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2015-31119 9-11-2015 16166 Firestone Ln Patio Cover BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT City of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 Building Permit 24-Hour Inspection Line (909)364-2790 • g` (NOTE:You must call before 3p.m.for a next business day inspection)\, City Hall Main Number (909)364-2600 :',0413IN4441,4114tAg•k 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 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 PROJECT No. PERMIT No. SOLID PATIO COVER W/3 CEILING FANS&2 RECEPTACLES(456 SF) 2015-31119 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 16166 FIRESTONE LN 9/11/2015 Cotter,Melissa APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101703330 TR 13295 61 , • CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $7,000.00 0.00 456.00 Current Owners: Fees Name:OMAR PEREZ- Fee Group/ Fee Description Fee Amount Payments Address: 0016166FIRESTONE LN CACHIN091709 Transaction Type Ph: Patio Covers, $424.31 Email: Trellises,Shade Structures W/Energy Contractor. WEST COAST SIDING&TRIM-WEST COAST SIDING&TRIM SMIP Residential $0.91 0.91 Address: 675 LACEY OAK DR CORONA CA 92881 Ph: 951-735-3379 Email: m@ch.org SB1473 $1.00 1.00 Lic.Information615917 Exp.Date:3/31/2017 11 Patio Covers,Trellises,Shade Structures- $295.68 295.68 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION Permit w/Energy 11 Patio Covers,Trellises,Shade Structures- $126.72 126.72 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing Plan Check w/Energy 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 knowledge of and on behalf of the owner of the TOTAL FEES $424.31 property. 4 / AMOUNT PAID $424.31 Date: /1 I Contractor: / BALANCE DUE OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the I 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: 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 o7nances and state laws relating to building construction,and hereby authorize issued. representatives oy this cit/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 / if Labor Code,for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ( vt.\\ Carrier: \lib ri,,uo(e.) Policy APPLICANT SIGNATURE DATE Applicant: DANIEL SULLIVAN 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: 675 LACEY OAK DR CORONA CA 92881 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: 951-847-5019 Email: DANIEL_SULLIVAN123@YAHOO. COM 9)Date: IN Applicant:: I 11.". Lic.Information Exp.Date: v WARNING: Failure to secure worker's compensation coverage is unlawfuland shall subject an I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and , employer to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition Safety Code,which regulate the storage,handling and use of hazardous materials 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 8, SAFETY DIVISION Ca:11 0-3109;(1 3632273tl[loyirove 3:00 om hr next:day llipsrpeGition Post in a safe, conspicuous place affront of job. Provide permit number when calling for inspection. Have approved plans on job at time of inspection. InfORli-c,SHALL BE COVE R E,Eti WITH I ilD,TSPECTil C$11 File this peirnit with your permanent records when job is complete. ilNISPIECIn114 RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall h-Brwdi g 4 Pregrade Meeting Footing,Rebar Rough Grade 1 'Lift Bond Beam Terraces 2 Lift For Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undewgro d Site ±ii Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit Sity "rc Pixo13: Storm Drain I Catch Basin Location I Rebar Bonding I Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit Verify Soils Eng' kig: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underfleartill lab kis on: Final Pool UF Waste Plumbing UF Water Fire Protectim Equi UF Mechanical UG Pipe UF Electrical Thrust Blocks UF Framing Hydro UfF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycko Foundai k Pk Pole Setback/Footing—OK to Pour Electric Re - UFER Ground(RebariCopper) Gas TeA Hare iHold-Dowre Piers/Caissons I 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) Shea kis u ion(Mcm1): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364-2766) Hare Hold-Dowre ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C NO-I Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing I Topout Water Meter Number - COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Imukt.1011 OK TO ISSUE D all imicm: OTHER: Interior / I Exterior EXT LATH Stucco Scrach kmil- Eti M -i "'place Plate Ties,Fire Block Patio Deck: Footing Frame ACCI Light I Swtch NOTICETO OWNER:Call fcw FINAL INSPECTION one Th" will exp."if is s - d or abakb for a Patio Final rmrkkd of 180