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Permit No. 2010-23704 City of Chino Hills n BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 0 _ Counter Phone (909)364-2780 ;_ j tiding Permit r 24-Hour Inspection Line (909)364-2790 ? 4 OC (NOTE:You must call before 3p.m.for a next business day inspection) ►v\ City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NU 111R 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR BELOW WHEN MAKING INQUIRIES 1 MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. 1 PROJECT DESCRIPTIONI I PROJECT No. I PERMIT No. POOL&SPA 2010-23704 31365 I 0 BUILDING VISTA ADDRESS— I APT./UNIT NO. IISSUED DATE/ I ISSUED BY Whiteman,Rosemary I A03256114 1TRACT 0M5P# I LOT I FLOORS/UNITS I PROJECT PERMITS I P.TYPE ICENCUS Res Add/Alter I CB NST.TYPE I ZZOONING TYPE ID R-3 CUPANCY TYPE I VALUATION $28,000.001 TOTAL SOFT 0 OO I BLDG.SOFT 434_Current Owners: PHUONG FABRE- Fees Address: 2000 VISTA DEL SOL CHINO HILLS CA 91709 Fee Group/ Fee Description Fee Amount Payments Ph: 909-597-4339 Transaction Type Email: Pool'&Spa .- ._ ..... . ' $719.25 Contractor. MALINS POOL CONSTRUCTION-MALINS POOL CONSTRUCTION - Address: 13777 AMARILLO AVE CHINO CA 91710 B001 Permit Issuance Fee $52.00 52.00 Ph: 909-628-8734 Email: B078 Private Swimming Pool $93.00 93.00 LIc-Informatlon438874 . Exp.Date:4/30/2010 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION B143 Water Piping System New/Repair $6.20 6.20 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with 8150 Gas Pipe Syst-Up to 4 Outlets $6.20 6.20 Sec.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 behalf of the owner of the property. 839-853 Residential Structural Fee $339.30 339.30 Date: 7/ .�� Contractor. /7/-7/(4----62( .7..1 "C-7-----Th � B003 Residential Plan Check Fee $220.55 220.55 ____ � SB1473 $2.00 2.00 OWNER-BUILDER DECLARATION TOTAL FEES $719.25 I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the following reason,(Sec,7031.5,Business and Profesional Code: Any city or county which requires a permit AMOUNT PAID $719.25 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 BALANCE DUE $0.00 Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Sec.7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more that five hundred dollars($500.00) 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 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 improvement is sold within one year of completion,the owner-builder will have the burden of proving that he 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 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 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 • 11 hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self-insure for workers'compensation,as I certify that I have read this application and state that the above information Is correct. I agree to comply provide for by section 3700 of the Labor Code,for the performance of the work for which this permit is with all city and county ordinances and state laws relating to building construction,and hereby authorize issued. representativ is city to enter upon the above-mentioned proptery for inspection purposes. I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor 7 F/` - � / Code,for the performance of the work for which this permit is issued. My workers compensation � 7!/r 3 insurance carrier and policy number are: Cartier.6 rot"to $4,4 Policy#: W C 5S'4/4 470 q 0 APPLICANT SIGNATURE ) DATE - I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant: MIKE GABOURY person in any manner so as to become subject to the workers compensation laws of California,and agree Address: 13777 AMARILLO CHINO CA 91710 that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith r omply with those provisions. -- Ph: 909-628-8734 Email: Date: '2(( )( ` O Applicant::' - C � Lie.Information Exp.Date: WARNING: Failure to secure workers compensation coverage is unlawful,and shall subject an emp r I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and to criminal penalities and civil fines