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Permit No. 2006-0222 / ,',,` IP BUILDING DIVISION OF CO DEVELOPMENT DEPARTMENT .e i�� City of Chino Hills 2001 Grand Counter Phone venue,Chino Hills,C(909)709 364-2780 -j•o f. � ~� "` / 24-Hour Inspection Line (909)364-2790 t Building Permit �-;:. (NOTE You must call before 3p m for a next business day inspection) City Hall Main Number (909)364-2600 Mi^ d�1�o :V 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 DESCRIPTION I PERMIT No TEAR OFF EXISTING COMP, INSTALL 30 LB FELT AND 30 YR ELK SH I 2006-0222 0 DATE BUILDING 3352ADDRESS PAISLEY ST 0 I APT/UNIT No ISSUED 02/22/2006 I ISSUED CFRUCT ' APNPARCEL MAP# I TRACT LOT/PARCEL BLOCK CONST TYPE ZONE OCC LAND USE 1017-531-38 I ITR 9230 71 I V-N I UN R-3 I Residential CENSSUUS CODES I 9 OFR OVERLAY DIST I OBLDG SOFT IOtT PE 13L PROJECT PERMITS 'SETBACK FY SETBACK RY I SETBACK SSY I SETBACK SY 9FEES Description Calc Paid w CIRA, ROBERT G - Structural $108 00 $108 00 ' 5• 3352 PAISLEY ST Issuance/Suppl F $29 00 $29 00 CHINO HILLS, CA 91709 Total Paid 2/22/2006 $137 00 IN-LINE ROOFING 1271 N WILLIAMETTE DR Grand Total $137 00 $137 00 ANAHEIM, CA 92807 ct o 714-693-7555 U • Contr Lic 770535 O Expiration 10/31/2007 U License Type C39 Workers Comp EXEMPT Expiration 11/1/2003 Bus License NEW Expiration 4/30/2006 I 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 f ce and effect In securing this permit I am acting with the knowledge of and on the behalf of the o er of the property iN Date Z Z- ZZ-O C.., Contractor 6 / ) , PROJECT DESCRIPTION I OWNER-BUILDER DECLARATIr��{ TEAR OFF EXISTING COMP, INSTALL 30 LB CII hereby affirm under penalty of perjury that I am exempt fr the Contractors License Law for FELT AND 30 YR ELK SHINGLES the following reason(Sec 7031 5 Business and Professional Code Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor 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 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) ❑ 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) i 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 Desc I Location I Sq Foot I Valuation projects with a contractor(s)licensed pursuant to the Contractors License Law) REROOF 000000000 3100 $6,200 00 ❑ I am Exempt under Article 3 of the Business and Professions Code . Date Owner 1 WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations 0 I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Total Valuation $6,2 00 00 permit is issued I certify that I have read this a cation and state that the above information )' -,- Llt have and will maintain workers' compensation insurance, as required by Section 3700 the is correct I agree to comp! wi 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 con ruc n,and hereby authonze representatives of this co my to enter on th above-mentioned property for inspection O I certify that in the performance of the work for which this permit is issued,I shall not employ purpo s / / /) any person in any manner so as to become subject to the worker's compensation laws of J/ x (�/ /�/ California,and agree that if I should become subject to the worker's compensation provisions /v of Section 3700 of the Labor Code,I shall forthwith comply with those provisions APPLICANTSIiATURE DATE APPLICANT INFORMf{fION IN-LINE ROOFING 1271 N WILLIAMETTE DR I ANAHEIM, CA 92807 --Date 2 Z`6 Applicant 714-693-7555 WAR ING Failure to secure worker's compensation coverage -unlawful,and shall subject an employer to criminal 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 materials • 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 16'Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3`d Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof �� Tear-off, Existing Conditions G;� Underground Site Inspections Sheath Nailing Building Sewer Line Roof Final )/St / 7, Water Supply Line 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 CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection OTHER Interior Aq Exterior ��—GG �p /HCr`J�-�S be),Q, EXT LATH "T711P1 C 1)S 2jy14- (Pk Stucco Scratch (S, �AnIpQ - Door- koce kvy) v a 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