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2019-38214 3-11-2019 15918 OAK CANYON RE-ROOFCity of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr., Chino Hills, CA91709 /7 �s 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 17ino FIill's 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. RE -ROOF. TILE RESET ONLY. 2019-38214 4' BUILDING ADDRESS APT. / UNIT NO. ISSUED DATE ISSUED BY 15918 OAK CANYON DR 3/11/2019 Larios, Sarah APN TRACT MAP# LOT FLOORS / UNITS PROJECT PERMITS P. TYPE 103134114 TR 12625 299 / CENCUS CODES CONST. TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG. SQFT 434—Res Add/Alter VB R-3 $9,000.00 0.00 Current Owners: Fees Name: JEFFREY H MONTOJO Fee Group / Fee Description Fee Amount Payments Address: 15918 OAK CANYON DR CHINO HILLS CA 91709 Transaction Type Ph: 951-790-6163 Re -Roof No Energy $287.00 Email: M@CH.ORG Contractor: T& G ROOFING COMPANY INC dba T& G ROOFING AND SOLAR ELECTRIC COMPANY 18 Re -Roof No Energy $286.00 286.00 - T & G ROOFING COMPANY INC Address: 153 NORTH 10TH AVE UPLAND CA 91786 SB1473 $1.00 1.00 Ph: 909-931-3204 Email: LYNNAE@TGROOFING.COM TOTAL FEES $287.00 Lic. Information583458 Exp. Date: 2/28/2021 AMOUNT PAID $287.00 LICENSED CONTRACTORS DECLARATION LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing BALANCE DUE $0.00 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: j Contractor: x' 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. representative.& -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,, L86or Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carder and policy number are: Carrier. Policy APPLICANT SLGIATJ.RE DATE Applicant: LYNNAE CLAEYS 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: 153 N TENTH AVE UPLAND CA 91786 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply yvith those provisiPh: 909-931-3204 Email: ons. Date: Applicant:: yy; •9 ; V WARNING: Failure to secure workers compeosatioA 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. LYNNAE@TGROOFING.COM Lic. Information Exp. Date: 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 INSPECTION Pregrade Meeting Rough? Grade Terraces Sub Drains Finish Grading Soils Certification Grading Certification Rough a \ \\ `\\�a��\ \\\�•,•� o�aea \\\�a;R \�o�:� �� �����\ \;nq�c \•�aa3 \���•,,.�� \\\A;\..", CRATE INSPECTOR UnderHroti d Site Irv3pectioirs: Building Sewer Line Water Supply Line UAB Electrical Service Conduit Storm Drain f Catch Basin DO HOT HACK FILL UNTIL ABOVE IS APPROVED Verify Soils Engineering: Compaction, moisture, conditioning, etc. tlnrlerfl ra(IJixier lab iisi)ecition: LIEF Waste P lu mbing LIEF Water UF Mechanical UfF Electrical LIEF Framing UF Insulation Subflocr ,SHOVE IS REQ UIRE LLQ P RIO R TO F OH H DATIOH I" P E TION Fotindaition Irtspe+tion: Setback f Footing — OK to Pour OF E R Ground (Reba0Copper) Hardware f Holl -C o rs. Piersaissons r Tendons Slab Grade — OK to Pour DO HOT PO UR, CO HCRET E H "TIL ABOVE I APPROV ECS lieair" tis[ tion (Vilooti): Roof Failing Exterior Walls Interior Walls Hardware f Hold -Downs Cornbo irsl ctioin: Framing Roughs Electric Bough? Mechanical Rough Plumbing f TopoLA OVER HO WO RX H HTIL ABOVE 1S APP ROVE D Ir ula�tion Drywall i l ction: Interior Exterior EXT LATH tlecotxaAteh Misila-rieortis t piectior : Masonry Fireplace, Plate Ties, Fire Block Patio f Deck: Forting Frame Access i Light f Switch Pain Final INSPECTION Block Wall tnspectror : Footing, Rebar 1 " Litt Bond Beam 2"' Litt Bond Beam 3"' Litt Bond Beam Drain f Seal CRATE INSPECTOR ReRoof: Tear -off, Existing Conditions Sheath? Flailing Roof Final i -ni n Pools: Location f Rebar f Bonding f Light Gas Test Gr Conduit Flo Elect POOL HOT TO H E FILLE D H "TIL F E"Cl HG IS COMPLETE Fence, Gate & Alarm Final Pool Fire Prote dtioti Eqt pn-k rpt: UG Pipe Thrust Blocks Hydro Flush Weld Outlet Insp . Overhead Hydro Terr ip Power Pole Electric Gas Test FINAL INSPECTIONS NO OCCU PA1' CY P E RMITTED ITHO HT FINAL County Environmental Healthy Dept. (391-7570) Planning Dept. (364-2752) Public Works (364-2774) Fire (393-3388) Landscape (364-2766) ALLABOVE MUST H E APPROVE D H E FO RE FI HAL BLD G. Final Grade Final Electric Final Plumbing Final Mechanical Final Bu it dingf Construction Water Meter Number CERTIFICATE OF OCCUPANCY OK TO ISSUE OTHER: ,� r u_, �•,_. �,.,,,,, ��� °may Ji .1 F NOTICE TO OWN E R: Call for FINAL INSPECTION on every job. This lisernttwill a ie if word, is stispeixied or abafficlor rl Batt a period of 180 days.