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2014-28410 4-22-2014 3321 Paisley St SF Addition & Remodel hk ,x3'Nt,ZN2 Y, BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 I Counter Phone (909)364-2780 Building24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) ,, , s r City Hall Main Number (909)364-2600 .....-. .. ..,. .. ...._.... .. ...... .,.,...... ..... NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS OT COMMENCED WITHI PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, IF IS TIME FOR BELOW WHEN MAKING INQUIRIES THAN IF IS I I OF ANY CITYSTATE OR REQUESTING INSPECTIONS RELATING T . PROJECT DESCRIPTION PROJECT No. PERMIT No. ADDITION TO REAR OF(E)SFD-689 SF TO INCLUDE NEW MASTER WALK IN CLOSET,NEW BATH&GREAT ROOM.89 SF KITCHEN&FAMILY ROOM 2014-28410 REMODEL. BUILDING ADDRESS APT./UNIT NO. ISSUED DATE,' ISSUED 3321 PAISLEY ST 4/22/2014 ,, 1 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS I P.TYPE 101753144 TR 9230 165 .1/ CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SOFT BLDG.SOFT 434 Res Add/Alter VB R-3 $84,000.00 0.00 689.00 Current Owners: Fees Name:MICHAEL ELDER �a u,,,w:,, „x.,sA w„�, g,r,a��,,,.,„ti y, �n,,,..mw,--.- Fee Group/ Fee Description Fee Amount Payments Address: 3321 PAISLEY ST CHINO HILLS CA 91709 Transaction Type Ph: 909-597-8595 224 Addition/Remodel $1,6 Email: M@CH.ORG Contractor. NILS SUNDBERG B001 Permit Issuance Fee $56.00 56.00 Address: 211 E.25TH ST UPLAND CA 91784 B005 Strong Motion Instrumentation(Res) $8.40 8.40 Ph: 951-312-9112 Email: M@CH.ORG Lie.Informatiorn357785 Exp.Date:5/31/2015 B003 Residential Plan Check Fee $500.79 500.79 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION B076 Electrical SF Residential $93.36 93.36 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 B110 FAU/A-C=<100,000BTU $22.25 22.25 effect. In securing this permit I am acting with the knowledge of and on behalf of the'owner ofithe property. , B124 Vent Fan $11.00 11.00 mm. Date: Contractor: 8136 Plumbing Fixture $39.75 39.75 B137 Building Sewer New/Repair $33.50 33.50 OWNER-BUILDER DECLARATION 8143 Water Piping System New/Repair $6.70 6.70 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 B150 Gas Pipe Syst-Up to 4 Outlets $6.70 6.70 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 SB1473 $4.00 4.00 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) DW-SFF $71.36 71.36 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: Misc Structural $758.43 758.43 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 TOTAL FEES $1,612.24 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). AMOUNT PAID $1,612.24 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 BALANCE DUE $0.00 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: r 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 r issued. I representatives of this city to enter upon the above-mentioned proptery for inspection purposes. r 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: t ! j 7-A____, ., .• arrier. _t _, ``f Policy APPLICANT SIGNATURE / ' ,- DATE �-'�q� 1 V ..< ,--._-__-. ry Applicant JIM SORENSON 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: 211 E 25TH STREET UPLAND CA 91784 ‘ 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: 909-981-1606 Email: M@CH.ORG /f . De: i� � � Lic.Information Exp.Date' fib,at -__ '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. CITV OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING 8, SAFETY DIVISION Cap i',909;,3113,4-270D figiirove 3:00 pm'irriibr ilDe7a.,I:113,,,,iiii iymeclifp Ell 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. ,,,!10 ZIPVIil:SH AL LLSE CO,‘,,FE RED 16,i9TH 0 U 7[I PISP ECTII Oil File this permit with your permanent records when job is complete. ii iil S F'E I El Co 11,,111 R Eri'::}0,RE:ii INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad": Block Wall koicti ii• Pregrade Meeting Footing,Rebar Rough Grade l'ILift Bond Beam Terraces 2rd Lift Bord Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergromd SI e F r,-dil , : Sheath Nailing Building Sewer Line Roof Final Water Supply Line UK Electrical Service Conduit 5. "Iv PCKik3: Storm Drain I Catch Basin Location I Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engi -1-;;.ing: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undo-Mont! •-,:- -lab to ;-. "I : Final Pool UF Waste Plumbing 'A „ ,,, \ UF Water '-‘4 1.0,--' L.P-14'.' Fire R-otellimi Equil '•-:- a U fF Mechanical ,, UG Pipe U F Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION , Overhead HOT Foundation b..,-.-•-dim: Taw Po--7:-. Pole Setback 1 Footing—OK to Pour '6 --) L, —`,,,,,,,,r1,,, Electric Rei,i 1-;, :,_. - , ,, --,, -- UFER Ground(Rebar/Copper) ,1'\';',) k' Gas T Hardwere/Hold-Dowre PierstCaissons 1 Tendons 12,Ie' , il'i;'''1,,'l FINAL INSPECTIONS Slab Grade—OK to Pour '.<CI/ ( ---17'fr NO OCCUPANCY PERMITTED WITHOUT FINAL ..__ DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shea to I...tion(WocKI): PlanningDept.(364-2752) Roof Nailing el Public Works (364-2774) Exterior Walls eLV:-.‘ rt Fire (3933388) Interior Walls ‘ Ve7\' ' A/N,/,1\ \'' Landscape (364-2766) Hardwere 1 Hold-Downs ,' \ ‘, \\,,,,, ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C.. too" .„imdi . -: ,,, AH,,i,,,,,• Final Electric , \' Framing JI, Final Plumbing \\'', t');' Rough Electric j"')Y1'/,'' (v1,1\ Final Mechanical . , Rough Mechanical „c4, v Final Building/Construction ,' Rough Plumbing 1 Topout Water Meter Number COVER NO.': .0.RK UNTIL ABOVE IS APPROVED tom VI 't; 'LI)01 6 0--Psi'LiC;(,:;) CERTIFICATE OF OCCUPANCY Iruldi OK TO ISSUE 1 - ,k,2:) D , all kolecticm: OTHER: Interior ... i : ' '- '',, r - -j, - ' :/..,iiii,/)---,.:-,/;),-)'d-- 4.;if,,,,i –/ ,,,4,4,: i Exterior 1) i EXT LATH '2ri 4 r” I-44Z ti ,{ Stucco Scratch — 4,,,' 41 /,1_,!,–\'ev‘A.!y,__-,,:,-) 4 — ',7 '0 q b \_. V,2.)& - -0' "Oren- rr, to kmilMetio Fteplace Plate Ties,Fire Block Patio I Deck: Footing Frame AccI Light 1 Swtch NOTICE TO OWNER:Call fa-FINAL INSPECTION on e- ess Th"re -.".will emte if : • "s 4-o•- . -d or abanb --I for a ' Patio Final reriod of 100 di i-:,'