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Permit No. 2010-23536 e�-` '� - City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT • it 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 Building Permit 24-Hour Inspection Line (909)364-2790 t.'-. (NOTE:You must call before 3p.m.for a next business day inspection) City Hall Main Number (909)364-2600 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 BELOW WHEN MAKING INQUIRIES MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTIONPROJECT No. PERMIT No. REPLACE WATER SERVICE FROM METER TO HOUSE 12010-23536 3d3019. ISSUED D 11611LDING ADDRESS 22 FIRESTONE LN,Apt.0 1 APT./UNIT NO. 4/29/2010 DATE 1 Beeler,Melissa V ry '- A01N02215 1TRACT TR139MAP#5 1;OT 1FLOORS/UNITS PROJECT PERMITS IP.TYPE 1 5 / CENCUS Res Add/Alter 1CONST.TYPE 1ZONING TYPE IOCCUPANCY O3TYPE 1 VALUATION $3,000.001 TOTAL SOFT 0.00 1 BLDG.SQFT 434_ Current Owners: FAUST STEVEN- Fees Address: 16122 FIRESTONE LN CHINO HILLS CA 91709 Fee Group/ Fee Description Fee Amount Payments Ph: 909-548-7767 Transaction Type Email: Residential Plumbing -- $59.20- - Contractor RESCU ROOTER-RESCUE ROOTER Fees Address: 1520 W.LINDEN ST RIVERSIDE CA 92507 5143 Water Piping System New/Repair 6.20ea $6.20 6.20 Ph: 951-341-9371 Email: B001 Permit Issuance Fee $52.00 52.00 Lk.Information765155 Exp.Date:7/31/2010 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION SB1473 $1.00 1.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with TOTAL FEES $59.20 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. AMOUNT PAID $69.20 ji, )-q-1 �� BALANCE DUE $0.00 Date: Contractor. OWteR-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 mom 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 I 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) PERMIT EXPIRED BY LIMITATION1 pursuant ursuant to the Contractors License Law). . i I am exempt under article 3 of the Business and Professions Code. - P, Date: Owner. \\ \ �\ Date c� nes« • 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 mad 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 Labor /-r Of.- for the performance of the work for which this permit is issued. My worker's compensation 72-7l.--'''' ''''.---------------"-"--- `7 /�. surance carrier and policy number are: Cartier. (&Ck6,,,n Cei qze:-5 Policy#:wC7-4,4J/J VCA-Z1'611 AP AN SIGNATURE DATE _I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant: .RESCU ROOTER-RESCUE ROOTER , person in any manner so as to become subject to the worker's compensation laws of California,and agree Address: 1520 W.LINDEN ST RIVERSIDE CA 92507 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: 951-341-9371 Email: Date: Applicant:: Lic.Information765155 Exp.Date:7/31/2010 I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING: 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 Safety Code,which regulate the storage,handling and use of hazardous materials of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION Call(909)364-2701 before 3:t'111 p.m.for next day inspection Post in a safe,conspicuous place at front of job. Provide permit number'omen calling for inspection. Have approved plans on job at time of inspection. NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permit with your permanent records when job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad"ng: Block Wall inspections: Pregrade Meeting Footing,Rebar Rough Grade 15i Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3"d Lift Bond Beam Finish Grading Drain!Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line ,^ Roof Final Water Supply Line e-i<V4'2 6 UIG Electrical Service Conduit n Swimming Pools: Storm Drain/Catch Basin v Location I Rebar/Bonding 1 Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test OrConduit Verify Soils Engineerng: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underfloor/Underslab Inspection: Final Pool UIF Waste Plumbing UIF Water C' % Fire Protection Equipment: UT Mechanical UG Pipe UIF Electrical Thrust Blocks UIF Framing Hydro UT Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection: Temp Power Pole Setback'Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hardwere!Hold-Downs 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) Shear kispection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3888) Interior Walls Landscape. (364-2766) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo nspedion: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing 1Topout Water Meter Number COVER 110 WORK UNTIL ABOVE IS APPROVED InsulationCERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall kispedion: OTHER: Interior Exterior `(�`l�.0 te r\ ‘t'%-''\ \41\'\ s EXT LATHr,� ) \\-\ Stucco Scratch • . Miscellaneous Inspections: Masonry Replace L ‘"\AQ — \\3 .,T \\\ c•....J L O Plate Ties,Fire Block Patio/Deck: Footing Frame Access I Light 1 Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This pemitwill expie if work is suspended or abandoned for a period of 180 days.