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2015-31567 12-7-2015 14136 Heathervale Dr Re-roof : BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 4 City of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 �;i' Counter Phone (909)364-2780 VO ' Building Permit 24-Hour Inspection Line (909)364-2790 ' ( p NOTE:You must call before 3p.m.for a next business day inspection) n= City Hall Main Number (909)364-2600 NOTICE: T I IT BECOMES NULL AND VOIDIF IS T COMMENCED WITHINPLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, IF IS TIME 1BELOW WHE MAKING INQUIRIES THAN IF IS IN I I CITY T T OR REQUESTING INSPECTIONS RELATINGTHERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. TILE RESET.REMOVE EXISTING TILE AND INSTALL TWOLAYERS OF 40 LB.FELT PAPER AND RELAY EXISTING TILE. 2015-31567 t__:,,__T_' BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14136 HEATHERVALE DR 12/7/2015 Freeman,Nicole APN I TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102431177 TR 13651-1 7 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE I VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 I $10,000.00 0.00 Current Owners: Fees Name:PREM GOEL- Fee Group/ Fee Description Fee Amount Payments Address: 0014136HEATHERVALE DR CACHINO HILLS91709 jTransaction Type Ph: Re-Roof No Energy $303.00 Email: Contractor. CORTEZ ROOFING-CORTEZ ROOFING 18 Re-Roof No Energy $302.00 302.00 Address: 1308 E GREENVILLE DRIVE WEST COVINA CA 91790 I SB1473 $1.00 1.00 Ph: 626-918-1007 Email: JOSHUACORTEZCR@GMAIL.CO 1TOTAL FEES $303.00 M Lic.Information762520 Exp.Date:5/31/2017 AMOUNT PAID $303.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. Date:tk - ` } Contractor k 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 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 ordinances and state laws relating to building construction,and hereby authorize issuedrepresentatives 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 insurance carrier and policy number are: Carder: 04 `" ' �' Policy���` °`'4 {APPLICANT SIGNATURE c„er trit,72/ , DATE f[ 7 ( P Applicant: JOSHUA CORTEZ 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: 1308 GREENVILLE DR WEST COVINA CA 91790 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: 626-918-1007 Email: M@CH.ORG , � Date: J Lic.Information Exp.Date: � �� � Applicant:: -7,,-/r;�ie ?.,-) : i 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 CI-IlN0 HILLS CO ITY DEVELOP ENT—BUILDING .6. SFETY D N ink, Hos):in .::31 szi(e, COnSpICIJOU3 p Ce frOili:ofjob. Provide permit number viMen calling for inspection. Hee::71pproved plz-ms on job Ci urns of inspection. 1,,A11-11,0111.11 111 -_-,55,1:17111!--.05 File this perrni vith your permanent records when job is complete. INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspecti : Pregrade Meeting Footing,Rebar Rough Grade Lift Bond Beam Terraces 2' Lift Bond Beam . _ Sub Drains 3rd Lift Bond Beam Finish Grading Drain!Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions ,r> °- Underground Site I - ctions Sheath Nailing Building Sewer Line Roof Final Water Supply Line LIG Electrical Service Conduit Sw" "ng P Storm Drain I Catch Basin Location I Rebar Bonding Light DO NOT BACKFILL UNTIL.ABOVE IS APPROVED Gas Test Or Conduit Verify Soils Engi Ro Elect Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED UNTIL FENCING IS COMPLETE, Fence,Gate&Alarm Undeffloor.111 -4- -lab Ins - ion: Final Pool LIF Waste Plumbing UF Water Fire Protection Equi - • UF Mechanical UG Pipe UF Electrical Thrust Blocks LliF Framing Hydro LIF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation h..... -ction: T. Power Pole Setback Footing—OK to Pour Electric Rele.--- UFER Ground(Rebar/Copper) Gas Test Hardware Hold-Downs Piers/Caissons Tendons FINAL.INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED VillTHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear Ins -- ion eiticood): Planning Dept.(364 2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-2888) Interior Walls Landscape (364 2766) Hardware IHold-Dowro ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo" pection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical --- Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER HO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE D , all Inspection: OTHER: Interior ‘- Exterior EXT LATH Stucco Scratch MisceIII .us Inspecti rdi nriir Fi-eplace Plate Ties,Fire Block Patio!Deck: Footing • Frame Access/Liht Swich NOTICE TO OWNER:Call for FINAL INSPECTION on e - job. This pemittwill expire if work is Sr - -d or abando for a Patio Final period of 180 di -.