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2017-35084 7-21-2017 3117 OAKCREEK TILE RESET `. BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT City of Chino Hills _� 14000 City Center Dr.,Chino Hills,CA91709 Ili .:---- ,' Counter Phone (909)364-2780 ; BuildingPermit 'r. 24-Hour Inspection Line (909)364-2790 ' (ir,,e -4111111111101, 7 "1 ‘) --- (NOTE:You must call before 3p.m.for a next business day inspection) Y1�11C�? [11.1. k'� t 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 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. TILE RESET(28 SQUARES).REPLACE UNDERLAYMENT AND RELAY EXISTING TILES.REPLACE 1 GFI OUTLET. 2017-35084 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3117 OAKCREEK RD 7/21/2017 Freeman,Nicole i APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103131140 TR 12625 386 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434___Res Add/Alter VB R-3 $3,500.00 0.00 Current Owners: Fees • Name:MANTHANA ADISA- Fee Group/ Fee Description Fee Amount Payments Address: 0003117OAKCREEKRD CACHINO HILLS91709 Transaction Type Ph: Re-Roof No Energy $396.00 Email: Contractor: SHOR CONSTRUCTION 18 Re-Roof No Energy $311.00 311.00 Address: 16022 ARMINTA ST#2 ARMINTA CA 91406 SB1473 $1.00 1.00 Ph: 866-982-7467 Email: M@CH.ORG Lic.Information914024 Exp.Date:4/30/2018 OL-Business License Yearly $84.00 84.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $396,00 • 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 AMOUNT PAID $396.00 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:l'"• 1.—I-fit Contractor: ` / r 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 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 _ insurance carrier and policy number are: ' ")—r \--\I ,, .....,". .#: am 4.. Canier:'�"` ILAe., i i Policy APPLICANT SIGNATURE DATE Applicant: LAUREN FRANK 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: 16022 ARMINTA ST#2 VAN NUYS CA 91406 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. 323-829-0505 Email: M@CH.ORG Lic.Information Exp.Date: , ��-.Date: 1 o \ _'r, Applicant:: ,V,rein_ e-'v1 y.... 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($100,000),in addition to the cost of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. j------ 0)9)354 3:0k;„, \‘‘Y.A.(My iipslyl,„jik,1 safe, coosi,,ofAys„H1,,, pla(e front of P!‘ovide nunibet w1R,q ‘k:A iirne of e i„ Vile 11 !::'H";31Ht '!,$'0L0 ieCCiFfirT b r;;' ete S EC'fi '.‘‘Ni R E RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall hspections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2 Lift Bond Beam Sub Drains 31 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: (*- Tear-off,Existing Conditions 7-Zke-if I Underground Site Inspections: Sheath Nailing —-f Building Sewer Line Roof Final Water Supply Line LIIG Electrical Service Conduit Swimming Pools: Storm Drain/Catch Basin Location 1 Rebar 1 Bonding'Light DO NOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UncleifloodUnderslab Inspection: Final Pool UF Waste Plumbing UF Water Fire Protection Equipment: U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection: Ten Power Pole Setback Footing-OK to Pour Electric Release UF ER Ground(Rebar/Copper) Gas Test Hardware 1 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) Shear kispection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardvvere f Holcl-Dovvns ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo ikspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction S2-2-(7 Rough Plumbing Topout Water Meter Number COVER 110 WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scratch Misoellarieous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Access Light 1 Sw t ch This permitwill evire if work is suspended or abandoned for a Patio Final period of 180 days. a BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT City of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 y Counter Phone (909)364-2780 Y 4 Building Permit 24-Hour Inspection Line p (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) '°1' (7u y 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 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. I TILE RESET(28 SQUARES).REPLACE UNDERLAYMENT AND RELAY EXISTING TILES.REPLACE 1 GFI OUTLET. 2017-35084 43232 'BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3117 OAKCREEK RD 7/21/2017 Freeman,Nicole APN • TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103131140 TR 12625 386 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SOFT BLDG.SOFT 434__Res Add/Alter VB R-3 $3,500.00 0.00 Current Owners: I Fees • Name:MANTHANA ADISA- Fee Group I Fee Description Fee Amount Payments I Address'. 0003117OAKCREEKRD CACHINO HILLS91.709 Transaction Type Ph:, Re-Roof No Energy $396.00 Email: Contractor: SHOR CONSTRUCTION 18 Re-Roof No Energy $311,00 311.00 Address`. 16022 ARMINTA ST#2 ARMINTA CA 91406 SB1473 $1.00 1.00 Ph: 866-982-7467 Email: M@CH.ORG `Lic.Information9l4024 Exp.Date:4/30/2018 OL-Business License Yearly $84.00 84.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES •. $396.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec,700(0)of Division 3 of the Business and Professions Code,and my license is in full force and AMOUNT PAID $396.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the properly. BALANCE DUE $0.00 Date: Contractor: 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 issued_ representatives of this city to enter upon the above-mentioned proptery for inspection purposes. t save 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: Carrier: Policy APPLICANT SIGNATURE DATE #: Applicant: LAUREN FRANK _ 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: 16022 ARMINTA ST#2 VAN NUYS CA 91406 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: 323-829-0505 Email MLCH.ORG Lic.Information Exp.Date. 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. )364 7!:r11) e 3:00 p„1 t h Posi io a ,,;:s,ftE,?, cc"ti"":::!'w,:ft„icH„„is piace Itt„olt Novide ror inspection time et rile thns 'y'Ot„„II" it:,:a7J cerroalete, INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade I'I Litt Bond Beam Terrac 2"'Lift Bond Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undecgrotrid Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line LUG Electrical Service Conduit Swimming Pools: Storm Drain I Catch Basin Location/Rebar I Bonding I Light DO HOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verily Soils Engineerhg: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderfloorlInderslab Inspection: Final Pool LIF Waste Plumbing U/F.Water Fire Protection Equipment: U T' Mechanical UG Pipe UF Electrical Thrust Blocks UF Framing Hydro LIF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION MISPECTION Overhead Hycip Foundation Inspection: Temp Power Pole Setback 1 Footing—OK to Pour Electric Release UF ER Ground(Rebar/Copper) Gas Test Hardware 1 Hold-Downs 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) Shear Inspection Mood): 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 Combo inspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumloingi Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall kispection: OTHER: Interior - - , I, Exterior 1 " EXT LATH Stucco Scratch Miscellaireous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Access:I Light I Swich This pennitwill evire if work is suspended or abandoned for a Patio Final period of 180 days.