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2011-25515 12-19-2011 2125 Vista Del Sol Water Heater CO ' ', 40,4:,-, City BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Phone (909)364-2780 tt Building Permit24-Hour Inspection Line (909)364-2790 � ��'�� 7� (NOTE:You must call before 3p.m.for a next business day inspection) Am City Hall Main Number (909)364-2600 r % NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, IF IS I BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS I TI OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. WATER HEATER CHANGE OUT,SAME LOCATION. / 2011-25515 . BUILDING ADDRESS APT./UNIT NO. 'ISSUED DATE I ISSUED BY 2125 VISTA DEL SOL— 12/19/2011 iWhiteman,Rosemary APN • TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103248211 TR 13906-5 45 / CENCUS CODES 1 CONST.TYPE - ZONING TYPE ;OCCUPANCY TYPE VALUATION TOTAL SQFT —BLDG.SOFT i 101 NEW SFR-Detached i A-1 $500.00 0.00 Current Owners: Fees Name:FERNANDO JIMENEZ 9 J,t 1U}S vha<{F)„ir n,.,, nrzt, ,er„.r t a,r,im,e ,riz xr,v;Y#kY hhiu4,rifrY4V YCA;bkt4.tttrPdYnY+CY\{P1filY;Yttt LY C3£z ks5.4i t1t44}Y ttitNiiYiiY?S4Xtl.x 1 fYifh{;u tt}$dYnfYCYL;,Yit{>tFCt&kkY$ Fee Group/ Fee Description Fee Amount Payments Address: 2125 VISTA DEL SOL CHINO HILLS CA 91709 I Transaction Type Ph: 626-407-6283 I Water Heater 0/0 $70.00 -Email: m@ch.org Contractor. CALIFORNIA DELTA MECHANICAL-CALIFORNIA DELTA MECHANICAL B001 Permit Issuance Fee $53.00 53.00 Address: 2500 S.POWER RD.#120 MESA AZ 85209 l 8141 Water Heater $16.00 16.00 Ph: 480-898-0007 Email: M@CH.ORG Lic.Information81ll14 Exp.Date:8/31/2012 501473• . $1.00 1,00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $70.00 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 AMOUNT PAID $70.00 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 (. ate: • ! //e/ Contracto: .,•_ v/ -----'-'''''''r '( ..... UI. ....,. O NER 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 I have and will maintain a certificate of consent to self-insure for workers'compensation,as I 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 I with all city and county ordinances and state laws relating to building construction,and hereby authorize issued. I 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 . Labor Code,for the performance of the work for which thi permit is issued. My worker's compensation `•4 £ '' 'Ai // insurance carrier and policy number are,: L. . • ____,,,,,,,,,..2 #: ICA. 7, ',I-5arrier:/- '1 n �a Policy APPLICANT SIGNATURE -.'''''*'%) DATE !..m•...';r_.f- MATT DRIV►.xr,. -r K e .._ 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: 6056 E BASELINE RD,#155 MESA AZ 85206 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: 866-692-5273 Email: m@ch.org /1/ Lic.Information Exp.Date: Date: 1,,. � i - A plicant:: / I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and Safety Code,which regulate the storage,handling and use of hazardous materials A F , : 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. CITY OF CHINO HILLS COM MUNITY.DEVELOPkilENT—BUILDING 0, SAFETY DIVISION • .. C 'iil',90911364-270-1.1 itoefore 300pmfor 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. NO IVO SH ri BE COVER1iF[ iHflLETlui File this permit with your permanent records vvhen job is complete. C RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradkg: Block Wall korwdi Pregrade Meeting Footing,Rebar Rough Grade 151Litt Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergromd Site I Sheath Nailing Building Sewer Line Roof Final Water Supply Line hG Electrical Service Conduit SwPixoPs: Storm Drain Catch Basin Location'Rebar I Bonding f Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verily Soft Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence;Gate&Alarm Undertlwrill lab it .7,- "at Final Pool LIF Waste Plumbing UF Water Fire ' dim Equi UF Mechanical VG Pipe LIF Electrical Thrust Blocks UF Framing Hydro LIE Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycko Foundation I --it-dim: Term)P.• •:,- Pole Setbacks/Footing—OK to Pour LIFER Ground(FRebariCopper) Gas Te. Hardware I Hold-Downs PiersiCaissons ITendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT'FINAL DO NOT POUR CONCRETE.UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-757p) Shear km 71 Mimi): Planning Dept.(364-2752) • • • Roof Nailing Public Works ( 64-2774) Exterior Walls Fire (393.-3388) Interior Walls Landscape (364-2766. Hardware 11-told-Downs ALI_ABOVE MUST BE APPROVED BEFORE FILIAL BLDG.. Final Gracie C.- 30- redi: FinalElectric Framing Final.Plumbing Rough Electric Final Mechanical ii ç Rough Mechanical. " Final-BuildingiConstruction Rough Plumbing I Topout Water Meter Number COVER NO t• RK.UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY InuIation OK TO ISSUE ..all kmotion: OTHER: Interior Exterior EXT LATH cco Scratch i M Fieplace Plate Ties,Fire Block Patio I Deck: • Footing Frame NOTICETOOWNER:Call fir FILIAL INSPECT!ON on e Job AccessI Light I Swtch Th"re Iwdl eqf IS S. - oralmickp a for a Patio Final imrk3d of 180