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2012-25712 2-24-2012 3953 Valle Vista Dr Re-roof C-ty of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPAR ENT ,' 14000 City Center Dr.,Chino Hills,CA91709 �r'l', Counter Phone (909)364-2780 r�-��-- Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) > �� 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, IF FOR BELOW WHEN AKI G INQUIRIES THAN 180 DAYS OR IF WORK IS IN I T OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. RE-ROOF: TEAR OFF&REPLACE W/CLASS"A"30 YEAR COMPOSITE SHINGLES;21 SQUARES(ALTERNATIVE TO COOL ROOF REQUIREMENT: 2012-25712 33357 EXISITING DUCTS IN THE ATTIC ARE INSULATED AND SEALED) BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3953 VALLE VISTA DR,Apt.0 0 2/24/2012 Heredia,Monica APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101721303 TR 7363 241 / 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 Current Owners: Fees . t Name:VICTOR L BOISELLE JR Fee Group/ Fee Description Fee Amount Payments Address: 3953 VALLE VISTA DR CHINO HILLS CA 91709 Transaction Type Ph: 951-204-0718 Re-Roof $166.25 Email: M@CH.ORG Contractor. OWNER BUILDER-OWNER/BUILDER 8001 Permit Issuance Fee $53.00 53.00 Address: N/A CHINO HILLS CA 91709 B39-B53 Residential Structural Fee $112.25 112.25 Ph: N/A Email: Lic.Information Exp.Date: SB1473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 3 TOTAL FEES $166.25 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 AMOUNT PAID $166.25 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. BALANCE DUE $0.00 Date: Contractor: OWNER-BUILDER DECLARATION ti 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 jj 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 if 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: i Permittee: Print Full Name: V I 4 , �. 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 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. I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My worker's compensation "" r,,°° r ,71 insurance carrier and policy number are: ,;F ' f4z.==--' Carrier: Policy �APPLICANT SIGNATURE DATE #: Applicant: VICTOR L BOISELLE JR 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: 3953 VALLE VISTA DR CHINO HILLS CA 91709 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. 3 Ph: 951-204-0718 Email: M@CH.ORG Lic.Information Exp.bate: Date: Applicant:: I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an 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. CITY OF C:HINO HILLS COFIAMUNITY:DEVELOPMENT—BUILDING& SAFETY DIVISION 0&9t 364-27!2,13 llealroire 372-0 pan,:fo,F dz,tiy fhTliSilltiKAO Post in a safe,conspicuous place atifrontofjola. Provide permit number when calling for inspection. Have approved plansonjob:at time of inspection. L\flyjHp Ji IL SE E1EO dill 1 INSPEC:flOV. File this permit with your permanent-records whenjob ris complete. S P F CORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad-kw: BlockWall k-olmrtic Pregrade Meeting Footing,Rebar Rough Grade I Lft Bond Beam Terraces 2r Lift Bond-Beam Sub Drains 3 Lift Bond-Beam Finish Grading Drain I Seal Soils Certification Grading Certification-Rough ReRoor: Tear off Existing Conditions Undo-rota-id Se I diig Sheath Nailing 67 Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit SW111 1117rg Pft: Storm.Draini Catch Basin Location I Rebar I Bonding I Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Soils Engl.! Ro_Elect Compaction,moisture,:conditioning,etc. POOL HOT TO:BE-FILLED UNTIL FENCING ISCOMPLETE FenceGate&Alarm lab on: Final Pool UF Waste Plumbing UF Water Fire Itotectim Equip LIF Mechanical UG-Pipe IMF Electrical Thrust:Blocks U Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIREDPRIORTO FOUNDATIONIt1SPECTION Overhead_Hycko Found."ht4tfor'diell: Temp -Pole Setback Footing—OK to Pour Electric UFER Ground(Rebar/Copper) .Gas.Towg. Hardwere I Hold-Downs PiersiCaissons.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 l_Dept. (391-7570) Shea hse ..!hill WA): Planning Dept.(354-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Haretwere I Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade • a 1 Final Electric Framing Final Plumbing Rough Electric. Final Mechanical Rough Mechanical Final Building/Construction [3/NI 2. RoughPlumbing I Topout WaterMeter.Number COVER NO i RK UNTIL ABOVE IS APPROVED CERTIFICATE.OF OCCUPANCY Irmulatim OKITO ISSUE • kiectim: OTHER: Interior --, LILA ', /21.,,Pire-dirc 413)f___ Exterior t EXT LATH Stucco Scratch M"cellv:o- 1,to kpdii Fteplace Plate Ties,Fire Block Patio. Deck: Footing Frame NOTICE TO.OWNER:.Call.FIN4INSPECTION on. Access /Light Swtch Thus pe wdl eqre if uI, .abobli fix--a Patio Final period of 150