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2018-37170 7-23-2018 3062 OAKCREEK BATH REMODEL City"--'1 )4\\ of Chino Hills I Is _DING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 . Building Permit ���,�'`` 24-Hour Inspection Line (909)364-2790 """`^ (NOTE:You must call before 3p.m.for a next business day inspection) 4 City Hall Main Number (909)364-2600 I,.no 11I 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. BATHROOM REMODEL-REPLACE PLUMBING FIXTURES LIKE FOR LIKE AND(N)RECESSED LIGHTING&GFIS. 2018-37170 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3062 OAKCREEK RD 7/23/2018 Freeman,Nicole APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103132129 TR12625 332 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB PD R-3 $5,200.00 0.00 Current Owners: Fees Name:GABRIEL&NADINE ADNOFF Fee Group/ Fee Description Fee Amount Payments Address: 3062 OAKCREEK RD. CHINO HILLS CA 91709 Transaction Type Ph: 111-111-1111 Bathroom Remodel $510.30 Email: M@CH.ORG Contractor: EXCEL CONSTRUCTION L A INC-EXCEL CONSTRUCTION L A INC 21 Bathroom Remodel Permit w/energy $356.51 356.51 Address: 7100 VAN NUYS BOULEVARD SUITE 202 VAN NUYS CA 91405 21 Bathroom Remodel Plan Check with Energy $152.79 152.79 Ph: 818-666-1955 Email: M@CH.ORG Lic.Information998499 Exp.Date:11/30/2018 5131473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $510.30 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 $510.30 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:' -.- )`� 1 Contractor: /:',`.d- � �L �.� 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: r5 I `' ti..„/ 3 ,, Carrier: '° ; l 9�"'�P�`d PA'..C-U ' ''i.c- Policy APPLICANT SIGNATURE AAI:A '1" DATE '' Applicant: MAYAN SNIR 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: 18620 HATTERAS ST#212 TARZANA CA 91356 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: 818-620-4237 Email: MAYANSNIR@GMAIL.COM 7-7 Date:- ,;:,,-.. I L., Lic.Information Exp.Date: Applicant:: ,. '', .-- f'L.-'...-r,,,,-- 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. El ILLS '\\w.•0 P E g 31s1N 9 R,,,r"",",VEE .......... ...�! $ £„_ d:. S#tom \ '4,,,,p I k 3 N , a364-27V A l 't3:00 pan. oro day meco' .,.,, �\,,,. a t ,,,,Z+„”;,,,� 4„§ � �„”�' e !� ��\<..,, „„ $.,.5 ,M front ... ,�-„ Provide ,.,.,,� \".,R ;,,,� P � � ,,,n� �•-,.,,.;" ,.., \ E t C k,•.�"., \,�., ,^t \.,,,,, "'4 \\.,, live ,..��,,� \��� €a z z N + pp a ;3g ky k r 3 d a g q a Limb a a' ,,,a I� a;.., y�..;,z t v x a,s s ,.i• ,,,a i r ..,,,.,�,M d� .,a�•\..,�„� �,.,• �.�.,,���"„�•\„F.."�.,,��,,,�,„3•\.,,. �••,,.��v.,,•\,.,f .,,d�, ,,,,��e,", .,, �`" a,.,��..,,�,", �\.,.",,, $@�€Z,,a�„,���F N�,.F,,.a �.,,"31 N�� � ?,,.� ���.,Nk P �,.�, �„a C �,�\i # .� $��• ��£ �; �����:,,•�� ,:� ���, � �', ��\..�..,�.,�� �s �� oma�.."���,_a��...�, � �:���;`:w, �.��"'�I�:�.. ��':: „\\W,, RK SH AL E COVERED WIT,,., � " .,,,,\ ,\ \ �Ceen '§$$`'t¢�pp $$�ry3.`g y@ \ a N,i 3 �,,,,U \gym, a.:,,`�,,,,,� i `1.".� F ?is :a k,�""rim S i \a ICY P S\x,�\ k k. e \ ..t�• ".T\gym' C Y ". ,..` N�w�A4-1 a j1:)\\” 3 y OMPi et x INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gra dnU: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1 Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3m Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building'Sa er Line Roof Final Water Supply Line U Electrical Service Conduit Swinning Pools: Storm Drain I Catch Basin Location I Rebar I Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils EnginrnU: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderfloorItInderslab i tion: Final Pool UFF Waste Plumbing UaF Water Fire Protection Equipment: USF Mechanical UG Pipe UFF Electrical Thrust Blocks OF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPE TION Overhead Hyco Foundation Inspection: Temp Power Pole Setback/Footing—OK to Pour Electric Release LIF ER Ground(Rebar/Copper) Gas Tit Hardware/Hold-Downs Piers/Caissons/Tendons FILIAL 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 kispec tine(Wood); Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3368) Interior Walls Landscape (364-2766) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo i pe ion: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction /,t_1( D*71-. • Rough Plumbing/Topout ��3 '& Water Meter Number f COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY K TO ISSUE Drywall bispect.ion: OTHER: Interior Exterior <1016E MC-A— 4AC) EXT LATH 5L—A./. . 04-11 Stucco Scratch F., !PALED • --- Miscellaneous Inspections: Malo Fieplace Plate Ties,Fire Block N I Patio I Deck: Footing Frame access Light Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on everyjob. This pemiit ill expire if work is suspended or abandoned for a Patio Final period of 180 cIa . 5 PN/ta.ty,-)al '...\. ......„. e.....wA ",„f..j. 04. ' D ,itez -- L -,— tevazi 0 f\I ,,,-Y.Th,:--).i!io.,,,---_-,,Aly, ,/,:,,, ;,, _,; ,; ..r,„,- ,• ':-_,, f,) H,-,p,,, ,; ,,,, .............. 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