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2016-31736 1-13-2016 2762 LA SALLE POINTE WINDOWS 4 4 City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT ,4 x Y ' 14000 City Center Dr.,Chino Hills,CA91709 „ Counter Phone (909)364-2780 � ���'��,`�� I 1 24-Hour Inspection Line (909)364-2790 fl (NOTE:You must call before 3p.m.for a next business day inspection) City Hall Main Number .., ; (909)364-2600 ......... — _. ®TICS. THIS E ITBECOMES1 NULL I I IS NOT COMMENCED WIT I PLEASE USE PERMIT NUMBER 180 DAYS FROM DATEISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME BELOW WHEN AKI G INQUIRIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATIONOF ANY CITY' STATE OR REQUESTING INSPECTIONS RELATINGTHERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. WINDOW CHANGE OUT(11)SAME SIZE/LOCATION 2016-31736 • BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 2762 LA SALLE POINTE-- 1/13/2016 Sarah,Larios APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103219123 TR 13792 70 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $7,000.00 0.00 Current Owners: Fees Name:RICHARD&KAREN SWEENEY , ,. .; Fee Group/ Fee Description Fee Amount Payments Address: 2762 LA SALLE POINTE CHINO HILLS CA 91709 Transaction Type Ph: 909-455-4531 Window $222.10 Email: KARENSWEENEY@VERIZON.NET Replacement Contractor WIN-DOR INC-WIN-DOR INC SB1473 $1.00 1.00 Address: 450 DELTA AVE BREA CA 92821 Window Change Out w/Energy $221.10 221.10 Ph: 714-385-1202 Email: M@CH.ORG Lic.Information545553 Exp.Date:2/28/2017 TOTAL'FEES' $222.10 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $222.10 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 property. - A teDate: . r - _ 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 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 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 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 red this application and state that the above information is correct. I agree to comply provide•for by section 3700 of the Labor Code,for the performance of the work for which this permit is with all city and cq,un.tit ordinances a state laws relating to building construction,and hereby authorize iss e • representatives,fif this city ti enter on the ab -mentioned proptery for inspection purposes. ,' I have and will maintain workers'compensation insurance,as required by Section 3700 of the r� � t— Labor Code,for the performance of the work for hich this permit is issued. My workers compensation / v „,,, , insurance carrier and policy numbe re: , ".." a-° — -- �- e. '- -Carrier.:(...-------Ca-/1 e-, //I”r 3/./‘,..; Policy APPLICANT SIGNATURE DATE 7 Applicant: ..DAN STINSON 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: 450 DELTA AVE BREA CA 92821 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Ph: 909-824-6240 Email: DANSTINSTONIAG@NETSCAPE. / NET Date/ tic.Information Exp.Date: A-1-- Applicant:: ,�/ A.: �a � WARNING:‘_7_,,( re to secure wb,,ke\co en tion coverage is unlawful,and shall subject an I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and employer to crim al penalities and civil fines up to one hundred thousand dollars($100,000),in addition Safety Code,which regulate the storage,handling and use of hazardous materials 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 Cafl 49091$64-27g0 beloye 3:00 p.m.fq-if inext day inspectio,D 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. InTOJt SHALL BE COVERS"1,WiT OUT INSPECTION File this pen-nit with your petmanent records vvilen job is complete. illiASPECTION RECOD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradiig: Block Wall kolmtill. Pregrade Meeting Footing,Rebar Rough Grade 15ILift Bond Beam Terraces 2Ired Lift Bon:lBeam Sub Drains 3 Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough Relloof: Tear-off,Existing Conditions Undgro d Se di t Sheath Nailing Building Sewer Line Roof Final Water Supply Line UiG Electrical Service Conduit 5w rg Storm Drain Catch Basin Location Rebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit ✓ 1 Soils Engi Ro Elect Cornpadion,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undafkmr11.1 ;-slab hs Final Pool LIF Waste Plumbing U Water Fire R-otedicrk Equi 7 UF Mechanical UG Pipe UiF Electrical Thrust Blocks LIF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hy&o Foundation I 411.-diem: To-rp P I Pole Setback Footing OK to Pour Electric LIFER Ground(Rebar/Copper) Gas 1-larckeere 1-lold-Dowre Piers/Caissons I 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. (391-75170) Shea it-g3 CA): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3338) Interior Walls Landscape (364-2766) H ardNere Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade CI 110 rectimi: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final BuildingiCoristruction "94 1C"AA--) Rough Plumbing Topout Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVED- - CERTIFICATE OF OCCUPANCY huIation OK TO ISSUE D all bgllio OTHER: Interior Exterior ' t1,41 6 EXT LATH CCO Serach /) ' trie, re,„ ( Mlseslh MLkolmdi - M -1 Fi-eplace Plate Ties,Fire Block CC? ‘ --- - Patio/Dedi: Footing - II Frame Access I Light ISwich NOTICE TO OWNER:Call for IAL INSPECTION on e Ob. emie if '74 s - d or aboickl ;-1 for a Patio Final imrbd of180 , � r® Customer Name: ISUJIMV1.161 , -7-0-b. , NDoR - 6 - ,,-.,• _I Phone: qc1 4S- ,ISTA '., Custom Window / Door LayOut Form or House LayOut Form 12.,..,4r-r) ,r,e1-H-Ivt- I 1 tPirtao, 'S 1-2,..e 1 10, i, +to lek ,At.'kik, - , 2_, ,..: 1„,„00 v--- 4 3 i . I - i I Lsi /4)<- -- S- 1 — 1 wt,. (, i L q ..._ i 0 ;t3 it A54 3(5-:,,,,344, 11 01 i - .....,..- - 1 " 323/4 1 2,3/4 5 -2. ( 1' ( C 1 i.., OUTSIDE / STREET Please circle o,,,e Note: Please se informed th.,t all israwings are from outside of the home looking in. We, 'in .sr, Inc. Jill a" ufcture the window(s)idosr(s) according to the specificatia's as states above. Customr Signiaure: Sirlesperso Sig' atom® "at": 3i t KI .�a 4i S t is