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2014-28996 7-22-2014 3321 Paisley St Water Heater CO & BBQ 1 {ra BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT fi . 14000 City Center Dr.,Chino Hills,CA91709 r_, 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) City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE ISSUANCE, IF WORK IS Y TIME BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS IN I I OF ANY CITY OR STATE :OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. (N)TANKLESS WATER HEATER AT EXTERIOR SIDE OF HOME 2014-28996 3 .*°• (N)BBQ COUNTER AT REAR OF(E)SFD WITH GAS&BAR SINK BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 3321 PAISLEY ST i 7/22/2014 Sarah,Larios APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101753144 TR 9230 65 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter ,U I $1,000.00 0.00 Current Owners: Fees .. ,..'B' .v..m...,=....u,,,v.<.'I:3lY Y}ll'„i`£.Wtv✓fW:)u4vi\tltitUlY+k}Iv:'t?}Ffi..a.... ,.ean,.SY(:iWU Y{{tK x,maa ,..:r<:vn .....srkQ'tviY4 h}}Y6a1b'x'fr!Yh}Y,t(n'iklfb&23Ut33bavHm`ii'SNS�}'\l. Name:MICHAEL ELDERm,r. Fee Group/ Fee Description Fee Amount Payments Address: 3321 PAISLEY ST CHINO HILLS CA 91709 Transaction Type Ph: 909-597-8595 Water Heater C/O $614.04 Email: M@CH.ORG Contractor. NILS SUNDBERG 49 Each Water Heater w/Ener $211.20 211.20 Address: 211 E.25TH ST UPLAND CA 91784 SB1473 $1.00 1,00 Ph: 951-312-9112 Email: M@CH.ORG Lic.Information357785 Exp.Date:5/31/2015 DW-SFF $17.84 17.84 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 45 Installation/Repair of on site water supply line $192.00 192.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Cha ter 9(commencing 7. with Sec.7000)of Division 3 of the Business and Professions Code,and my'6e se is i full force and 56 Extension of a gas line from an existing $192.00 192.00 effect. In securing this permit I am acting with the knowledge of and on be If the per of the system to an outdoor use r TOTAL FEES $614.04 77 - property. --22- 11---- , ,,,,,,,,A7„./ AMOUNT PAID $614.04 Date: Contrac r. , �� BALANCE DUE w �:r,® OWNER-BUILDER DECLARATION �a I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the ---<-„l;"f 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 '. 1 :.,t 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) M 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: {, \„,:.,;')''' ',:).'\,::\--J 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). v ° 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 '''''''9'C)) r.\),---,,v 0,---,,—(J il, (s)licensed pursuant to the Contractors License Law). v I am exempt under article 3 of the Business and Professions Code. „ ,at ate° af`�;a. ' fit { .„,,,,_ i' 1 Date: Permittee: , f` Print Full Name: (, \ 'X 1 .: OR..... N .. ... ...... W KERSDECLARATION COMPENSATION 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 stateat 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 a state lawrelating to building construction,and hereby authorize issued. repres tatives of this city to enter to the ab -mentioned proptery for inspection purposes. 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 is permit is issued. My worker's compensation7.7175,mti7_22_RY, insurance carrier and policy numbere: -A___ P am r .' Policy 'A LICANT SIGNATURE DATE r 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,. orker's compensation provisions of Section 3700 of the Labor Code,I shill forthwith comply with,the provisions. Ph: 909-981-1606 Email: M@CH.ORG .. . .. 1 /77- Lic.Information Exp. Date: Date P.-;:,�, - ..... .. ...... ...... .. ....... ............ ............... Applican.: 4 /J 4' I I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and f V - Safety Code,which regulate the storage,handling and use of hazardous materials WARNIN :/Failure to secure worker's compensation coverage is unlawful,and shall subject an employer 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. a COY OF CHINO HILLS COMMUNITY DEVELOPMENT.—BUILDING & SAFETY DIVISION Callil :364-2701) pi„LiaLFy Ci Post in a safe, conspicuous place at front of job. Provide permit number when callinci for inspection. Have approved plans on job at time of inspection. WiCti WCRr&SHALL BE COVERED'MTH OU I EiNSPECTil,01,1 File this permit with your peimanent records when job is complete. fl1PiETrIi1i1 FEC):FllD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradiag: Block Wall korecti It Pregrade Meeting Footing,Rebar Rough Grade 151Lift Bond Beam Terraces 2r4 Lift Bord Beam Sub Drains 3"Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Unda-groazad Site I zr-ctii Sheath Nailing Building Sewer Line Roof Final Water Supply Line UaiG Electrical Service Conduit Sw" - "iv Pmokr, Storm Drain I Catch Basin Location I Rebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit VaNify iIs Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate 8,Alarm Undellmal 1:- lab Ira Final Pool UF Waste Plumbing IMF Water Fire It-otectitm Equip • IMF Mechanical LIG Pipe UF Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyito Foundaim la --0- T:4- ip P. Pole Setback Footing—OK to Pour Electric UFER Ground(Rebar/Copper) Gas T. L111 1 P't Hardwere Hold-!!. no Piers tI 411 RCI5 I *m,J 41 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(Mal): Planning Dept.(364-2752) Roof Nailing Public Works (364.-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hare Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C No ,rdis Final Electric , Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction A , Rough Plumbing Topout Water Meter Number / COVER NO .4 RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmukticni OK TO ISSUE D vaIl klmdicm: OTHER: Interior ';\ Exterior EXT LATH Stucco Scratch kmicti M Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame Acc /Light Swich NOTICE TO OWNER:Call for FINAL INSPECTION on e 013. ess This will em- - s a-d or abzwackp for a Patio Final iriod of 180 dl iE46AT/E ...., —,,, . 0_, .... 91 ..,e,. 1. 7----„,o, t -„, , „..„, ,,, 6 ' ,...........'''."'".•.... • I IL.''',e,),'#' 1 0 iiii 1 11/4 1 o''''.'''''"'.. ....''.1 ....6t.., 0 ¶'L. 5 )51' all m ..... .,,,,,,,mm.,ugft.................... .....6., ..'......., „......... 0111° \ gill 1 I 1 ..,....,,, .4... 0 . i 1 CE) L5. . ... . .....------- . ',.(E) V\16°17 aN -- — (E) L5. ' (e)E7‘- " , .\ . NOVO 1 . . 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