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Permit No. 2004-1841 i / `-` �. �� • BUILDING DIVISION OF COMMU•DEVELOPMENT DEPARTMENT .,,...4:::7.41: 2001 Grand Avenue,Chino Hills,CA 91709 ..i;,•�r.. City of Chino Hills Counter Phone (909)364-2780 "''' 24-Hour Inspection Line (909)364-2790 Building Permit (NOTE You must call before 3p m for a next business day inspection) "�`'` ,l City Hall Main Number (909)364-2600 cNrti,,p cnno RA-; NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED PLEASE USE PERMIT NUMBER WITHIN 180 DAYS FROM DATE OF ISSUANCE, OR IF WORK IS SUSPENDED AT ANY BELOW WHEN MAKING TIME FOR MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY INQUIRIES OR REQUESTING ' OR STATE LAWS RELATING THERETO INSPECTIONS PROJECT DESCRIPTIONPERMIT No RE-ROOF, REMOVE EXISTING TILE TO INSTALL NEW FELT AND RE-INS I 2004-1841 0 BUILDING ADDRESS APT/UNIT No ISSUED DATEED BY 3062 OAKCREEK RD 12/03/2004 I ISSUED APNPARCEL MAP# TRACT LOT/PARCEL BLOCK TYPE ZONE OCC LAND USE 1031-321-29 11566 ITR 12625 I 332 1321 I CONST V-N I UN I R-3 I Residential CENSUS CODES OVERLAY DIST BLDG SOFT P TYPE PROJECT PERMITS SETBACK FY SETBACK RY SETBACK SSY SETBACK SY 999 I FR1 I 0 Oth 13L FEES Description Calc Paid I w ADNOFF, GABRIEL J Structural $86 40 $86 40 3 3062 OAKCREEK RD Issuance/Suppl F $29 00 $29 00 CHINO HILLS, CA 91709 Total Paid 12/3/2004 $115 40 I. HULL & SONS ROOFING INC 8960 JURUPA Grand Total $115 40 $115 40 RIVERSIDE, CA 92509 w 0 909-685-9499 0 I- Contr Lic 554747 O Expiration 7/31/2005 License Type C39 Workers Comp 285-0002348 Expiration 1/1/2005 Bus License 05-08067 Expiration 9/30/2005 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 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 the , behalf of the owner/of the property /' Date / ( f�C 7-o v Contractor //4/1 (( c Savi j i PROJECT DESCRIPTION OWNER-BUILDER DECLARATION RE-ROOF, REMOVE EXISTING TILE TO INSTAL O I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for L NEW FELT AND RE-INSTALL EXISTING the following reason(Sec 7031 5 Business and Professional Code Any city or county which TILE 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 i exempt there from and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500) 0 I,as owner of the property,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 improvements is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale) 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct PROJECT INFORMATION 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 I Desc I Location I Sq Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) I REROOF OTHER 2100 $4,200 00 O I am Exempt under Article 3 of the Business and Professions Code II IDate Owner WORKERS COMPENSATION DECLARATION 1 I hereby affirm under penalty of perjury one of the following declarations O I have and will maintain a certificate of consent to self-insure for workers' compensation, as 1 provided for by Section 3700 of the Labor Code,for the performance of the work for which this Total Valuation $4,200 00 permit is issued I certify that I have read this application and state that the above information ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the is correct I agree to comply with all city and county ordinances and state Labor Code,for the performance of the work for which this permit is issued laws relating to building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes //1 / iv—) any person in any manner so as to become subject to the worker's compensation laws of //, // —°L1 °L( California,and agree that if I should become subject to the workers compensation provisions X qld!'/ 3 1 of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLIC NT NATURE �----- DATE APPLICANT INFORMATION HULL & SONS ROOFING INC / 8960 JURUPA /✓ Date l J ^v `( Applicant Ce:;10( /7 I RIVERSIDE, CA 92509 909-685-9499 WARNING Failure to secure worker's compensation coverage is unlawful,and shall subject an employer to cnminal penalties and civil fines up to one hundred thousand dollars($100,000),in I certify that the use of this facility shall comply with sections 25505,25533, addition to the cost of compensation,damages as provided for in Section 3706 of the Labor Code, and 25534 of the Health and Safety Code,which regulate the storage, interest,and attorney's fees handling and use of hazardous matenals • CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING &SAFETY DIVISION Call (909)364-2790 before 3.00 p m.for next day inspection Post in a safe, conspicuous place at front of job Provide permit number when calling for inspection Have approved plans on job at time of inspection NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permit with your permanent records when job is complete INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading Block Wall Inspections Pregrade Meeting Footing, Rebar Rough Grade 15'Lift Bond Beam Terraces 2"d Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof Tear-off, Existing Conditions Underground Site Inspections Sheath Nailing Building Sewer Line Roof Final Water Supply Line cT`� U/G Electrical Service Conduit Swimming Pools. Storm Drain/Catch Basin Location/Rebar/Bonding/Light DO NOT BACKFILL 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 Underfloor/Underslab Inspection Final Pool U/F Waste Plumbing U/F 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 lnsp ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection Temp Power Pole Setback/Footing—OK to Pour Electric Release UFER 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 Inspection(Wood) Planning Dept (364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3888) 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 Plumbing/Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection. OTHER Interior Exterior EXT LATH Stucco Scratch Miscellaneous Inspections. Masonry Fireplace Plate Ties, Fire Block Patio/Deck. Footing Frame Access/Light/Switch NOTICE TO OWNER Call for FINAL INSPECTION on every job This permit will expire if work is suspended or abandoned for a period of Patio Final 180 days