up to one hundred thousand dollars($100,0 Safety Code,which regulate the storage,handling and use of hazardous materials of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attomey's fees. CIT`. HINO HILLS - COMMUNITY DEVELOP Iv iUILDING & SAFETY DIVISION Call(909)364-2790 before 3..,Q 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 perrnitwith.your permanent records Men job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall inspections: Pregrade Meeting Footing,Rebar Rough Grade 1 s'Liift Bond Beam Terraces 2n1 Lift Bond Beam Sub Drains 3"'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 WIG Electrical Service Conduit Swing Pools: Storm Drain.I Catch Basin Location I Rebar t Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test , iA n v) J OrConduit ;. cj-3-10 Verify Soils Engineering: Ro Elect m-lq-)c) Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED UNTIL FENCING IS COMPLETE / Gate.& arm CI- LIE � b') 9 1 t � UnderfloorlUnderslab Inspection: 41_,Fence,in=r'ool �Ik CI UIFWaste Plumbing l .� �n C� /'' t ` J LW Water dl� .irko• I on'Au.!J I.-' • 1.1/F Mechanical U ` .e UIF Electrical Thrust Blocks U W Framing Hydro U,F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd•o Foundation Inspection: Temp Power Pole Setback I Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test. Hardware/Hold-Downs Piers/Caissons 1 Tendons FINAL INSPECTIONS Slab Grade-0K 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=3388) Interior Walls Landscape (364-2766) Hardware I Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade \\/ Combo inspection: Final Electric /C / Framing Final Plumbing / V I Rough Electric Final Mechanical "' Rough Mechanical Final Building/Construction Rough Plumbing.!Topout Water Meter Number / �f/ COVER 11O WORK UNTIL ABOVE IS APPROVED / Insulation CERTIFICATE OF OCCUPANCY \\/V� OK TO ISSUE Drywall inspection: OTHER: Interior Aus/ �t Exterior 1. "1 0 �i�U)o'- Qi _ t j EXT LATH Stucco Scratch1 Miscellaneous inspections: / Masonry Fireplace ( )/ Plate Ties,Fire Block Patio I Deck: Footing Frame Access/Light/Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This perrritwill expke if wodc is suspended or abandoned for a period of 180 days. ti SOILS AND GEOLOGY GROUP Soils Engineering• Engineering Geology 17231 EAST RAILROAD STREET,SUITE 200,CITY OF INDUSTRY,CA 91748 TELEPHONE(626)964-2314 FAX(626)965-3802 NOTICE OF /" - 6--/eA4v oINSPECTION JOB LOCATION 2-0040 14S714 Sb JOB NO. /c7 —G67 6 DATE OF INSPECTION 7— ,j.— r d CLIENT/OWNER 1Y4-ti Ji n-s ?be,1 A-• CLIENT'S ADDRESS DESCRIPTION OF AREA INSPECTED: AVv D f a4✓4 1' /S Ji--)lb b 4✓ e-cr,"">lcriaji A�/ Ji �li e hl Of A->J� ikS y h d UV /*, 01.-1-72 �Stijf a L�� a- -€,G ter" 741�i LT )10 it �Uv as y•-• >;-1 QOFES�O�\ G. STIk (Ot - 'No' e,30.11 a � JOB SUPERINTENDENT: INSPECTED BY: \*>4314'''TECONGr SIGNATURE SIGNATURE ``J City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 . -----',--.4:.,----- Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) ' 1:)' — CityHall Main Number (909)364 2600 NOTICE: THIS PERMIT BEVOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION CT 1 REPLACE UNDER LAYMENT ONLY.DUSTING ROOF TILE TO BE RE-USED.(26 SQUARES) I20 O 2 28 No. PERMIT No. ED Y 12519 WING ADDRESS ANDERING RIDGE DR (APT./UNIT NO. I ISSUED 8/211 i/ I Whiteman,Rosemary ( APN 1TRACT I LOT 1FLOORS/UNITS 1PROJECT PERMITS I P.TYPE f 1023301323TR 1292 10ENCUS Res CODESr 1CONST.TYPE (ZONING TYPE IOCCUPANCY ONTYPE 1VALUATION $8,000.00 1 TOTAL SQFT 0.001 BLDG.SQFT I 434_ Add/Alte B Current Owners: Fees Name:CHINGPIN HSU Fee Group/ Fee Description Fee Amount Payments Address: 2519 WANDERING RIDGE CHINO HILLS CA 91709 Transaction Type Ph: 9493103894 ... - . . ..... Re-Roof.'` :` `:: '.:`.' . ::.'`::.`', '.':.:..:.;E.a::.::`s'.:S-::::':. ::: :.:.::'$198;5f)i::.'-'-': :;'.." Email: .. Contractor. W S TECH-W S TECH 8001 Permit Issuance Fee $53.00 53.00 Address: 1921 5TH AVENUE LOS ANGELES CA 90018 B39-B53 Residential Structural Fee $123.50 123.50 Ph: 213-254-7909 Email: SUNNYROOFING1 YAHOO.COM SB1473 $1.00 1.00 LIc.Information858962 Exp.Date:10/31/2012 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION OL-Business License Monthly $21.00 21.