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Permit No. 2009-22345 City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 " w . 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) 1 ►,�►\ O City Hall Main Number (909)364-2600 ►1/`1J►�`\ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR BELOW WHEN MAKING INQUIRIES MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTIONPROJECT No. PERMIT No. LATTICE PATIO COVER-155 SQ FT WITH ELECTRICAL 12009-22345 30045 BUILDING ADDRESS ISSUED ISSUED Y 5 45 VERONESE DR I APT./UNIT NO. 13/18/2 09 DATE/ I Whiteman,Rosemary A01N69319 ITR ACT MAP# I19 T I FLOORS/UNITS PI Patio PERMITS I P.TYPE 1lectric CEN US CODES I CONST.TYPE I ZONING TYPE I R-3 CUPANCY TYPE I VALUATION $3,000.00 I TOTAL SQFT 0.001 BLDG.SQFT 999_ own B Current Owners: JEFF&MARY KLANTE- Fees Address: 5545 VERONESE DR CHINO HILLS CA 91709 Fee Group/ / Fee Description Fee Amount Payments Ph: 909-851-1925���� 5.1-1..,n ( T� Transaction Typ Email: Tlfl'' in ii F� taW Patio"w/"EI' Ic it bl'itctrl°li,'�,i,i'',!",Illul,I"i„ II'i! 1 pIl$2149'S6P11iI y,J'll'Ip V �I��Il�li� �I�',ii mq'�gtl�'7iR i��i yi �l'lll'!�i�;l'Ii P', i�,,, il'J'u l 'I,l',� Contractor. EVONNEMORTON- U 111111 i� l!IIIJ, Illhl ��, �dlrv';'';Ir'; � Address: 31621 PEPPERTREE BEND SAN JUAN CAPISTRANO 4 926756001 Permit Issuance Feel ,,,l',1 I" 11$52 001 52.� G. OA :00 Ph: 714-335-8165 Email: B005'Strong'Motion Instrumentationi(Res) $0.50 0.50 Lic.Information Exp.Ne: LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS'�DECLARATION B084'EIect,Outlets(1-20)2.30 Each'. ' !$920' 9.20 I hereby affirm under penalty of perjury that I am licensed under-provisions of Chapter9(commencing with B103 Conduits/Conductors 34.00 $34:00', 34.00 Sec.7000)of Division 3 of the Business and Professigns Code,and'my license is in fullorce and effect. In securing this permit I am acting with the knowledg€of and on behalf of the owner of theroperty. i1 / B39-653 Residential Building Permit' $67!25 67.25 2 �� 6003 Residential Plan Review Fee $43.71 , , 43.71 Date:/ 12-`,7- Contractor. ` SB1473 ' '$1.00' 1.00 OWNER-BUILDER DECLARATION B086 Lighting Fixtures(1-20)2;30 each $690''' 6.90 I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence aw for the\ following reason,(Sec,7031.5,Business and Profesional Code: Any city or county which reares a permit ` TAL FEES $214.56 to construct,alter,improve,demolish or repair any structure,prior to its issuance,also requi 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 th@ Business and AMO NT PAID $214,56 Professions Code)or that he or she is exempt therefrom and the basis for the alleged ex 9 ption. Any violation of Sec.7031.5 by any applicant fora permit subjects the applicant to a civil pennity of not more / that five hundred dollars($500.00) BALANC UE �, $0.00✓ I,as owner of the propterty,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 rofessions 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 t t such improvements are not intended or offered for sale. If however,the building or improvement is sol within one year of completion,the owner-builder will have the burden of proving that he she did not ild or improve for the `e , purpose of sale). �,. I,as owner of the property,am exclusively contracting with licensed con f ctors to construct the �/ project(Sec.7044,Business and Professions Code: The Contractors Licensaw does not apply to an owner of property who builds or improves thereon,and who contracts for suctiprojects with a contractor(s) 01 ■ licensed pursuant to the Contractors License Law). J � I am exempt under article 3 of the Business and Professions Code. 0O: DI 14 Date: Owner. / 30 340/111311C0113" � WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declaratiort I have and will maintain a certificate of consent to self-insure fptr workers'compensation,as I certify that I have read this application and state that the above information is correct. I agree to comply provided for by section 3700 of the Labor Code,for the performance bf the work for which this permit is with all city and county ordinances and state laws relating to building construction,and hereby authorize issued. f representatives of this city to enter upon the above-mentioned proptery for inspection purposes. I have and will maintain workers'compensation insurance,as l required by Section 3700 of the Labor ( C de,for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are:(: I Caner.---\---' Policy#: ��G 3 ^ b'- 'L-75.);? APPLICANT SIGNATURE _ DATE � �� _ - I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant EVONNE MORTON- person in any manner so as to become subject to the workers compensation laws of California,and agree Address: 31621 PEPPERTREE BEND SAN JUAN CAPISTRANO CA 92675 that if I should become subject to the workers compensation p ` Bions o ction 3700 of the Labor Code, I shall forthwith comply with those provisions. Ph: 714-335-8165 Email: Date: 3 n ( 1,1 Applicant:: 1 I" Lic.Information Exp.Date: •`?'---- I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING: Failure to secure workers compensation coverage/is unlawful,and shall subject an employer Safety Code,which regulate the storage,handling and use of hazardous materials to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of compensation,damages as provided for in section 3706 of tie Labor Code,interest,and attorney's fees. CANCELLED � EFtMITTEE AT . 1 iriltid.11/41 Date , - q r 4. ti xis mu-Ats .c t w/Vuiiviavvs i ?ate CITE OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION • Call(909)364-2790 before 3:00 p:rn.tvi i Text day inspection Post in a safe,conspicuous place atfrontofjob. Provide permit riumberwhen calling for inspection. Have approved plans on job at time of inspection: NO WORK SHALL BE COVERED WITHOUT INSPECTION File this perrnitwith your permanent:records vOien 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 2"6 Lift Bond Beam Sub Drains 3i11 Lift Bond Beam • Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergrould Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water,Supply Line U/3 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 Engineeriig: Ro,Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence;Gate&Alarm Underfloor/Underslab inspection: Final Pool UF Waste Plumbing LUF"Water 'Fire Protection Equipment: UF Mechanical UG,Pipe U/F Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycro Foundation Inspection: Temp Power-Pole Setback/Footing—OK to Pour Electric Release UFER Ground(Reber./Copper) Gas Test Hardware/Hold Downs - PiersiCaisons/Tendons FINAL INSPECTIONS Slab Grade— to Pour., "•r,�� 110 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 ' a : • ' , 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 Se-ft-01 tsR — Rough Plumbing/-Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY, OK TO ISSUE Drywall Inspection: OTHER: Interior ` Exterior v 7 V J EXT LATH Stucco;Scratch C � L 4 Miscellaneous itspectroni: MasonryFieplace; L i 11r`. '. ":" '..�i . r, Plate Ties,Fire'Block Patio/Deck: "' . .-.�..... ,. . 1-` *' Footing Frame Access/Light/Swtch ' NOTICE TO OWNER:Call for FINAL INSPECTION,on everyjob. This pemrtwill expie'if work is suspended or abandoned for a Patio Final it AZ period of 18,0 days.