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Permit No. 2005-1255 7,---,7,,,„„3r, or • BUILDING DIVISION OF CO CITY DEVELOPMENT DEPARTMENT .: 2001 Grand Avenue,Chino Hills, 917091' f 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) i0 n.:":. City Hall Main Number (909)364-2600 <NrY�1F CMIVU hti rox.^cc ++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 REPLACE EXISTING 3-TON A/C CONDENSOR I 2005-1255 0 BUILDING ADDRESS APT/UNIT No ISSUED DATE I ISSUED BY 4173 VALLE VISTA DR 0 08/08/2005 I SCOPE APN I PARCEL MAP# I TRACT I LOT/PARCELBLOCK CONST TYPE ZONE OCC LAND USE ' 1028-032-27 46 'R 1932 10 1032 V-N I UN R-3 I Residential CENSUS99CODES I OVERLAY DIST BLDG SOFT ItTYPE I PROJECT PERMITS SETBACK FY SETBACK RY SETBACK SSY SETBACK SY 9 NIE FEES Cr Description Calc Paid GARZA, CARLOS G Mechanical $19 98 $19 98 0• 4173 VALLE VISTA DR Issuance/Suppl F $33 30 $33 30 CHINO HILLS, CA 91709 Total Paid 8/8/2005 $53 28 AIR CONTROLLED ENVIROMENT 10722 ARROW BLVD #612 Grand Total $53 28 $53 28 RANCHO CUCAMONGA, CA 91730 ce • 909-941-0359 0 i- Contr Lic 623782 z O Expiration 7/31/2007 License Type C20 Workers Comp 460016380101 Expiration 6/1/2006 Bus License NEW Expiration 3/31/2005 LICENSED CONTRACTORS DE LARATION I hereby affirm under penalty of perjury that I am lice sed under • .visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus ess and P 4j•ssions Code, and my license is in full force and effect In secunng this permit I am a ing with th-1 owledge of and on the behalf of the owner pf the property \ ..-- \K Date F(\`?\b�' Contractors i PROJECT DESCRIPTION OWNER-BUILDER DECLARATI REPLACE EXISTING 3-TON A/C CONDENSOR ❑ I hereby affirm under penalty of perjury that I am exempt fr the Contractors License Law for the following reason(Sec 7031 5 Business and Profession 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 I 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 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 IN Total Valuation $700 00 permit is issued I certify that I h e read this -1p cation and state that the above information ❑ I have and will maintain workers'compensation insurance, as required by Section 3700 the is correct I agr a to comply iti all city and county ordinances and state Labor Code,for the performance of the work for which this permit is issued laws relating to b (ding constru i. ,and hereby authonze representatives of -� property this county to a er upon th '..ove-mentioned 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�11\►V`� California,and agree that if I should become subject to the worker's compensation provisions /x. x of Section 3700 of the Labor Code,I shall forthwith comply with those provisions r APPLICANT IGNA'URE DATE AAPPLICANT INFORIQ�TION .\IR CONTROLLED ENVIROMENT 722 ARROW BLVD #612 Al:-?�� �� ILO CHO CUCAMONGA, CA 91730 �/ Date Applicant � I WARNING Failure to secure workers compensation cove ag is iii lawful,and shall subject an 09 941 0359 employer to criminal penalties and civil fines up to one hun re thousand dollars($100,000),in I I certify that the use of this facility shall comply with sections 25505,25533, addition to the cost of compensation,damages as provided o 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 CITY OF CHINO HILLS 0 CO UNITY 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 151 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 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 A 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