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2014-28164 1-16-2014 2597 Paseo Tortuga Window CO ke , !f tib ' -,,e, �, .. p('.. =� l BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPAR ..N ` 4*, City of Chino Hills e4, 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 ; Building Permit24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) . City Hall Main Number (909)364-2600 F',4,,t)",f40,, ,II„s NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS OT COMMENCED WITHI PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, IF WORK IS I BELOW WHEN MAKING INQUIRIES THAN 180 IF IS IN 1 TI ANY CITY OR STATEOR REQUESTING INSPECTIONS RELATING THERETO. - PROJECT DESCRIPTION PROJECT No. PERMIT No. WINDOW CHANGEOUT:REPLACE(18)WINDOWS 2014-28164 35787 BUILDING ADDRESS I APT./UNIT NO. ISSUED DATE ISSUED BY 2597 PASEO TORTUGA— 1/16/2014 Heredia,Monica APN 'TRACT MAP#............ ... .......... LOT....... FLOORS/UNITS PROJECT PER.... ITS P.TYPE 103240135 TR 14924 14 / 'CENCUS CODES CONST.TYPE ZONING TYPE -OCCUPANCY TYPE VALUATION TOTAL SOFT BLDG.SOFT 434 Res Add/Alter 1 VB R-3 $14,000.00 0.00 Current Owners: Fees Name:G GABRIEL HERNANDEZ „� � � � u� �u Fee Group/ Fee Description Fee Amount Payments Address: 2597 PASEO TORTUGA CHINO HILLS CA 91709 Transaction Type Ph: 310-561-0793 Window $248.00 Email: M@CH.ORG Replacement -AMERRICAN Contractor. AMERICAN VISION..... VISION SOLAR 8001 Permit Issuance Fee $56.00 56.00 Address: 2125-A N.Madera Rd SIMI VALLEY CA 93065 B39-B53 Residential Structural Fee $191.00 191.00 Ph: 805-915-1285 Email: MEGHANN.MARTINDALE@YAHO SB1473 $1.00 1.00 O.COM Lic.Information778326 Exp.Date:5/31/2014 TOTAL FEES $248.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $248.00 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the BALANCE DUE $0.00 property. FI''u Date:_ iContractor a' 10 l✓� p ___,,,,,h,,.„, I 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. AnyA `� '' applicant forapermit the applicant to a civil penaltyof not more „,,-:L.,-3,7---\\\\,,, .A:\,,,,,,, ` violation of Sec.7031.5 by any ppsubjectspp 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 3 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 3 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 N hereby affirm un ........ _..----._..__......_..._- ....__. ........_......__..... _... .......... _... __........ ._.._ ................, der penalty of perjury one of the following declarations: `'' , ave 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 ,1',,,..„);":":".=y, 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 /1,:° issued. ,. :representatives of this qty to enter upon the above-mentioned proptery for inspection purposes. /10 ,;” I have4nd will maintain workers'compensation insurance,as required by Section 3700 of the - _ � X� L.'or Core the performance of the work for which this permit is issued. My worker's compensation's° � �t f - d, . \ i 1 ; li 1 , �'''f'4------''''' f� rnsura Gamer and policy number are: � t5,. �; �.__ . _ I , n P_ Carrie . '.: 1.4)05 1---Policy D t,..LAPLICANT SIGNATURE DATE 't #' Applicant MIKE ALFIERI I certify that in the performance of the work for which this permit is issued,I shall not employ any y" person in any manner so as to become subject to the worker's compensation laws of California,and Address: 2125-A N.MADERA RD SIMI VALLEY CA 93065 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the 6 Labor Code,I shall forthwith comply with those provisions. Ph: 805-582-1833 Email: M@CH.ORG Lic.Information Exp.Date: DI6te: 1111/1-0 1 it'd IV-' Applicant:1i 1 (A Ili/ ' __ I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and ip Safety Code,which regulate the storage,handling and use of hazardous materials f 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 a 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 1;909:(i 364227a1.!Opaii:,orce 3:01.1!pm.fist 111;0;:;--cl day riLICR,9011Con Post in a safe, conspicuous place at front ofjob. Provide permit number when callinci,for inspection. Have approved plans on job at time of inspection. Wi0'WORE-1:SH AL L ME COVE RE-D WITH 0111 T wisp E cyi 11 am File this permit with your peirnanent records when job is complete. spECTION RECORD, INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad".: Block Wall kormclit Pregrade Meeting Footing,Rebar Rough Grade 151Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Unda-gromd SKe I : Sheath Nailing Building Sewer Line Roof Final Water Supply Line UO Electrical Service Conduit Sw" P Storm Drain Catch Basin Location I Rebar/Bonding!Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit VerilySoils Eng' "g: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Und- lab kt3 Final Pool UF Waste Plumbing UF Water Fire R-otectice awl UF Mechanical UG Pipe UF Electrical Thrust Blocks UF Framing Hydro IMF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyo Foundation k --0- -43Pi Pole Setback Footing-OK to Pour Electric 17 ; UFER Ground(Rebar/Copper) Gas T. Hardwere Hold-Dowra Piers/Caissons.1'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. (391-7576) Shea 1011-,tion ed): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (39323388) Interior Walls Landscape (364.-2766) Hardwefe I Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Cm" Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing iTopout Water Meter Number COVER NO.: RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY IFBLiktiEdl 01,c,TO ISSUE -21P1 cqx D •.all tr.dicly: OTHE Interior '71-112:5 ti Exterior EXT LATH ;1,4:11V (4314,r--- / Stucco Scratch "cell itm impacti 141-r-Trry Fieplace Plate Ties,Fire Block — \- Patio Deck: Footing Frame ACCEW i Light I Switch NOTICE TO OWNER:Call fro-FINAL INSPECTION on e. This rm ".wdle2q- .- if . s d aboub fir a Patio Final period of 180�i:,,<<=u®