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2015-30611 6-16-2015 2597 Paseo Tortuga Window CO � zt '� City-4-, f HillsBUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT SY 14000 City Center Dr.,Chino Hills,CA91709 • F x.,', Counter Phone (909)364-2780 o Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3m.for a next business day inspection) City Hall Main Number (909)364-2600 ��� ....... NOTICE: PERMIT..,.......,:, .,.... ........,... ........., ........., ......... ....,....... ........ .. - ...,...... .,....,... .... ......_.. .. ...,..._.. .. IS IT I PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS TIME FOR BELOW WHEN MAKING INQUIRIES THAN IF IS IN I TI OF ANY CITYSTATE OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. WINDOW CHANGEOUT:REPLACE(18)WINDOWS 2015-30611 (REF:EXPIRED PERMIT#2014-28164) BUILDING ADDRESS I APT./UNIT NO. ISSUED DATE ISSUED BY 2597 PASEO TORTUGA- 6/16/2015 Sarah,Larios APN 1TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103240135 TR 14924 14 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB a R-3 $14,000.00 0.00 Current Owners: Fees Name:G GABRIEL HERNANDEZ ��,���„t,��,:,��r�.�„ .^;.,�« Fee Group/ Fee Description Fee Amount Payments Address: 2597 PASEO TORTUGA CHINO HILLS CA 91709 Transaction Type Ph: 310-561-0793 n�,��"x ,�.,,„,.. ���, � ,�� �.� �� �� m..„ �f�������� Window $211.10 Email: M@CH.ORG Replacement Contractor. OWNER BUILDER-OWNER I BUILDER SB1473 $1.00 1.00 Address: N/A CHINO HILLS CA 91709 Window Change Out w/Energy $210.10 210.10 Ph: N/A Email: Lic.Information Exp.Date: TOTAL FEES $211.10 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $211.10 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 BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the I property. Date: Contractor: OWNER-BUILDER DECLARATION .f�T 5 ,f," I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the fol owing 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) ,,fi ;u 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 forthe-purpose of sale). -�; I,as owner of theproperty,am exclusivelycontractingwith licensed contractors to construct the G�:�,;:, 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). ,r `J° I am exempt under article 3 of the Business and Professions Code. „;• gym; , - a" e ~ d ,-7,,,- - #`” Date:•,9. / � r-�YPermittee: ,am '''';-w 7,, f/ v ' i Print Full Name: --,,5,..,L,,,7,,¢ '1,1--e.-. f,--;,,, . r - ".,,,,,,,-,::::-,),,,,C,,,,,%2 i"--� w WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and a certificate will maintainrtificae ofworkers'compensation,tconsent to self-insure for 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 issued. representati'rs of this city to enter uon the above-mentioned proptery for inspection purposes. I have and will maintain workers'compensation insurance,as required by Section 3700 of the ,",: ../ -,---`1"-----,,,-:,,,,.-: L-:f w. Labor Code,for the performance of the work for which this permit is issued. My worker's compensation ,. fi - �„ ' v ,f,,,,.,:,,— P�._n insurance carrier and policy number are: .. .� �°... _ W;= a ,' �' - Carrier: Policy ,,`APPLICANT SIGNATURE } DATE Applicant: G GABRIEL HERNANDEZ 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: 2597 PASEO TORTUGA CHINO HILLS CA 91709 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Ph: 310-561-0793 Email: M@CH.ORG Labor Code,I shall forthwith comply with those provisions. Lic.Information Exp.Date: Date: I certifythat the user of this facility storage, ,Applicant:: comply with sections 25506,25533 and 25534 of the Health and Safety Code,which regulate theg ,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. CIT.( OF CHINO HILLS COMMUNITY DEVELOPMENT.—BUILDING & SAFETY DIVISION CaN 1,90',9)364-2MG ilii,store:3:05.11:NE11.1?*EI;}2 :21.1 0evPri 'ZIllza,G1110tli Post in a safe conspicuous place at front of job. Provide permit numb er when calling for inspection. Have approved plans on job at time of inspection. UCI,R1}'".allSjILL BEERED VAITHCOUT 111\1SP EC-a OE File this permit with your permanent records'when job is complete, E CT K's,ill RECO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradig: Block Wall kmredi Pregrade Meeting Footing,Rebar Rough Grade 111 Lift Bond Beam Terraces 2rd Lift Bord Beam Sub Drains 3 Lift Bond Beam. Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-cuff,Existing Conditions Undergroamd Se di Sheath Nailing Building Sewer Line Roof Final Water Supply.Line UIG Electrical Service Conduit SW- PIs: Storm Drain]Catch Basin Location i Rebar Bonding!Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit Ve-iiIs Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderflrU slab b-N3 Final Pool UF Waste Plumbing UF Water Fire Protectim Equi " UF Mechanical UG Pipe UF Electrical * Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydp Foundation la r--N- TenvPi1:-. Pole Setback"Footing—OK to Pour Electric Re .4.-- UFER Ground(Rebar/Copper) Gas T Hardware Hold-Downs: PiersiCaissons 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. (391-757O She u cm1): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 888) Interior Walls Landscape (364-2766) Hardware"Hold-Down:3 ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C i No- letI1 : Final Electric Framing Final Plumbing Rough Electric \\, Final Mechanical Rough Mechanical 1), , Final Building/Construction Rough Plumbing/Topout Water Meter Number n„ \ COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Iroulgicwa OK TO ISSUE D all kolmctico: OTHER: Interior Exterior EXT LATH Stucco Scach k-mimdi I 4 Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call fcl-FINAL INSPECTION one Accew Light Swtch This im - will evie - d cm-abincb cufora Patio Final ImrkKI of 100 di