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Permit No. 5909 Clty of C._,no Hills APPLIC: _ ON FOR BUILDING PERMIT Community Development 2001 Grand Avenue Chino Hills,CA 91709 Building Address: Proposed Use - St No. 1957 Street VISTA DEL SOL RESIDENCE ApN 1032-561-24 THE FOLLOWING WORK IS AUTHORIZED BY THIS PERMIT Lot 87 Block Tract 13906-5 IN Struct. ®Plumb. Applicant BROCK HOMES ®Meeh. El Elect. ®Gradinu St No. 201 Street E SANDPOINTE Type of Project ®New 0 Alter 0 Addition City SANTA ANA Zip 92707 Phone 714-556-4663 0 Repair 0 Convert. 0 Demo 0 Occupancy Permit Owner BROCK HOMES ProjectLocation on Size Description I Property in Sq.Feet St No. 201 Street E SANDPOINTE 1. LIVABLE I 11820 City SANTA ANA Zip 92707 Phone 714-556-4663 Engr/Arch Lic No. 2- GARAGE I 565 St No. Street 3- PATIO I 148 City Zip Phone 4. I I Contractor Lic No. REMARKS/SPECIAL CONDITIONS/PROJECT DESCRIPTION BROOK HOMES 54648 Sewer I Min. Depth I S/F/100 Size St No. 201 Street F SANDPOINTF YES. City SANTA ANA Zip 97707 Phone 714_546-4663 Cubic Yards Excavation Fill Over Excavation City Business License License No. Expiration Date Licensed Contractor's Declaration — --- - - - '- -� - -'- I hereby affirm that I am licensed under the 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. License Class License Number .54648 Date Contractor SAME ASABOVE Address City and Zip Phone Owner Builder Declaration I hereby affirm that I am exempt from the Contractor's License Law for the following reason: r'1 I, as the owner of the property, or my employees with wages as their whole �J compensation, will do the work, and the structure is not intended or offered for sale. UI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ciI am exempt under Sec.__,B&PC for this reason Date Initial Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations: ZoningI Land Use Ela. I have and will maintain a certificate of consent to self-insure for workers' PD,IL1,FR1 compensation as provided by Section 3700 of the Labor Code, for the performance of the I Model/Plan work for which this permit is issued. Setbacks Ub. I have and will maintain worker's compensation,as required by Section 3700 of the FY I SY I LaborCode, for the performance of the work for which this permit is issued. My worker's Ry I ssY compensation insurance carrier and policy number arc: Ins. Co.: Group/Division/Type Policy No: 33/VN Exp Date: VALUATION (This dection need not be completed if the permit is for one hundred doolars($100)or less). $1 14,741.00 0 c. I certify that in the performance of the work for which this permit is issued. I shall PERMIT FFFS not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cod . I sha forthwith comply with those Electrical Structural provisions.nS 6/ [ $200.20 $913.44 Date ✓ �" Signatu 0 Warning: Failure to secure workers' com nsa' n coverage is unlawful, and shall subject an Plumbing Grading Pe g $210.00 $75.00 employer to criminal penalties 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. Mechanical Issuance $68.82 $29.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all City Ordinances Geo Review Plan Check $59.37 and state laws and hereby authorize representatives of this City Issuance Approved I Total Permit Fee to enter upon the above mentioned property for inspection DC Q1 SCC stz purposes. '' g‘ Date Issued Permit Number SignatureApplicant of Aunt Date ( ))/t--, _ R C u t�V 03/07/96 5909 Print Applican4tt''ss/Ag✓ent's NameFINANCE CODE CENSUS CODE.,,/ \ c.4 1_)1 ' •,„JNSTRUCTION LENDING AGENCY, I HEREBY AFFIRM THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC.3097,CIV.C.). LENDER'S NAME LENDER'S ADDREcc DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION THE CALIFORNIA HEALTH AND SAFETY CODE REQUIRES A DIVISION OF INDUSTRIAL SAFETY PERMIT AS A PREREQUISITE TO PERMIT ISSUANCE UNLESS THE APPLICANT SIGNS ONE OF THE CERTIFICATES BELOW. O I CERTIFY THAT NO EXCAVATION 5 FEET OR MORE