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2014-28533 4-2-2014 3321 Paisley St Re-roof 'I ' ' AL, ' 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 (NOTE:You must call before 3p.m.for a next business day inspection) 4%, •, .., :-_,I 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 WO:"K 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. RE-ROOF,REMOVE EXISTING INSTALL CLASS"A"SHINGLES,29 SQUARES,REPLACE FELT&DRIP EDGE,R-30 IN ATTIC EXEMPT FROM COOL- 2014-28533 :- °57 ROOF BUILDING ADDRESS APT.I UNIT NO. ISSUED DATE ISSUED BY 3321 PAISLEY ST 4/2/2014 Sarah,Larios - APN TRACT MAP# ,LOT FLOORS I UNITS PROJECT PERMITS P.TYPE 101753144 i TR 9230 65 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $9,000.00 0.00 Current Owners: Fees Name:MICHAEL ELDER Fee Group I Fee Description Fee Amount Payments Address: 3321 PAISLEY ST CHINO HILLS CA 91709 Transaction Type Ph: 909-597-8595 Re-Roof $214.75 Email: M@CH.ORG 1 Contractor SILVER CANYON ROOFING &CONSTRUCTION INC B001 Permit Issuance Fee $56.00 56.00 Address: 840 WEST 1971-I STREET UPLAND CA 91784 1 B39-B53 Residential Structural Fee $134.75 134.75 Ph: 909-949-4924 Email: M@CH.ORG SB1473 $1.00 1.00 Lic.Informatron47623l Exp.Date:7/31/2015 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION I OL-Business License Monthly $23.00 23.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec.7000)of Division 3 of the Business and Professions Code,and my license is in full force and TOTAL FEES $214.75 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. I 'AMOUNT PAID $214.75 / _V ! ' -,,,/ e'd -, ( ',,,,..--------7 '''' -----' !' Date:/7,I '''';// ''- Contractor:/7/7r- 7 1 -7,-/-,---'''''-- BALANCE DUE $0.00 --2 ' \\, $ / i OWNER-BUILDER DECLARATION 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 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. 1 , ..._. 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 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 enter upon the above-mentioned proptery for inspection purposes. have and will maintain workers'compensation insurance, required by Section 3700 of the 1 2, /'' Labor Code,for the performance of the work for which this permit is issued. My workers compensation , . . ,--c--------(1,,,,, 77.7---2-6-------- insurance carrier and policy number are: , ,....t',,,y,-____7-i , A' ,/7/4.--//7"-z. 1A , 'carrier '."--; ,),,7:6:: /-----6"P,AL' Policy APpLICANT SIGNATURE #: / /1/4....,(2 Applicant JONATHAN COOPER r 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 workers compensation laws of California,and Address: 840 WEST 19TH STREET UPLAND CA 91784 I agree that if I should become subject to the workers compensation provisions of Section 3700 of the \, Labor Code,I shall forthwith comply with those provisions. Ph: 909-996-2960 Email: M@CH.ORG \\ , / „..-/ Date '5V2-7;11-14 -----' Lic.Information -- - - - - Exp.Date: \ Applicant:(::-,-,72-'------r-7"";','---c--------- I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNINGiy Failure to secure workers 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. .. . C::ITY OF CHINO HILLS COMMUNITY DEVELOPMENT— BUILDING & SAFETY DIVISION CariAt&t&tV&275flt beafve yns &sr &q,[4113,,,i%rzRectIollti 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. VLLIF sH IL LSE q:DOVF_RE,El, 43[IJ 11MSP E C Till dalil File this peirnit with your pewnanent records when job is complete, P fel-D N RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall imictio Pregrade Meeting Footing,Rebar Rough Grade Isl Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3ni Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: , , Tear-off,Existing Conditions faciz Undergromd Se I ,z--1 Sheath Nailing ,/ Building Sewer Line Roof Final Water Supply Line U1G Electrical Service Conduit SW- -1-vj Pcw_ft: Storm Drain./Catch Basin Location fRebar f Bonding/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 UndefIcriti ,1a1 k tion: Final Pool IMF Waste Plumbing UF Water Fire Protedim Equi UF Mechanical UG Pipe LIF Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd.o Foundation la --o-- T i Po Pole Setback Footing—OK to Pour Electric 4"- LIFER Ground(Rebar/Copper) Gas TegA. Hardwere f Hold-Downs Piers/Caissons f 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) Shem n(Wuxi): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Harthvere f Hold-Dowro ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG, Final Grade Ci tio ,redi Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction 1 I ,/,/ (, Rough Plumbing f Topout n_ Water Meter Number COVER NO .0 RK UNTIL ABOVE IS APPROVED. CERTIFICATE OF OCCUPANCY lumuktimi OK TO ISSUE all kdicw-r, OTHER: Interior Exterior EXT LATH Stucco Scratch Mt knrmcti Fieplace Plate Ties,Fire Block Patio I Deck: Footing Frame AcNOTICE TO OWNER:Call fa-FINAL INSPECTION on e cess Light Swtch This will emi-e if s - u-d or abmtk) .;-.11 for a Patio Final period of 180 di 4.