sP Rough Grade 151 Lift Bond Beam ld/� Terraces 2nd Lift Bond Beam Sub Drains 3''Lift Bond Beam Finish Grading Drain/Seal /2fi?7Gf — e— Soils Certification ' C" 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) 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/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