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2016-33385 10-4-2016 2253 HEDGEROW WATER HEATER '', .: ' ,(Th City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 •N-We_ _ Counter Phone (909)364-2780 - i**�• Building Permit 24-Hour Inspection Line (909)364-2790 .--s--„... (NOTE:You must call before 3p.m.for a next business day inspection) sk City Hall Main Number (909)364-2600 t ' f s_ tris OIIAi+i NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUM `' 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. WATER HEATER CHANGE OUT(E)LOCATION 2016-33385 -.4.. BUILDING ADDRESS APT./UNIT NO. ISSUED DATE I ISSUED BY 2253 HEDGEROW LN 10/4/2016 Cotter,Melissa APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102420149 TR 13651-9 48 / CENCUS CODES -CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SOFT 434_Res Add/Alter -VB R-3 $800.00 0.00 Current Owners: Fees Name:MARK GORGONE Fee Group/ Fee Description Fee Amount Payments Address: 2253 HEDGEROW LN CHINO HILLS CA 91709 Transaction Type Ph: Water Heater C/O $109.90 Email: M@CH.ORG Contractor ALL STAR WATER HEATERS INC-ALL STAR WATER HEATERS 56 Each Water Heater w/Energy $108.90 108.90 Address: 30300 PUERTO VALLARTA MENIFEE CA 92584 SB1473 $1.00 1.00 Ph: 951-301-0067 Email: M@CH.ORG Lic.Information812894 Exp.Date:9/30/2018 TOTAL FEES $109.90 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $109.90 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 f._._.- -. BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of and on behalf of th-_-,r---rI.- - property. . –grit- ., ----------—-—----- ,_ ate: Contractor: �Q� � OWNE'�,'c .ER DECLARATION I hereby affix nder `:ty of perjury that I am exempt from the Contractor's Licence Law for the following reason,( , 31.5,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 read this application and state that the above information is correct. I agree to comply Tprovidelf or 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 isAir -representatives of this city to enter upon the ab - boned proptery for inspection purposes. lir 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 this permit is issued. My worker's compensation „ 6- insurance carrier and policy number are: � '�d' --------- ffi 7"*1---- �� 11:::-./ .' 7E66C4/.. Policy ,-,---- AN •' �� - �_ DATE A Ir NNETH BLOCK 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: 30300 PUERTO VALLARTA MENIFEE CA 92584 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: 951-301-0067 Email. M@CH.ORG / Dat " a N -Lic.Information Exp.Date: certify that the user of this facility shall comply with sections 06 2 ,25533 and 25534 of Date: Applicant:: a.�� .F--"" ���',�.%'�' = 55 the Health and Safety Code,which regulate the storage,handling and use of hazardous materials WARNINure toc • - ompensation coverage is unlawful,and shall subject an empl r t.-'rimi - ,-:- -:-civil fines up to one hundred thousand dollars($100,000),in addition p.tttreeecos •,- ;;,'► s.„ - damages as provided for in section 3706 of the Labor Code,interest,and 1119s l',9N"i mt.with Voin ccanent AllEfl pTh P EE N R Ei CORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall kispections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terrac 2 Lift Bond Beam Sub Drains 311 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergrourid Ste Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line LUG Electrical Service Conduit Swimning Pools: Storm Drain I Catch Basin Location f Rebar I Bonding I Light DO NOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engibeering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate 8,Alarm UnidetfloortUnderslab Inspection: Final Pool UF Waste Plumbing LIIF Water Fire Protection Equipment: LIF Mechanical LIG Pipe LI,F Electrical Thrust Blocks UF Framing Hydro LW Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION KISPECTION Overhead Hydro Foundation Inspection: Ten Power Pole Setback 1 Footing—OK to Pour Electric Release LIFER Ground(Rebar/Copper) Gas Test Hardware Hold-Dowrrs Piers/Caissons I Tendons FINAL INSPECTIONS Slab Grade—OK to Pour HO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear kispection(Mod): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3:388) Interior Walls Landscape (364-2766) Harclvvare 1 Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo lispection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing I Topout Water Meter Number COVER HO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPAI1CY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scr atch Miscellaneous kispections: Masonry Fireplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Access I Light I SWIch This permitwill expire if work is st )ended or abandoned for a Patio Final period of 180 days.