FEET IN DEPTH,INTO WHICH A PERSON IS REQUIRED TO DESCEND,WILL BE MADE IN CONNECTION WITH WORK AUTHORIZED BY THIS PERMIT,AND THAT NO BUILDING,STRUCTURE,SCAFFOLDING,FALSEWORK,OR DEMOLITION OR DISMANTLING THEREOF,WILL BE MORE THAN 36'FEET HIGH. O AS OWNER/BUILDER I WILL NOT EMPLOY ANYONE TO DO WORK WHICH WOULD REQUIRE A PERMIT FROM THE DIVISION OF INDUSTRIAL SAFETY,AS NOTED ABOVE UNLESS SUCH PERSON HAS A PERMIT FROM THAT DIVISION. DIVISION OF INDUSTRIAL SAFETY PERMIT NUMBER I HAVE READ THE HAZARDOUS MATERIALS QUESTIONNAIRE AND THE WORK APPLIED FOR ON THIS PERMIT ';OIS OIS NOT SUBJECT TO THE APPLICABLE REQUIREMENTS OF THE HEALTH AND SAFETY CODE AND THE LOCAL AIR QUALITY AGENCY. BUILDING INSPECTIONS RECORD DATE I INSPECTOR I DATE INSPECTOR Setback/Location I I I Rough Plumbing <-1"z k7_ j Temporary Power , . Shower Pan Test _.,..-1;..-12,--, _/ Foundation Reinforcing Steel ,�•..// GV � Stucco Mesh or Exterior Siding 57/2,7,% 7E) Excavation and Forms ��fl�T. }1 Insulation . 7f / . ; Slab Grade 7 . , Sewer- Z://`7/41,-, V_ Ground Plumbing Soil I '3/Z574 D _('C/_!4� Interceptor Ground Plumbing Water it r. /Z 7� 9,- ( Iv/. Septic Tank Underslab Ducts Leach Line or Seep Pit I / ,� Underslab Conduit I Water Service // ' /x��c.JL__ Underslab Gas I Lath or Drywall Nailing 5�/t/6_ _ Fireplace Foundation Gas Line Air Test .4/ ig _�� ___ k, (2_2(9 Joists and Girders Final Energy I r Electrical Ground Final Plumbing / / Mid-Height Bond Beam I Final Heating/A.C. 8-Foot Bond Beam Final Construction X Final Bond Beam Final On Site Improvements taz,_/____ /_ Fireplace Bond Beam i J Final Off Site Improvements i Roof Sheathing /5ii€i'iv 4-//21i it,e, (-)D _ Final Dedication f'} / v Framing and Ventilation /�� / Final Zoning Roof Covering /,n k/os / c.'s", / Final Electrical / Rough Heating i,7I IV / Final Gas / / Service and Ground Developer Fees Paid Rough Electrical / 7. Fire Dept. Approval Verified Bonding Certificate of Occupancy Over Head Electrical Fence Height Gates Heater Pool Drainage SEPTIC TANK . GALS. SEEP. PIT X LEACH LINE WIDE LONG X DEPTH OF ROCK N. W. E. S. -. , Inspector's Signature and Initials 67 DATE OF ISSUANCE PERMIT NUMBER 1361 D - J L_or 6- I (—� 10� CITY OF CHINO HILLS COMMUNITY DEVELOPMENT DEPARTMENT BUILDING AND SAFETY DIVISION I PERMIT # L C1 Call (909) 590-1511 Ext. 282 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 PROVED PLA S ON JOB AT TIME OF INSPECTION. OWNER _ TC� /C� • LOCATION I C(T 1v 1��! 1 _co INSPECTION RECORD INSPECTION I DATE I INSPECTOR Setback/Location , , Temporary Power 114 I aX Ai/ Foundation/Reinforcing Steel q X 7, Slab Grade • 7 Ground Plumbing WI 6' Underslab Copper /z//9(, C_.q4 Underslab Conduit/Ducts ►.� Fireplace Foundation Joists and Girders Electrical Ground DO NOT CONCEAL UNTIL ABOVE ARE SIGNED AND DATED First Bond Beam/Lift Final Bond Beam/Lilt Fireplace Bond Beam Root Sheathing Shear Framing and Ventilation Rough Heating f 11_ X ^ X Electrical Service and Ground ,(113I P,/ n/) X Rough Electrical /�. / UV/ Rough Plumbing Shower Pan/Tub Test Stucco Mesh or Exterior Siding c,-//6/ 4," 7-/) Fire Sprinklers DO NOT CONCEAL UNTIL ABOVE ARE SIGNED AND DATED Insulation Mica I v Sewer I %/!/moi! Septic Tank Leach Line or Seep Pit I I Water Service Ie//Z`?/Sb I DO NOT CONCEAL UNTIL ABOVE ARE SIGNED AND DATED. • Interior Lath or Drywall Nailing �ij` 7)!� Gas Line Air Test I. /96 I ' Final Grading ( X Final Electrical I pIll6. I Final Plumbing I L I f/ I 7)7) , Final Heating/A.C. Final Zoning/Conditions of Approval I / I J Final Fire(Call Local Fire Deot.) ea ;II 7 676 Final Building • /—/7, Certificate of Occupancy I / I I I NOTICE TO OWNER! Call for FINAL inspection on every job. This permit will expire if work is suspended or abandoned for a period of 180 days. Call for inspection every 180 days to help keep permit active. NO WORK SHALL BE COVERED WITHOUT INSPECTION. FILE THIS CARD WITH YOUR PERMANENT RECORDS WHEN JOB IS COMPLETED.