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2015-30461 5-22-2015 15967 Oak Canyon Dr Re-roof ks,, City of Chino ; BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT • 14000 City Center Dr.,Chino Hills,CA91709 Y rk� v b, k.' I Counter Phone (909)364-2780 , ,,t' Building Pe ' 24-Hour Inspection Line (909)364-2790 .� (NOTE:You must call before 3p.m.for a next business day inspection) 1\ V`,,, `x ' ,l City Hall Main Number (909)364-2600 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 T ANY TIME FOR BELOW WHEN MAKING INQUIRIES THAN IF I T OF ANY CITYSTATE OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. RE-ROOF:REPLACING PAPER ONLY 2015-30461 38198 BUILDING ADDRESS .APT./UNIT NO. ISSUED DATE la ISSUED BY 15967 OAK CANYON DR 5/22/2015 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103132116 TR 12625 316 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $10,000.00 0.00 Current Owners: Fees Name:RICHARD AMMENTORP , w6 tik34 Fee Group/ Fee Description Fee Amount Payments Address: 15967 OAK CANYON DR CHINO HILLS CA 91709 Transaction Type Ph: 858-859-4143 Re-Roof No Energy $289.00 Email: M@CH.ORG Contractor. J T I CONSTRUCTION 17 Re-Roof No Energy $288.00 288.00 Address: 5211 BLUFF ST NORCO CA 92860 SB1473 $1.00 1.00 Ph: (951)270-2906 Email: ROOFSOLUTION@YAHOO.COM TOTAL FEES $289.00 Lic.Information626731 Exp.Date:7/31/2016 _..--.-.�.�.._._._......_...W_.W.....w...�...�.�_.W.._.� ...... ' LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $289.00 E I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing BALANCE DUE $0.00 Vi with 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 knowledgeof d on behalf of the owner of the property. ) f Date: . Contractor 1/ , /y 0#:#' OWNER-BUIL R DECLARATION I 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 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: Permittee: Print Full Name: WORKERS COMPENSATION DECLARATION I 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 pro •:d 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 enter upg,p7the above-mentionA proptery for inspection purposes. \ I have and will maintain workers'compensation insurance,as required by Section 3700 of the `i Labor Code,for the performance of the work for which this permit is issued. My worker's compensation S v+ insurance carrier and policy number are: //..„......,---- -, ' Carrier; c,� T T.,,a- '%' Policy26 APPLICANTSIGNA _ DATE` .., ar ':. Applicant.,. JAMES ISLER _._. I certify that in the performance of the work for which this permit is issued,I shall not employ any I person in any manner so as to become subject to the worker's compensation laws of California,and Address: 5211 BLUFF ST NORCO CA 92860 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: 714-803-8958 Email: ROOFSOLUTION@YAHOO.COM k Date:' ''''5— Lic.Information Exp.Date: Applicant:: I I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and `WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an Safety Code,which regulate the storage,handling and use of hazardous materials 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. COY OF CHINO HILLS COMMUNITY DE"VELOPMENT—BUILDING & SAFETY DIVISION Cci&i);9019; :3434-27'20 beffslie Z411.110 Emu.iir}cp[r Einspa4.7:ii10 Post in a safe,conspicuous place at front of lob. Provide permit number when calling for inspection. Have approved plans on job at time of inspection. SH P),,L I 'BE COVERED WIT110au it WISP E 11}I:61 File;this peirnit with your permanent records wren job is complete. RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad".: Block Wall k-K31:mctir Prograde Meeting Footing,Rebar Rough Grade Lift Bond Beam Terraces 2 Lift Bond Beam Sub Drains 3ni Lift Bond Beam Finish Grading Drain!Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undo-grotud SKe Sheath Nailing Building SewerLine _Roof Final— Water Supply Line UfG Electrical Service Conduit SW- Pcgib3: Storm Drain!Catch Basin Location I Rebar/Bonding f Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UndegikKorlU 'lab km Final Pool UF Waste Plumbing UfF Water Fire oteionEquiu ° U Mechanical UG Pipe UT"Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation -z-s-ctitwo: Tem)Po Pole Setback!Footing—OK to Pour Electric UFER Ground(Rebar/Copper) Gas TeEt 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) Shaw irma Ion(.;'11 CO: Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364:-2766) Hardware Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade awrixo eth Final Electric Framing Final Plumbing ,X/ , Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irul.km OK TO ISSUE D .all kol- cticni: OTHER: Interior :„.. ,r Exterior • _ EXT LATH Stucco Scratch faml[ • B-eplace Plate Ties,Fire Block Patio Deck: Footing Frame CCE /Light Swtch NOTICE TO OWNER:Call fix FINAL INSPECTION on e: lob. This im em" - if is s - d abamb fora Patio Final lirk)d of 180 di