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2013-28032 12-3-2013 3321 Paisley St Replace Siding BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT ,.! ti*,-, ' , City of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 ,; Counter Phone (909)364-2780 Permit24-Hour Inspection Line (909)364-2790 eta (NOTE:You must call before 3p.m.for a next business day inspection) t�� a BuildingCity Hall Main Number (909)364-2600 _... NOTICE: PERMIT LL AND VOIDIF WORK IS PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE F ISSUANCE, IF WORK IS I i BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF IS IN I I ANY CITY OR STATEOR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTIONPROJECT No. PERMIT No. REMOVE AND REPLACE(E)SIDING 2013-28032 35653 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3321 PAISLEY ST 12/3/2013 Heredia,Monica _.. APN TRACTP. TYPE MAP# LOT FLOORS/UNITS PROJECT PERMITS i 101753144 TR 9230 165 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $5,000.00 0.00, Current Owners: Fees Name:MICHAEL ELDER ��� �,�,t,ti,:4���a,:. �����F��������n.m: .a,....,,_ 2..� ..� , Fee Group/ Fee Description Fee Amount Payments Address: 3321 PAISLEY ST CHINO HILLS CA 91709 Transaction Type Ph: 909-597-8595 �a,�. .,, :<: .,. aN�:n ,s,zv,� ,: .Y,,.. •....,,u aa,u> .,.•, .„ .:3m„:., r,. v. .,a.�„.a::�.����a, Addition/Remodel $262.09 Email: M@CH.ORG Contractor. NILS SUNDBERG B001 Permit Issuance Fee $56.00 56.00 Address: 211 E.25TH ST UPLAND CA 91784 B39-B53 Residential Structural Fee $89.75 89.75 Ph: 951-312-9112 Email: M@CH.ORG 8003 Residential.Plan Check Fee $58.34 58.34 Lrc.Information35TT85 Exp.Date:5/31/2015 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION SB1473 $1.00 1.00 I hereby affirm under penalty of perjury that I am licensed under provisio s of Chapter 9(commencing with Sec.7000)of Division 3 of the Business and Professions Code,a my license is in full force and Business License SB $1.00 1.00 effect. In securing this permit I am acting with the knowledge of and o behalf f the owner of the property. ,, OL-Business License Yearly $56.00 56.00 _ _ a ;, (\ / Date: /-22 Contractor: ill— - .' .- TOTAL FEES $262.09 L y a ti• r'f. 117/ AMOUNT PAID $262.09 - — OWNER-BUILDER DECLARATION BALANCE DUE $0.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 Contractors 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: ,,, /G I have and will maintain a certificate of consent to self-insure for workers'compensation,as I certify that I have read this application acrid state th t 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,,4tateflaws r I ting to building construction,and hereby authorize issued. •,.r• representatives of this city to enter u 6n the�aboventioned proptery for inspection purposes. , . -, .7 i / I have and will maintain workers'compensation insurance,as required by Section 3700 of the /� / Labor Code,for the performance of the work f r which this permit is issued. My workers compensation1 / insurance carver and policy number are: � / ��� 4 N, ' 0 (i L/ k Carrier: '' '-`,"''''‘A--1---' Policy A)PLICANT SIGNATURE DATE Applicant: NILS SUNDBERG 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 subjec)to the workers compensation laws of California,and Address: 211 E.25TH ST UPLAND CA 91784 agree that if I should become subject to the wti ers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thgs proviions. I Ph: 951-312-9112 Email: M@CH.ORG ---? i( / i Lic.Information357785 Exp.Date:5/31/2015 _[ate: \'2"-/ , /3 m. '',, Applicant:: 1 / i ,,.a.-, ' l'_,./, _jam--,:.. �47 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 workers 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. CIT OF CHINO HILLS COM MUNITYDEVELOPMENT—BUILDING 11,. SAFETY DIVISION Cian;909Ji 364-2700 Elpairoce 3:00!RAIL Iffif rifirapatt;'40 Post in a safe, conspicuous-place•affront of job,. Provide permit number when calling for inspection. Have approved plans-on.job at time of inspection. PIO'UVOi Fifi.f,SHALL_BE COVE RED 36111H T ri wisp E 14 5i File this permit with your permanent records wheajob is complete. P E CM:CM F C;C:FidD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradiag: Block Wall Pregrade-Meeting Footing,-Rebar Rough Grade 1 1_11-t-Bond Beam Terraces 2r4 Lift Bord Beam Sub Drains 3Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRocri: Tear-off,Existing Conditions Undagromd Ste Sheath Nailing Building Sewer Line Roof Final Water Supply Line LIIG Electrical Service Conduit Sw .11,,onirig Pools: Storm Drain./Catch Basin Location Rebar Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED ,Gas Test Gr Conduit Va-iy Ro Elect Compaction,moisture,conditioning,etc. POOL NOTTO BE FILLED UNTIL-FENCINGIS COMPLETE Fence,Gate&Alarm UndefkKorill slab kv31 Final Pool UF Waste Plumbing UIF.Water Fire Itotecticwo Equl UF Mechanical UG-Pipe UF Electrical Thrust Blocks UT Framing Hydro UF Insulation Flush Subfloor Weld Outlet ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyo Foundaim lu s-ctioru: T- Po Pole Setback,/Footing—OK to Pour Electric UFER Ground(Rebar/Copper) Gas Tt Hardweref Hold-Dowra Piers/Caissons!Tendons FmAL 1115pfcTio HS Slab Grade.