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2017-35202 8-11-2017 2670 HACKBERRY TILE RESET .fC'ty of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT l 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 E 411.1 BuildingPermit /:/ri(-22 \ 24-Hour Inspection Line (909)364-2790 `} , ;-' r (NOTE:You must call before 3p.m.for a next business day inspection) I, ir:Il. 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, REPLACE PAPER AND RELAY EXISTING TILE. e 2017-35202 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE _ISSUED BY 2670 HACKBERRY CIn,Nicole 8!11/2017 ;Freema ,` APN -TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103128138 TR 13313 96 / CEIr1CUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter !VB PD R-3 $7,000.00 0.00 Current Owners: Fees Name:RODNEY MOORE Fee Group/ Fee Description Fee Amount Payments I Address: 2670 HACKBERRY CIRCLE CHINO HILLS CA 91709 Transaction Type Ph,: 3,10-780-1401 ' ' 1 1 II 1 , Re-Roof No Energy $312.00 Email: RKMOORE22@ATT.NET .. Contractor: OWNER BUILDER-OWNER/BUILDER 18 Re-Roof No Energy $311.00 • 311.00 Address` N/A CHINO HILLS CA 91709 SB1473 $1.00 1.00 Ph: NIA Email: .. E Date: TOTAL FEES $312.00 Lic.Information Exp. . LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID ... $312.00 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 BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the _ property. Date: Contractor: 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). ` las 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. Dater 1!t‘c=7 1_,,--) _--- _____________ Print Full Name: l t:.9,:.'s 4 --c-,,,, i,.. WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will certificateof consent to self-insure for workers compensation,as I certifythat I'have read this application and state that the above information maintain a 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 Carrier° Policy APPLICANT SIGNATURE DATE #: Applicant: RODNEY MOORE 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: 2670 HACKBERRY CIRCLE CHINO HILLS CA 91709 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Email: RKMOORE22 ATT.NET Labor Code,I shall forthwith comply with those provisions. Ph: 310-780-1401 Lic.Information Exp.Date: pp Date. ;I certifythat the user of this facility shall comply withsections 25506,25533 and 25534 of the Health and Applicant:: Safety Code,which regulate the storage,handling and use 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. is de i;p7,qi your t‘.Y.,r, (on 0E,qt,, :NSpE rt C r17) INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Precirade Meeting Footing,Rebar Rough Grade 'I 11Uft Bond Beam Terraces 2''Lift Bond Beam Sub Drains 3"1 Lift Bond Beam Finish Grading Drain it Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewe.Line Roof Final Water Supply Line UK; Electrical Service Conduit Swimming Pools: Storm Drain I Catch Basin Location/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 ISCOMPLETE Fence,Gate&Alarm UnderfloorfUnderslab Inspection: Final Pool U/F Waste Plumbing LIIF Water Fire Protection Equipment: LIF Mechanical UG Pipe U/F Electrical Thrust Blocks LIF Framing Hydro U/F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead HOT) Foundation Inspection: Tet Power Pole Setback Footing—OK to Pour Electric Releaw UF ER Ground(Rebar/Copper) Gas Test Hardo8re 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 kispection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3888) Interior Walls Landscape (364-2766) Hardware 1 Hold-Dovvro 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 Plumbing I Topout ------ — Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall hspection: OTHER: Expiring Permit Letter Interior Exterior EXT LATH - Stucco Scratch LB t 20 id Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Access.I Light Swtch This pemit will expire ii work is suspended Of abandoned for a Patio Final period of 100 days.