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Permit No. 2011-24544 g BUILDING DNISION OF COMMUNITY DEVELOPMENT DEPARTM 7./City of Chino Hills14000 City CenterDr.,Chino Hills,CA91709 'Counter Phone (909)364-2780 • ' Building Permit 24-Hour Inspection Line (909)364-2790 (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 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 WATER HEATER C/O DESCRIPTION I PROJECT ROJE 544 No. I32190IT No. I27155LLANG SAALLLE POINTE-,Apt.0 DDRESS I0 T. /UNIT NO. 13/320111 ISSUED DATE I ISSUED BY Heredia,Monica 1APN 1TRACT I13792 248 ILO8T 1FLOORS/UNITS 1PROJECT PERMITS IP.TYPE CERes Gar Add/Alter 1CONST.CB TYPE (ZONING TYPE IOCCUPANCY TYPE 1VALUATION R-3 $500.001 TOTAL SQFT 0.00 1 BLDG.SQFT 438_Current Owners: Fees Name:JAMES S&ALLISON J HAN Fee Group/ Fee Description Fee Amount Payments Address: 2715 LA SALLE POINTE CHINO HILLS CA 91709 Transaction Type Ph: 909-393-7806 Water Heater C/O::is; _:::'''''':::':::•:'!:::•:.!: i -ii:::`:; :'.":.''':_.-''':r::.::::: 'i':i::'`.:[ :.`c$6975:;:_:::::::: •: -�' Email. M CH. RG , .. :': ':... ... ... :. . - ., . :..............::::.E' Contractor- ALL STAR WATER HEATERS INC-ALL STAR WATER HEATERS 8001 Permit Issuance Fee $53.00 53.00 Address: 30300 PUERTO VALLARTA MENIFEE CA 92584 B141 Water Heater $15.75 15.75 Ph: 800-727-0977 Email: LIc:Information812894. Exp.Date:9/302012 581473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSEDOONTRACTORS DECLARATION TOTAL FEES $69.75 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 Profe • s Code,and my license is in full force and AMOUNT PAID $69.76 effect In securing this permit I am acting with th w ge of and o I[of the owner of the property. r / I BALANCE DUE $0.00 ' • ER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the following mason,(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: Owner: - --.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 section 3700 of the Labor Code,for the performance of the work for which this permit is with all city and nances:.• - to building construction,and hereby authorize issued. reprssen • s of • . u r.• Of' tioned 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 for ich this permit is issued. My worker's compensatio— ,, /7'�P-`�// insurance carrier and policy number am: 1 (/ V Carrier 1 id Policy 7--LIC Iq 31GNATURE DATE #.O2-v pi X2, 74(, I 1 r..-t Applicant KENNETH 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 Califomia,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 Ph: 800-727-0977 Email: Labor Code,I shall forthwith comply with those provisions. /(, LIc.Information Fir:Date: ,Bate: 645,.... ...7......_ )Applicant:/ f'/I / 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 WA- -NG: :to se :wo. : co p•.ensation coverage is unlawful,and shall subject an em:oyer -"min- .: • and a' nes up to one hundred thousand dollars($100,000),in addition to •- ,if:'• • -"on,dam-::s as provided for in section 3706 of the Labor Code,interest,and attorneys e--11 CITY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING &,SAFETY DIVISION Call(909)364-27.01 before 3:00 p.m.for next day inspection 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. NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permitwith your permanentrecordswhen job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 15ILift Bond Beam Terraces 2'ti Lift Bond Beam Sub Drains 3'"Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRaof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line .Roof Final Water Supply Line UIG Electrical Service Conduit Swkmin9 Pools: Storm Drain./Catch Basin Location!Rebar!Bonding I Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or.Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undedloorlllnderslab:Inspection: Final Pool OF Waste Plumbing OF Water Fire Protection Equipment; UIF Mechanical UG Pipe OF Electrical Thrust Blocks U,F Framing .Hydro UiF Insulation Flush Subfloor -Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydro Foundation Inspection: Temp Power Pole Setback!Footing—0K to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware!Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCU PANCY P E RMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health.Dept. (391-7570) Shear Inspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3888) Interior Walls Landscape- (364=2766) Hardware I Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL-BLDG.• Final Grade Combo impaction: Final Electric Framing . Rough Electric- Final Plumbing; Ar' I, Rough Mechanical Final Mechanical / Final Building/Construction Rough Plumbing/Topout Water Meter Number V\ COVER NO WORK UNTIL ABOVE IS APPROVED • Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scratch. Miscellaneous Inspections: Masonry Replace Plate Ties,.Fire.Block Patio l Decke Footing Frame Access!Light/Swich NOTICE TO OWNER:Call far FINAL INSPECTION on every job. Patio Final This pemitwill ere if work is suspended or.abar ndonedtoa period of 180 days.