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing TOTAL FEES $198.50 with Sec.7000)of Division 3 of the Business and Professions Code,and my' ense is in full force and • effect In securing this permit I am acting with the knowledge of and on be If of the owner of the AMOUNT PAID $198.50 property. a1V(I Y / BALANCE DUE $0.00 V Date:t/I O' Contractor. 2K-- \ I 1 / / C/ OWNER-BUILDER DEC LAE ffirm ON I hereby aunder penalty of perjury that I am exempt m the Contractor's Licence Law for the following reason,(Sec,7031.5,Business and Profesional 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 therefrom and the basis for the alleged exemption. Any violation of Sec.7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more that five hundred dollars($500.00) 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 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 improvement is sold within one year of completion,the owner-builder will have the burden of proving that he 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 the project(Sec.7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such 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 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 of the work for which this permit is with all city and county ordinances and state laws relating to building construction,and hereby authorize issued. representatives of this city to/te,on the above-mentioned proptery for inspection purposes. I have and willp maintain in workers'compensation insurance,i as required by Section 3700 of the // ober Code,for the performance of the work for which this permit is issued. My worker's compensation insurance carierand olio number are: J/� I \ (t- /�ro crier. "�\ CL.,J Policy APPLICANANA ( � DATE a h Applicant CHRIONG I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California,and Address: 1921 5TH AVENUE LOS ANGELES CA 90018 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. Ph: 818-653-5756 Email: m@ch.org `� / 1A t 1 � Lic.Information Exp.Date:. Applicant: Date: �/\ I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and v Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to securew er's codfk m nsaTOn coverage is unlawful,and shall subject an employer 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 the Labor Code,interest,and attorney's fees. 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 ofjob. Provide permit number when calling for inspection. Have approved plans on job at time of inspection. NO WORK SHALL RE COVERED WITHOUT INSPECTION- File this pen-nit 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"Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing BuildingSewer Line Roof Final Water Supply Line U!G Electrical Service Conduit Swing 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 UnderfloorlUnderslab Inspection: Final Pool U'F Waste Plumbing UIF Water Fire Protection Equipment: UIF Mechanical UG.Pipe UIF Electrical Thrust Blocks UIF Framing Hydro UIF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydra Foundation Inspection: Temp Power Pole Setback!Footing–OK to Pour Electric Release UFER Ground(Reber/Copper) Gas Test Harctwere!Hold-Damns 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) Hardvvere/Hold-Dwvns ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade \ o I 1 Combo inspection: Final Electric J/�\ Framing Final Plumbing Rough Electric �'� /V Final Mechanical 'Va Rough Mechanical Final Building/Construction Rough Plumbing!Tapaut WaterMeterNumber \725—F COVER NO WORK UNTIL ABOVE IS APPROVED- \ ! a Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: R Interior OTHEc k.22c: Exterior EXT LATH X 1 Stucco Scratch v Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio f Deck: Footing Frame Access!Light!Swich NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This pemitwill expire if work is suspended or abandoned far a period of 180 days.