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2016-32313 3-28-2016 15849 CAMERON WATER HEATER dtf BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT pix ®ty of Chino ®lls (! i �� 14000 City Center Dr.,Chino Hills,CA91709 1n, Counter Phone rKk (909)364-2780 Building Permit24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p_m_for a next business day inspectiori)�`�� 3 s City Hall Main Number (909)364-2600 ititkpert NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS T ISSUANCE, IF WORK IS SUSPENDED AT ANY TIME BELOW WHEN AKI G INQUIRIES THAN IF WORK IS DONE IN VIOLATIONSTATE OR REQUESTING INSPECTIONS RELATING T . PROJECT DESCRIPTION PROJECT No. PERMIT No. WATER HEATER CHANGE OUT(E)LOCATION 2016-32313 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 15849 CAMERON LN 3/28/2016 Cotter,Melissa APN [TR---A-CiMAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103133323 TR 13585 23 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter "VB R-3 $800.00 0.00 Current Owners: Fees Name:MING LIU �, Fee Group/ Fee Description Fee Amount Payments Address: 15849 CAMERON LN CHINO HILLS CA 91709 Transaction Type Ph: 909-606-7439 Water Heater CIO $106.60 Email: M@CH.ORG Cont tactor. ALL STAR WATER HEATERS INC-ALL STAR WATER HEATERS l 50 Each Water Heaterw/Energy $105.60 105.60 Address: 30300 PUERTO VALLARTA MENIFEE CA 92584 SB1473 $1.00 1.00 Ph: 951-301-0067 Email: M@CH.ORG Lic.lnformation812894 Exp.Date:9/30/2016 TOTAL FEES $106.60 LICENSED CONTTRACTORS DECL.ARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $106.60 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(co it.. ncing with Sec.7000)of Division 3 of the Business and Professions Code,and li -.9--. fn lI rce and m BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of an•-�a - -f• • caner of the property. .. /b; D Contraoto: -...- • NER-BUILDER DECLARATION I her y 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 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). 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,asI 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 representatives of this cit to-oter-uporrttTe b - ned proptery for inspection purposes. { I have and will maintain workers'compensation insurance,as required by Section 3700 of the � r abor Code,for the performance of the work for which this permit is issued. My workers compensation - insurance carrier and policy number are: _ . Carrier: Policy 'APPLIC T IGNATURE DATE #:F, + Applicant: KENNETH BLOCK I certify that in the performance of the work for which this permit is issued,I shall not emp oy any person in any manner so as to become subject to the workers compensation laws of California,and Address: 30300 PUERTO VALLARTA MENIFEE CA 92584 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: 951-301-0067 Email: M@CH.ORG 6.7 Lic.Information Exp.Date Date: Applicant:: 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 W 1 Failure to se •re wo •"pensation coverage is unlawful,and shall subject an to theoc•� �c���•�'ation, es sfinesunded foronen section 3706 ofdtheoLabor$Code onOterest,and n __.. _ yup ( ) __.........._........ f 9 P CIT V OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION Call4:909)364-2790 befor.!:,3:00 p.m.for oot day hIspectio 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. MO1010 RK SHALL BE COVERED ',AAP'OUT IHSPECTION File this p errnit with your permanent records when job is complete. JHSECT ,,N RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall k-K3redi N Pregrade Meeting Footing,Rebar Rough Grade 15ILift Bond Beam Terraces 2 Lift Bond Beam Sub Drains 3'Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Und;- Ira d Site I Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit SW - rqj Pm:as: Storm Drain I Catch Basin Location t Rebar Bonding 1 Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit ✓ i fy Engi 'jog: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE, Fence,Gate&Alarm Und r1J N lab ko Final Pool UF Waste Plumbing UF Water Fire R-otedicwo Equi UF Mechanical UG Pipe UF Electrical Thrust Blocks UW Framing Hydro U Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation I --11- P Pole Setback 1 Footing--OK to Pour Electric 13e ,-- LIFER Ground(Rebar/Copper) Gas TeA. I-larthvere Hold-Dovvra Piers/Caissons 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. (391-7570) She km (VA:301): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardowe 1 Hold-Doviins ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Cm -40di : Final Electric Framing f - Final Plumbing ) ' Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing 1 Topout Water Meter Number COVER NO $RK UNTIL ABOVE IS APPROVED. CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE D all koredi N. OTHER: Interior Exterior EXT LATH Stucco Scratch Misll us knrecti Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame Access I Light/Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on e Thle re will emie if - I d or abcfacko r:-.1 for a Patio Final period of'180