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2014-28824 6-5-2014 3321 Paisley St Porch hahA$lf: {} s. 4..maBUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT ty of i s y{ ® Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 ' Permit24-Hour Inspection Line (909)364-2790 { -.. Building (NOTE:You must call before 3p.m.for a next business day inspection) ,F�'��'��e ���� `�\ ' �� 1� f1, City Hall Main Number (909)364-2600 ���;1 �_ NOTICE: THIS I NULL AND VOIDIF IS I PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF T ANY TIMEBELOW WHEN MAKING INQUIRIES THAN IF IS IN I TI CITY OR REQUESTING INSPECTIONS RELATING e — PROJECT DESCRIPTION PROJECT No. PERMIT No. ADD FRONT PORCH TO(E)SFD-66 SF 2014-28824 BUILDING ADDRESS APT./UNIT NO. -ISSUED DATE ISSUED BY 6/5/2014 b," Whiteman,Rosemary 3321 PAISLEY ST __ APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS 3 P.TYPE 0 65 / 1 101753144 TR 923 - CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB i R-3 $2,000.00 0.00 66.00 Current Owners: Fees Name:MICHAEL ELDER �,�vY�<�,.ti.,rt: s,,.,�..����,� ,�r� Fee Group/ Fee Description Fee Amount Payments Address: 3321 PAISLEY ST CHINO HILLS CA 91709 Transaction Type Ph: 909-597-8595x,,.,,,. _.,.......... .,._._„ ...-... Addition/Remodel $150.31 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) $0.50 0.50 Ph: 951-312-9112 Email: M@CH.ORG Exp.Date:5/31/2015 B39-B53 Residential Structural Fee $56.25 56.25 Lic.Information357785 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION B003 Residential Plan Check Fee $36.56 36.56 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 SB1473 $1.00 1.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. TOTAL FEES $15 .31 _ �� ' `-= ,, X150.31 Date: , _ ? ....r.:._._ , `� AMOUNT PAID�,` ,s-Contractor, ..,.� .� (_,- BALANCE DUE $0.00 OWNER-BUILDER DECLARATION 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 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 I 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 Contractor's License Law does not apply to an owner of properly 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. i Date: 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 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 psuedl representatives of this city to enter upon the above-menti;bned proptery for inspection purposes. r f 1. 9 „ n /� 1 �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 A" insurance carrier and policy number are: jtii h 4 • S .nom EJ .4 � I, Carrier: `'�`° 4-2 �� Policy APPU ANT SIGNATURE..i' y„• y '�r µ\°,. DATEC.,,,,,,-), ` i r- � ' 0._.m -' Applicant: JIM SORENSON f I certify that in the performance of the work for which this permit is issued,I shall not employ any P erson 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 Ph: 909-981-1606 Email: M@CH.ORG with those provisions.._::._ q� ,r � Labor Code, shall forthwith comply � '� - Lic.Information Exp.Date: ,. ,", �. :_.)Applicant:),�'' f I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and ,,—, ,,;ry t¢ , � �� `,:.:m- Safety Code,which regulate the storage,handling and use of hazardous materials tf,WARNING: F ilure to secure worker's compensation coverage is unlawful,and shall subject an employert4 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 & SAFETY DIVISION 364-27:91:1:[Ipaikfics, ,Cor ri5ISEPaCjil0 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. HO'ATP SICAIL LBEC OVE RED\MTH Cti T 11 EMSP ECTll File this pei-mit with your permanent records when job is complete, E CT DO C RID INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall km3E:mi. Pregrade Meeting Footing,Rebar Rough Grade 151 Lift Bond Beam Terraces 2rd Lift Bord Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions UndaTromd Site I 4"11 di Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit Sw P-1k3: Storm Drain I Catch Basin Location I Rebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Vffily&3i Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underfkmal -4-slab km - Final Pool UF Waste Plumbing UF Water Fire1.-t-otedim Equi* UF UF 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 Hyrko Foundation 14-1- P Pok Setback/Footing—OK to Pour Electric -- UFER Ground(Rebar/Copper) Gas Haretwere Hold-Downs PiersiCaissonsf 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) Shea-km ion(Wuxi): Planning Dept.(364-2752) , Roof Nailing : Public Works (364-2774) Exterior Walls t, S5 Fire (393-3388) Interior Walls S Landscape (364-2766) Harelwere Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade • 10- IMEtiCE: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Ij; Rough Plumbing Topout , Water Meter Number COVER NO / .0 RK.UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY hmulatim OK TO ISSUE D . iII kimdim: OTHER: Interior Exterior EXT LATH Stucco Scratch kmimdi M "place Plate Ties,Fire Block Patio Deck: Footing / Frame NM, AccI Light Swtch NOTICE TO OWNER:Call fa-FINAL INSPECTION on e. S job ess Thus will em- - if S s 4-11- d or aboub -;-•for a Patio Final imrbd of UM(1.1