—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Skew- Planning_Dept..(364-2752) Roof Nailing Public Works (364-277.1) Exterior Walls -Fire (3932388). Interior Walls 'Landecape (364 .2766) Hardwwe Hold-Downs ALL ABOVE MUST BE APPROVER BEFORE FINAL BLDG. Final Grade- Ccwrbo i,!‘imclicre Final'Electric Framing Final.Plumbing Rough Electric. Final Mechanical Rough Mechanical Final Building/Construction 4 ii Rough Plumbing Topout Water Meter.Number COVER NO UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Iroulotim OK TO ISSUE 111 all bctim: Interior OTIHEII, (tliW Exterior 3 EXT LATH Stucco Scratch MlsII us ktsrdir Fi-eplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICETOOWNER:Call for FINAL INSPECTION on Access/Light Swich This pe l 1,,,TL will eq.)."uf u is for Patio Final period of,180 1: � .. . , . , . . ASSOCIATED _NSPECTION AND li ES T ii'IG, [NC. 6 11 , ., IIP—'7' KIDGEVIEW AVENUE , , ) MIRA LaVIA, CA 9 1 7 52 (95 1 ) 6* 1-1 007 0 CELL (7 14) :35 -74QO 0 FAX (95 1 ) 68 1-930 9 i _.,.. , 2/ , , Email: cwi87'1 @yahoo.com . Website: vvww.southerncalinspections.com Covering Work Performed Which Required Approval By This Special inspection of: 1 0 NOT Inspector 0 Welding 0 Technician-Field Bldg Permit Na',--,:: ,... 0 Reinforced Concrete 0 Bolting 0 Batch Plant-Concrete i 0 Post-Tensioned Concrete 0 Fireproofing 0 VVeiding inspector Feb. Job No. 0 Reinforced Masonry nEpoxy injection/Anchors 0 0.1)allity Co nitro PO No. 0 Structural Steel Assembly 0 Shotcrete/Gunite 0 Other I • • • 1 Jurisdiction,„ — 11 Client ,1__F-Arff, ,. , , --- Job Naine ',,- '. ,, ,,,'., ,q , ,` «„_76-_,-)neirsq 0 a nt rqr i',.or----zs- k -- „ ._, _, ,,., -,., 1 Job Address -.„),..?,'„,';,,/ \s;, ,,i,../. , „:::, c',, ,, ,A --,------ ,('Diubcov-fit' --=, , .--- 2_ _ _________ ---,': - ----- Arc h i te ct _ vv,,,,,,t,,,, - -- E n g i n e e r 7 REPORTING REQUIREMENTS:Only one permit num berreported per sheet identify type ofwork,item and specific area inspected(floor,gridlines,efcl identify all joints when inspecting welds and bolts identify accepted/rejected work,by item and specific location,record all job problems and DISCUSSIONS with contractor,architect,Engineer,etc,:record amount of material placed and samples taken:write certification of work,referencing applied code,specifications,and approved plans and/or shop drawings, - ---- -- --- SUMMARY OF WORK INSPECTED --- ' -------4 „„„ _ --;.„,.„,,,i i, "0,-',...)k--,''',11 ''''', .'' ' ,, '''l' '',,,A ,),',, - ,,::' r ' i;_ ,--,t;-- / ,''::',1,A`1.:,, ',:-.1'1,,,,f,' ,,---, l';,' '',',/ .----'- ",,,,'1(1,1-:, '',' ''''---; ,,' ,,,‘,_, ,-,,,-.---• '7', \, /- , ' ,, ', '',. ---a„ -7,-----Ts.,--- -------'----T------- ----------T-- ,,' ,---- ir --:=------ — ----- „ , i; „ ,, ,'.- '',\•' , P t,, ,/ ,, , 1 ''' ? ____3--' ' '' ----6;—_-6--'”:''_—_--62-4 — ' ;„___.. ,..—,- i_—__L-:_---'—'—,---',--- -'-±:=---:------(:------------:-a------ ":-- 'i,,- — ---—--:--------,---------,------ -------- ,6, ----------------- — - --I ,-'2.;-- , , -'...,', e' `,-; .• ,-.,-- , _.-',i',,,h ' , ' 1 —-- I ---- --- . --- - - - — ----—- ---- --- - - ----- --_-_-- —_---- ___________ ---- — ----- • —a -——- __ --______________________-___ --- _ --Fl\AE --A h\iiE REG. .. NI nUT HOLiRS Certification of Cor ,pliance: To the best of my knowledge, all of the reporte,d r - - - __ _—I,,------- 1 work, unless otherwise noted, is in comformance with the approval plans, I Oetifications, and aliplicable sections of the governinIg building laws. Al inspections based on a minimum of 4,i hours. Over 4 hours=8 houis minimum. Sig lipftl re._6'Special Insoectoi inspections extending'past noon I , 1 I , b e Ch,airgPd 23 Ein 8 im hour minum. /__ _,:.,f,n ,/ .........__,,_ ___..... ,---, .„::„...,______ ,,,,._, — - I Approved Ei,): Please Print klame Certification Iqumber ---,---------------- - , Projeci:Superintendeni Registered with the City of: ------ , Representing i WHFTE - — • NH ' YELLOVV- OFF110E 0 PINK- iLiks,b1-,,SPLECTOR