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Permit No. 2004-0435 c /- y: \ BUILDING DIVISION OF COMMUNnY DEVELOPMENT DEPARTMENT � City of Chino Hills Counter Phone (909)364-2780 '-'44&..,, 2001 Grand Avenue,Chino Hills,CA 91709. ^t . 24-Hour Inspection Line (909)364-2790 r�7 Building Permit ;;y:;ti.: (NOTE:You must call before 3p.m.for a next business day inspection) "- "' City Hall Main Number (909)364-2600 HCo'PORAflDI"; 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 REQI'1ESTCNG OR STATE LAWS RELATING THERETO: INSPECTIONS PROJECT DESCRIPTION PERMIT No. POOL/SPA 2004-0435 0 BUILDING ADDRESSAPT/UNIT No. SUED DATE ISSUED BY 13762 VISTA GRANDE DR 0 I I IS05/20/2004 I RHERN APN 1024-103-13 I PARCEL MAP# ITR 13651-2 TRACT I LOT/P6A4 CEL I BLOCK I CONST.TYNE I ZOO I OCRG3 I LAND USE Residential CENSUS 9ODES I LAY DIST. I BLDG.SOFT. I PE IPROJECT PERMITS I SETBACK FY I SETBACK RY I BACK SSY 1SETBACK SY FRl UPR BL 072015 FEES - Description Calc. Paid I cc W TOY, PHILLIP L Plan Check PC $196.56 $196.56 $E 13762 VISTA GRANDE DR 0 CHINO HILLS, CA 91709 Total Paid 3/26/2004: $196.56 Issuance/Suppl F $29.00 $29.00 BLUE HAVEN POOLS Structural $302.40 $302.40 2318 S. VINEYARD AVENUE Electrical U $90.00 $90.00 ONTARIO, CA 91761 Plumbing $6.00 $6.00 O 909-947-6474 Total Paid 5/20/2004: $427.40 Q0 F Contr Lic: 618892' O Expiration: 5/31/2005 Grand Total: $623.96 $623.96 0 License Type:C53 Workers Comp:06KR0000891 Expiration: 3/10/2004 Bus. License:04-03376 Expiration: 5/31/2004 i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under 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. In securing this permit I am acting with the knowledge of and on the behalf of the owner of the property. 1 PROJECT DESCRIPTION. .' Date: ' 2.0 •DYContractor: /2—}j—' A)(2 I OWNER-BUILDER DECLARATION POOL/SPA ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Sec.7031.5 Business and Professional 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 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 I 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. Ion Sq.Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law.) I / ❑ I am Exempt under Article 3 of the Business and Professions Code I i ---fl Date: S Owner: • WORKERS COMPENSATION DECLARATION (.11.______,,,7 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 $25,000.00 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 to 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 building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes. /���jJ��y ,/ any California,persoin anyamanner soIhaulto become subjecto the r'compensation laws of is ii �iC-Y'/i/, �/ 7' ornia,and agree that if I should become subject to the worker's compensation provisions X of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. APPLICANT SIGNATURE DATE APPLICANT INFORMATION: BLUE HAVEN POOLS 2318 S. VINEYARD AVENUE ./ ( ONTARIO, CA 91761 Date: sly/ Applicant: ,i-",7 �/�rDO i _ 1909-947-6474 WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to criminal penalties and civil fines 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 materials. \' 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 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 1st 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 7.15-- DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test -7.-(. V2 4 Gr Conduit 7- 702-b(e A Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm /0134 Undertloor/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 WallsFire (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 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. AP ENGINE ' ING0 iNC. 2607 Pomona Boulevard, Pomona,CA 91768§Tel(909)869-6316§Fax(909)869-6318 GEOTECHNICAL INSPECTION REPORT Report No. Client: Owner Name: Day: tvloviwr, Date: at.v& 14.544:51J T2Y Ae5iPienAlVe Weather: Temp: p801..>3 7,00 Job Address: VW).- erizo6.40e, Pig-• CA-tirlo Hri-i<5 Type of Work: /AieSPCW45(4 Inspection Report Left At: ,49( TP 6, -7/ 14-r o Approved KNot Approved X See Comment Below Comment: /10- reve., o (r.411,4647-,0,mi /,& Abr. Appp,51/o Ab-PJ‘,- A17.7/20=-- 60/45772.1x;74,1 Pcje5 le, 9ir-'r ax-Trom 1g> to/ircl — mW r 71f6-- Doer AgvN/A. rPeu> n W Sdior ,460/1> Poopt-15,- itorfoli '• otk sfr Pubr /05- - MN ' 44). Irir5rIztrx0r, ArrT042--- ptoyr tz-0s4, / /) AMC) 2rd-Avit-fe4cr: ou p -Ofe•47-77-. 1(4, 12-OrlNserc- 0A, ';e- • AMT tzen\ispeclac*i of\lc6-- 490vi_. (trims -1-L65 oet*H 6b1Aew-r,fgo . Action itemf- V-401.4.34) SCOirOPPe' S Ptif-Jr Bro- P-ei40 ,zy"F S VfiT41 ng-i4 o,- Lt5oar stkapatedi4/6=9 - Tic. VP446 m4Ar1^1-WMAOP. uggi No 002156 -fla V-Ako „ \'OnTiY; A rx/zpei ignature of ' 1111.111er echnician On Site Print Name AP ENGINE f" /NG, INC. 2607 Pomona Boulevard, Pomona,CA 91768§Tel(909)869-6316§Fax(909)869-6318 GEOTECHNICAL INSPECTION REPORT Report No. Client: Owner Name: Day: Kolkibw Date: fc4 J& ffil rl�`��) 77)%r �2 �`S Weather: I Temp: 70 Job Address: ( /(02 V( coPtiNte • rN0 f(1.,L.S ✓, [ Type of Work: X71 i (G61)• Inspection Report Left At: 7 6d‘.17 _ Approved 0 Not Approved KSee-Comment to Below Comment: /S- Piga-- ACG IDpJ ptVlefiSICN1 - `1- )r t57( I6/ vJIISg IT-te . qgg,41n%) z-PiFwrStor. c 4A '- - £ V k-t, 11403 c 3T ari . t w�/ Z—_ , Thg v, `S i1-11,.) 17 rc--t -1-1405- taorrpm ;t l).-- . i- to I cer--�n --r ,rte- t-r-r iiC lakcr+ t� Rx (c5N ~ 2s — bri • Action Items: -� rLooiU, Ak. (Fi; 11: r n'r r 7 p:.1 a ArECKA ,P$- STEP p Pc)s • a ure of En-:r' Site Print Name