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2014-28547 6-4-2014 2077 Oak Canyon Ln Room Conversion City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT , , 14000 City Center Dr.,Chino Hills,CA91709 .' . 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) '" ',,77r. '; •,- City Hall Main Number (909)364-2600 ;t1slim, — 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. I _ _,........ .._...... .......... --- ---- --- -------___ — PROJECT DESCRIPTION PROJECT No. PERMIT No. CONVERTING(E)UNFINISHED SPACE INTO DUAL MASTER WALK-IN CLOSETS AND MASTER BATH.(602 SF) 2014-28547 36171 --- BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 2077 OAK CANYON LN 6/4/2014 Whiteman,Rosemary APN TRACT MAP# LOT .FLOORS/UNITS PROJECT PERMITS P.TYPE 103106109 TR1D379-1 42 2/ _ CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB PD R-3 $65,000.00 0.00 602.00 Current Owners: Fees Name:GLENN SEKINS- Fee Group/ Fee Description Fee Amount Payments Address: 2077 OAK CANYON LN CHINO HILLS,CA 91709 Transaction Type Ph: 909-606-1613 Addition/Remodel $1,516.11 Email: Contractor OWNER BUILDER-OWNER/BUILDER B001 Permit Issuance Fee $56.00 56.00 Address: N/A CHINO HILLS CA 91709 B005 Strong Motion Instrumentation(Res) $6.50 6.50 Ph: N/A Email: B39-B53 Residential Structural Fee $653.40 653.40 Lic.Information Exp.Date: . ; LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION B003 Residential Plan Check Fee $424.71 424.71 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 B076 Electrical SF Residential $72,24 72.24 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. 8110 FAU/A-C=<100,000BTU $22.25 22.25 Date: Contractor: B124 Vent Fan $11.00 11.00 B136 Plumbing Fixture $66.25 66.25 OWNER-BUILDER DECLARATION \\ B137 Building Sewer New/Repair $33.50 33.50 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 B143 Water Piping System New/Repair $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 $3.00 3.00 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 $160.56 160.56 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: TOTAL FEES $1,516.11 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 AMOUNT $ improvements are not intended or offered for sale. If however,the building or improvement is sold within ! PAID 1,516.11 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). BALANCE DUE $0.00 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:i'-' ' . 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 II 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. representatives 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 '-' / ''''' /,--1 Labor Code,for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: 4I \-)r Carrier: Policy APPLICANT SIGNATURE DATE #: . ... Applicant GLENN SEKINS 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: 2077 OAK CANYON LN CHINO HILLS CA 91709 agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Ph: 714-225-6792 Email: GSEKINS@AOLCOM ... Lic.Information Exp.Date: Date: Applicant: 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. ................. CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING 8, SAFETY DIVISION Cll 9O91 304-27213 lipairove 3:00 pnEilfor hispeiGitio Post in a safe, conspicuous place at front 01011 Provide permit number when callinu for inspection. Have approved plans on job at time of inspection. RO'ENO SHI-ALL BE COVERED MTH OU IIDISPECIR File this peirnit with your petmanent records when job is complete. li'',,IF-,,PECTril-)11,41 !RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gracing: Block Wall kolmcti I Pregrade Meeting Footing,Rebar Rough Grade 15iLift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3n1Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undo-gram-id Site I Sheath Nailing Building Sewer Line Roof Final Water Supply Line UfG Electrical Service Conduit Sve "ry PcKok3: Storm Drain Catch Basin Location 1 Rebar 1 Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engi ng: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UndaficKpriU - lab km Final Pool USF Waste Plumbing UF Water Fire Itotecticel Equi LIF Mechanical UG Pipe U Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycio Foundation dicwk: 11 Pe. 74. Pok Setback!Footing—OK to Pour Electric Pe 34-7 UFER Ground(Rebar/Copper) Gas TelA Harckveref Hold-Downs Piers/Caissonsi Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Heatth Dept. (391-7570) Shea Irmo- ion WocA): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364-2766) HardwR e Hold-Downs ) ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C Final Electric Framing Final Plumbing Rough Electric ,L A 4 /\ 1 V V\ Final Mechanical ml Rough Mechanical ) , Final Building/Construction Rough Plumbing ITopout Water Meter Number COVER NO . *RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY huIation '1,--/AL7 - OK TO ISSUE ) 140 all b-mr.cticmi: („, OTHER: Interior I Exterior ) EXT LATH - -- Stucco Scratch 7Msll -'us ,1 7), - kmimcti -cr. FE-eplace ) , _/„ Plate Ties,Fire Block Patio Deck: Footing Frame Access/Light,'"SWich NOTICE TO OWNER:Call fcw FINAL INSPECTION on e Th'im •." will evi-e t k3s - -d or abEmicb for a Patio Final imrbd of 180