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2016-33551 11-2-2016 14039 NIGHT SONG ROOF DECK rair" \ City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 1/1 Counter Phone (909)364-2780 "*o• Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:Y:::: om ll bef3p.m.for a next business day inspection) ...,.....s.A..., F City Hall er (909)364-2600 a Alt 4 tart°g M(1 r,• 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. SUPPLEMENTAL PERMIT TO 2015-31488 2016-33551 3 ADD ROOF TO 2ND STORY REAR DECK BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14039 NIGHT SONG CT 11/2/2016 Freeman,Nicole APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102447109 TR 13814-2 15 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $500.00 0.00 200.00 Current Owners: Fees Name:TAN FAMILY TRUST 6/19/201*C/O RANDY TAN Fee Group/ Fee Description Fee Amount Payments Address: 14039 NIGHT SONG CT CHINO HILLS CA 91709 Transaction Type Ph: 909-720-2481 R Occupancy- $415.50 Email: m@ch.org Additions 9/1/16 Contractor: CUSTOM-BUILT CONSTRUCTION SMIP Residential $0.50 0.50 Address: 15571 MARIE PLACE WESTMINSTER CA 92683 82 Inspections for which no fee is specifically $414.00 414.00 Ph: 626-424-7503 Email: M@CH.ORG indicated.Cost Recovery/minimun 2 hours Lic.Information669783 Exp.Date:4/30/2017 SB1473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $415.50 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 $415.50 effect. In securing this permit I am acting with the know edge of and on behalf of the owner of the property.. ,// / BALANCE DUE $0.00 ,--,% / Date:/1----1-/if Contractor: � .,-` ,i/ fit 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. 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. representat/,'=s 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 �/ Si Labor Code,for the performance of the work for which this permit is issued. My workers compensation �% 07"2. )�i A_ �0 insurance carrier and policy number are: „ , Carrier: Policy APPLICANT SIGNATURE DATE Applicant: HAMILTON DO 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: 15511 Marie Place Westminster CA 92683 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: 626424-7503 Email: CBCDES@YAHOO.COM Lic.Information669783 Exp.Date:4/30/2017 Date: J/J� — ; ' ,..5Applicant:: _ ,,_. 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 workers 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. a 041) TS13,\\4o7,1314 :3700 11,3 it, 1130,N:10 in a com:26,:ucius 1::)errwt "‘o„„n"c3,,Es't',Aeren ft:A insp ,:iion is)larr:,:, or! pjh ,AL 11WT 'ffik„11 peFin anent oi•i comrsslete INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall ktspections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains :3 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewet Line Roof Final Water Supply Line UK; Electrical Service Conduit Swimming Pools; Storm Drain Catch Basin Location I Rebar 1 Bonding).Light DO NOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undetfloo Illnderslab Inspection: Final Pool LIF Waste Plumbing LIF Water Fire Protection Equipment: LIF Mechanical LIG Pipe I_LIF Electrical Thrust Blocks LIF Framing Hydro Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hy&o Foundation Inspection: Temp Power Pole Setback/Footing—OK to Pour Electric Release LIFER Ground(Rebar/Copper) Gas Test Hardware 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 hspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware Hold-Dcwns ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo inspection: Final Electric Framing ILLI Final Plumbing Rough Electric 'Ce Final Mechanical WO" Rough Mechanical Rough Plumbing 1 Topout Final Building/Construction Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH 1p Stucco Scratch Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio I Deck: Footing Frame 1 Light NOTICE TO OWNER:Call for FINAL INSPECTION on every job. i h This permit will expire if work is suspended or abandoned for a Patio Final period of 180 days.