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Permit No. 2008-0510 /, c, 1.... ‘ c B6ILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 'H' 2001 Grand/:`enue,Chino Hills,CA 91709 :"14fr- :. City of Chino Hills Couater•Phor (909)364-2780 ^Z') 24-Hour Inspection Line (909)364-2790 ,-.�, Building Permit (NOTE You must call before 3p m for a next business day inspection) "4 6`•~4' City Hall Main Number (909)364-2600 t Cin of QW O i9ti$ 1 p'CQ PO* rr,u I,,! 0 J 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 ROOM ADDITION - 153 SO FT I 2008-0510 0 BUILDING ADDRESSDATE ISSUED BY 3342 PAISLEY ST 0 I APT/UNIT No ISSUED05/02/2008 SJENKINS APN PARCEL MAP# TRACT LOT/PARCEL BLOCK CONST TYPE ZONE OCC LAND USE -,.1017-531-39 1948 ITR 9230 I 70 1 531 V-N I UN I R-3 I Residential CENSUS 9CODES 1 OVERLAY DIST I OBLDG SQFT 1 S TYPE I FROJE T P1BL ME ERMITS PL PC SETBACK FY 1 SETBACK RY 1 SETBACK SSY 1 SETBACK SY 9FEES W Description Calc Paid w BERGMAN, BRAD & DOROTHY Plan Check PC $154 44 $154 44 0 3342 PAISLEY ST CHINO HILLS, CA 91709 Total Paid 4/7/2008 $154 44 Issuance/Suppl F $50 00 $50 00 SPLENDID CONSTRUCTION SMIP $1 70 $1 70 8939 S SEPULVEDA BLVD #110 Structural $237 60 $237 60 LOS ANGELES, CA 90045 Mechanical $44 40 $44 40 Electrical S $16 83 $16 83 p 310-476-4607 Plumbing $36 00 $36 00 I a Contr Lic 500206 Total Paid 5/2/2008 $386 53 O Expiration 6/30/2009 0 License Type BOO Workers Comp 229-0039951 Grand Total $540 97 $540 97 Expiration 8/1/2008 Bus License -NEEDED ,4Ig Expiration -2 6--04? LICENSED CONTRACTORS DECLA TION I hereby affirm under penalty of perjury that I am licens under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin s and ofessions Code, and my license is in full force and effect In secunng this permit I am a ing with 101-606dedge of,agd on the behalf of the owner of the property / r J � I PROJECT DESCRIPTION Datej -2'4 Contractor V OWNER-BUILDSyrtECLARATION ROOM ADDITION - 153 SQ FT CII hereby affirm under penalty of perjury th I am exempt from the Contractors License Law for the following reason(Sec 7031 5 Busin ss 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 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) KITCHEN ADDITIOSIDE YD 153 $16,118 55 ❑ I am Exempt under Article 3 of the Business and Professions Code Date Owner • 6 WORKERS COMPENSATION DECLARATION I 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 $16,118 55 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 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 bui ing construction,and hereby authonze representatives of this county to ter upon thelmsksnentioned property for inspection ❑ I cdrtify that in the performance of the work for which this permit is issued,I shall not employ purposes C-7 any person in any manner so as to become subject to the worker's compensation laws ofX/P"'—'6."°::".441--/ `� California,and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions PLICANT SIGNATURE DATE G7rdA-t fk., F-dne GoMr. IN 4, r-kb417 APPLICANT INFORMATION 0-0"; 9 Q CJ —-U-01 / SPLENDID CONSTRUCTION 1) 8939 S SEPULVEDA BLVD #110 n .0 LOS ANGELES, CA 90045 c'%Date S '2--'el Apple nt I ..iQ ' Uv 310-476-4607 WARNING Failure to secure worker's co ensation coverage is unlawful,and shall subject an employer to cnminal penalties and civil fi s 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 V CITIT'OF CaNO HILLS �. COMMUNITY DEVELO3IENT—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 1s'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 Electncal 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 y�/�O� 7l Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons - FINAL INSPECTIONS Slab Grade—OK to Pour y//�y� J.��> NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVE 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 T� ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Final Grade Combo inspection* Final Electnc Framing Final lmbing Rough Electric ,i �� Final Mechanical r Rough Mechanical , FinalBuilding/Construction Rough Plumbing/Topout �� Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation Ai+ �j / OK TO ISSUE Drywall Inspection. /� OTHER • Interior 9•g•Og tie,, Exterior �� ^ EXT LATH A;,dr ... Stucco Scratch 'JP: v -, Miscellaneous Inspections , Masonry Fireplace Plate Ties,Fire Block Patio/Deck• Footing • Frame Access/Light/Switch NOTICE TO OWNER.Call for FINAL INSPECTION on everyjob This permit will expire if work is suspended or abandoned for a Patio Final period of 180 days