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2014-28659 4-30-2014 15937 Oak Canyon Dr Water Heater CO , ' ..• . , . , . City of Chino Hills Ii BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 _ *, ,-,/4z*1 Building Permit 24-Hour Inspection Line (909)364-2790 ,!...-:,...i'.,, :,,,,,,,.,,,,,.,f; 1 ' :,, ','..,;*:.,',,,I4;,: ,, ,, (NOTE:You must call before 3p.m.fore next business day inspection), City Hall Main Number (909)364-2600 )ii.1 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE 1 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. , 1 _ - - PROJECT DESCRIPTION PROJECT No. PERMIT No. WATER HEATER CHANGE OUT,SAME SIZE AND LOCATION 2014-28659 .,-, ..,0_ BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 15937 OAK CANYON DR 14/30/2014 Sarah,Larios ., APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103132121 TR 12625 321 / .. ......_____— CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SOFT BLDG.SOFT 434_Res Add/Alter VB R-3 $500.00 0.00 Current Owners: i Fees Name:PATRICIA ZEGAROWSKI . ... .........-----..................,,,,,..., .. —, ,____ Fee Group/ Fee Description Fee Amount Payments Address: 15937 OAK CANYON DR CHINO HILLS CA 91709 .Transaction Type Ph: 951-340-2412 ,,,„, ,. ,,,,,,, ,„„,_,,, Water Heater C/O $73.75 Email: M@CH.ORG Contractor. FAST WATER HEATER COMPANY-F W H ACQUISITION CO LLC dba FAST WATER i B001 Permit Issuance Fee $56.00 56.00 HEATER COMPANY Address: 11715 NORTHCREEK PARKWAY S,C106 BOTHELL WA 98011 B141 Water Heater $16.75 16.75 Ph: (425)636-7054 Email: M@CH.ORG SB1473 $1.00 1.00 Lic.information987398 Exp.Date:10/31/2015 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $73.75 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing AMOUNT PAID $73.75 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 property. BALANCE DUE $0.00 — - V-,f--7' f 1 ,---iill Date: i, t , Contractor , OWNER-BUILLIERDCLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 I 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). 1 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 county ordinances and state laws relating to building construction,and hereby authorize issued. representatives of this city to enter upon the above-mentioned proptery for inspection purposes. I have and will maintain workers'compensation insurance,as required by Section 3700 of the ,'- . . _...i------,, , ,Labdr Code,for the performance of the work for which this permit is issued. My workers compensation .-,1---2,,, , c) „ '1\77-2, „..,----,-11/4),,_'---' ( ,),Y ) ..---) 11 insurance carrier and policy number are: ',--,k\,... ..->k,......4 '\,,,,- --:c,: , ... _,/g _ -,,,- c, --,..,-4 11 -,,, 4' Carrier ',., ' 's°' 'r' , '°---'-') °' Policy APPLICAcT SIGNA9 URE DATES # (I'j'''''''11 V-1 Applicant:-,",...,EMIL,p BATIOFF `-,-.....) 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: 11715 NORTH CREEK PKWY SOUTH C106 BOTHELL CA 98011 agree that if I should become subject to the workers compensation provisions of Section 3700 of the ' Labor Code,I shall forthwith comply with those provisions. Ph: 714-381-7974 Email: M@CH.ORG Lic.Information Exp.Date: .-17,-,,' Dae: Applicant::il\ 1,, , 0., , '1; ,....-,,,-,4.7 /_.,°: i I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and -7- \, - V---\-)\/ (,--,k i Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure tb sebure workers comperi$tion coverage is unlawful,and shall subject an employer to criMinal penlities and civil fines up to one hundred thousand dollars($100,000),in addition . . to the cost of compensalon,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees.\ CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING 8, SAFETY DIVISION Jj 009:I1 364-2700 liparove 3:00 rii„B f)lif rROW:ii:day iMSElifPG[tiO Post in a safe, conspicuous place at front of job. Provide permit nurnberwhen callinci for inspection. Have approved plans on job at time of inspection. ur HLLBE,OCIVE RED Mil-HOU T M SP E 11 OM File this permit with your permanent records when job is complete, S PE cirrio 11-1 RECO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block WaIlIspadiw Pregrade Meeting Footing,Rebar Rough Grade 151Litt Bond Beam Terraces 21-"d LiftBon. Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-ail,Existing Conditions Undrotwal Site Sheath Nailing Building Sewer Line Roof Final Water Supply.Line U/G Electrical Service Conduit 1-41.PIs: Storm Drain/Catch Basin Location I Rebar IBonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engi hg: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Und slab km3 Final Pool UF Waste Plumbing U Water Fire Rotectimi Equi N U,,IF Mechanical UG Pipe UiF Electrical -Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Found."11 - Temp P.a1 Pole Setback/Footing—OK to Pour Electric Rz --- UFER Ground(RebariCopper) Gas T Harctovffe 1 Hold-Downs PiersiCaissons Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED CountyEnvironmental Health Dept. (391-7570) Sheer ionM3cK1): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (39388) Interior Walls Landscape (364-2766) Haretyvere Hold-Dowre ALL ABOVE MUST BEAPPROVED BEFORE FINAL BLDG. Final Grade Ci N 0 - Won: 1 Final Electric Framing Final Plumbing A/AO. \ Rough Electric Final Mechanical = Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVEDkuIati , CERTIFICATE OF OCCUPANCY z, OK TO ISSUE D .all tdim: Interior OTHER: Exterior EXT LATH cco Scratch MlsII- •.;-11.Mi;kV3IMeti Feeplace Plate Ties,Fire Block Patio Deck: Footing Frame Access Light,'"SWtch NOTICE TO OWNER:Call for FINAL INSPECTION on e Ob. This pe will em" - s I.-d or abwick) for a Patio Final reriod of 180 di - •