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2014-29359 9-30-2014 5004 HERITAGE WATER HEATERCity of Chino Hills Building Permit BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr., Chino Hills, CA91709 Counter Phone (909) 364-2780 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 DESCRIPTION PROJECT No. PERMIT No. WATER HEATER CHANGE OUT 2014-29359 BUILDING ADDRESS APT. / UNIT NO. ISSUED DATE ISSUED BY 5004 HERITAGE DR 9/30/2014 Sarah, Larios APN TRACT MAP# LOT FLOORS / UNITS PROJECT PERMITS P. TYPE 102852156 TR 15769 117 / CENCUS CODES CONST. TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG. SQFT 434—Res Add/Alter VB R-3 $500.00 0.00 Current Owners: Fees Name: TODD TIPPETT Fee Group / Fee Description Fee Amount Payments Address: 5004 HERITAGE DR CHINO HILLS CA 91709 Transaction Type Ph: 310-709-9888 Water Heater C/O $193.00 Email: M@CH.ORG Contractor. FAST WATER HEATER COMPANY - F W H ACQUISITION CO LLC dba FAST WATER 49 Each Water Heater w/Energy $192.00 192.00 HEATER COMPANY Address: 11715 NORTHCREEK PARKWAYS, C106 BOTHELL WA 98011 SB1473 $1.00 1.00 Ph: (425) 636-7054 Email: JESSICEV@FASTWATERHEATE TOTAL FEES $193.00 R.COM Lic. Information987398 Exp. Date: 10/31/2015 AMOUNT PAID $193.00 LICENSED CONTRACTORS DECLARATION LICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 1 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. Date:i a- Contractor: OWNER- UILDER DE LARATION I hereby affirm under penalty of perjury th lame empt from the Contractor's Licence Law for the following reason, (Sec, 7031.5, Business and Profe al 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 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 provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labortode, for the performance of the work for which this permit is issued. My worker's compensation insurance carder and policy number are: .a. Carrier: �� J�` °.:a'` Policy 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 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. Date/iA a`J Applicant.. WARNING: Faiufe to s re wo ers compens io c verage is unlawful, and shall subject an employer to c inal penal ties and civil fines up to hundred thousand dollars ($100,000), in addition to the cost of dompensati n, damages as provided for in section 3706 of the Labor Code, interest, and attorney's fees. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned proptery for inspection purposes. APPKCANTSI NAU� E DATE App' pp cant: E ILY ATIOFF Addr s: 1171 ORTH CREEK PKWY SOUTH C106 BOTHELL CA 98011 Ph: 714-3M -7974 Email: PERMITDUDE55@YAHOO.COM Lic. Information Exp. Date: 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 £ �.. g ,a.. � e $ .A E E" i S .j A e..w, L.0 q • p ypE'� Yr h q{p, i ""s.+ pg �"�j{ {h, � p5p ' L p� S E�++� # C pk A R bb t �^R 1% E I��P� S �'S�`� %j' 1 N', a vll' E i#fFR£ � .. L. � m tl P w$ � i l E P R i [ .K.ve. 5 "�® p I L �,.. tl 8 i f a 2 i `! tl �. r � ' �"• 'tip. F� �% !; le ...�,a�. {. _ 1&, a i` •.✓. .✓•k, � kl R 0 t I n a_ s '.S f # ta,,. 0 F to t u s p za tom. €>.6 t 9 o n tet f I o P $ ag! i t J p e R e r T4 i b i M3 u, i i b t3 1 sA9 ba4 16 E. Hf Um� _ � 4 i 6 @ g fio $ e i n s pi e E, ?. E o @ 9E , `t a$eg e r,p p r ov e p I ra I ^j s c n 00 a t irne c,"II wofCE,C %"tn. °" � w F E i "• � .E� '�A. �: � g• .; ' �'° 7 � � � � � is �a ., � _ NR S _ , . _ ;l � � _ -i � � :., � F i i e t h i°-3 p el i' -n it AE ekd l -i BaB'o ki r p e rrn an, e nt re to tmt rd-S,`§r `E,#iwl e n o b is C orn rd cite . r% R r°44& . 'p,A x# a,v�a INSPECTION Gradkig: Pregrade Meeting Rouget Grade Terraces Sub Drains Finish Grading Soils Certification Grading Certification Rough DATE INSPECTOR Underground Site Inspections: Building Se%Ner Line Water Supply Line I fG Electrical Service Conduit Storm Crain f Catch Basin DO NOT BACK FILL UNTIL ABOVE IS APP ROVED Verify Soils EnUir riinU: Compaction, moisture, conditioning, etc. Unrierfl rr'Untlersiab Irsl tion: UAF IVVaste Plumbing USF Fater UF Mechanical U)F E lectrical USF Framing LIEF Insulation Subfloor ABOVE IS REQ DIRE U H RIO R TO F OU H DATIOFi I FISP ECTION Foundation lection: Setback I Footing — OK to Pour UF E R Ground (Rebar opper) Hardware f Hold -Downs Piersaissons f Tendons Slab Grade — OK to Pour LSO NOT PO UR CO NCRET E U NTIL ABOVE IS APPROV Eft Shear linspection (YVboi): Roof Nailing Exterior Walls Interior Walls Hard,vare i Hold-DaN s Ergo inspection: Framing Rough Electric Rough Mechanical Rough Plumbing f Topout COVED NO WD RK U HTIL .ABOVE IS MEPP ROVE D Insulation Drywall lInspection: Interior Exterior EXT LATH Stucco Scratch Miscellarteous lIIoecti : Marry Fireplace Plata Ties, Fire Bloch Patio I Deck: Footing Frame Access I Light I Switch Patio Final INSPECTION DATE INSPECTOR Block 'Fall kispecti : Footing, Rebar 1 "1 Litt Bond Beam 2'4 Litt Bend Beam 'd Litt Bond Beam Crain f Seal ReRoofm Tear -off , Existing Conditions Sheath Nail ing Roof Final Bunting Pools: Location f Rebar f Bonding f Light Gas Test Gr Conduit Ido Elect POOL NOT TO H E FILLE U U NTIL F ENCII FSG 1S COMPLETE Fence, Gate & Alarm Final Pool Fire Protection Eq uipriwrt: UG Pipe Thrust Blocks Hydro Flush ',/%reld Outlet Insp. Overhead Hydro Terrip Povww Pole Electric Release Gas Test FINAL INSPECTIONS NO OCCU P HCY P E RMITTED WITHO UT FI14AL County Environmental Health Cepa. (391-7570) Planning Dept. (364-2752) Public V%eorks (364-2774) Fire (393-:3388) Landscape (%-)E4-276Q ALL ABOVE MUST H E APPROVE D H E FO ISE FI NAL BLD G. Final Grade % Final E lectric Final Plumbing Final Mechanical Final Bu ildingf Construction Water Meter Number CERTIFICATE OF OCCUPANCY OK TO ISSUE OTHER: NOTICE TO OWN E R: Call for FINAL INSP ECTI N on every job. This pemnitwill eaqpi-e if work is suspended or abandoned for a period of 180 days.