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2016-33567 11-3-2016 2467 LIMESTONE WINDOW CHANGE OUT L__ 71.4',14.-1,. City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 BuildingPermit ���*�`�� 24-Hour Inspection Line (909)364-2790 7--------\\ (NOTE:You must call before 3p.m.for a next business day inspection) ..4111k1Slo...4111116744 \.1C)--". , City Hall Main Number (909)364-2600 ( 0 - il OS t4*'4;4++00 11114. NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT CNCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. WINDOW CHANGE OUT-13(E)WINDOWS,3(E)SLIDING GLASS DOORS,&1(E)GARDEN WINDOW(SAME SIZE&SAME LOCATION) 2016-33567 1, •G" APT.I UNIT NO. ISSUED DATE ISSUED BUILDING ADDRESS - BY 2467 LIMESTONE CT 11/3/2016 Cotter,Melissa APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103115122 TR 9218 8 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT ., 434_Res Add/Alter VB R-3 $19,000.00 0.00 Current Owners: Fees Name:TODD J SALESKY Fee Group/ Fee Description Fee Amount Payments Address: 2467 LIMESTONE CT CHINO HILLS CA 91709 Transaction Type Ph: 909-393-3276 Window $228.70 Email: M@CHV.ORG 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 $227.70 227.70 Ph: 714-385-1202 Email: M@CH.ORG Lic.Information545553 Exp.Date:2/28/2017 TOTAL FEES $228.70 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $228.70 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. - Date: 1 - . ',F 7` Contractor: '` , ,/° Z= .k. '` 3 °' 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 Contractors 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 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 caynty ordinances and state laws relating to building construction,and hereby authorize issued representatives/OfAhis city to enteriupon the above-mentioned proptery for inspection purposes. p workers'compensation insurance,as required by Section 3700 of the / // ' 1 ' ,-/- I have and will maintain insurance ea for tthe and policyn ce of the work for which thispermit is issued. Myworkers compensation abor Co e,for erforman p / c rf3 �- ,,,;,•2,-;.1 /+" .4"?.. ',," /7-,/,--:-.14,///.,;:-=,' 3 Carrier. —1J YL-- ;° ` �._.. Policy APPLICANT• J' SIGNATURE DATE �..s 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 - Ph: 909-824-6240 Email: Labor Code,I shall forthwith comply^with those provisions. DANSTINSTONIAG@NETSCAPE. NET Date1 /y/),(-3///:-' Applicant:: , // r I'.,f / ,,,_,-,..-_.:. Lic.Information Exp.Date: ,: -.� -`` I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of t f .,� ��-P�. ��`���s-t�.�.�! � the Health and WARNING: Fal6ire to secure worlce°fs'Oompensation coverage is unlawful,and shall subject an employer to criminal 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. ' wsoectysm„ ny) \Nith ,‘!,„qm" nent, S I S E 10 R E 0 RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inpectiorrs: Prec4rade Meeting Footing,Rebar Rough Grade 1s°Litt Bond Beam Terraces. 2'1 Lift Bond Beam Sub Drains :311 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line LUG Electrical Service Conduit SINETIMing Pools: Storm Drain Catch Basin Location/Rebar Bonding i Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineeririg: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UndetfloortUnderslab Inspection: Final Pool LIF Waste Plumbing LIF Water Fire Protection Equipment LliF Mechanical LIG Pipe LliF Electrical Thrust Blocks U/F Framing Hydro UT' Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection: Tent Power Pole Setback).Footing—OK to Pour Electric Release LIFER Ground(Rebar/Copper) Gas T HardiAlffe/Hold-Downs Piers/Caissons Tendons FIHAL 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) She Inspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior walls Fire (393-3888) Interior Walls Landscape (364-2766) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo irspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number dOVER NO WORK UNTIL.ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY IisuItion OK TO ISSUE Drywall krapection: OTHER: Interior Exterior t_t_pvatj /11 EXT LATH <7( .611-4.-- Pit t—Vlr1/4si Stucco Scratch Miscellaneous laspections: Monty Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Aces I Light I Swich This permitwill expire if work is suspended or abauloned for a Patio Final period of 180 days.