Loading...
2010-23235 2-5-2010 15904 Oak Canyon Ln Water Heater CO r, ', `°- City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,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 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 DESCRIPTION PROJECT No. PERMIT No. WATER HEATER CHANGE OUT,SAME LOCATION 12010-23235 BUILDING ADDRESS IAPT./UNIT NO. IISSUED DAT / I ISSUED BY Rosemary 15904 OAK CANYON DR V/ A3N34112 MAP# I5 29T7 IFLOORS/UNITS PROJECTPERMITSIP.TYPE 1 CENCUS Res Add/Alter I CONST.TYPE I ZONING TYPE I R-3 CUPANCY TYPE I VALUATION $500.00I TOTAL SQFT 0.001 BLDG.SQFT 434_ B Current Owners: DAVID BERG BERG FAMILY 1996 TRUST- Fees Address: 15904 OAK CANYON DR CHINO HILLS CA 91709 • Fee Group/ Fee Description Fee Amount Payments Ph: 909-597-8494 Transaction Type Email: Water Heater C/O $68.50 _ Contractor. ALL STAR WATER HEATERS INC-ALL STAR WATER HEATERS Address: 30300 PUERTO VALLARTA MENIFEE CA 92584 8001 Permit Issuance Fee $52.00 52.00 Ph: 800-727-0977 Email: B141 Water Heater 15.50ea $15.50 15.50 Lic.Information812894 Exp.Date:9/30/2010 LICENSED CONTRACTORS DECLARATIONUCENSED 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 $68.50 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 knowledce.ef anbbed on alf of the owner of the property. ]— 1 -.--7..., AMOUNT PAID $68.50 j��(/ Contractor ' ,�0�0� BALANCE DUE $0.00 Y Dat . / _ ' - V OWI1'ER-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 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 . • ._ - e. owner of propertwho builds or Improves thereon,and who contracts for such projects with a contractor(s) PERMIT EXPIRED BY LIMITATION ' pursuant ursuant to the Contractors License Law). I am exempt under article 3 of the Business and Professions Code. , \\ Date: Owner. Date -- ---\N Initial `� • V y 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 by section 3700 of the Labor Code,for the performance of the work for which this permit is with all city an unty ordinances and state laws relating to building construction,and hereby authorize issued. repres Ives of is citaeenteruponye above-mentioned proptery for inspection purposes. I have and will maintain workers' whitcompensation insurance,ased yio by Section nsat700 of the Labor / C�! / //�f/ ode,for the performance of the work for which this permit is Issued. My workers compensation - '�%/j//�//'J// insuran meandQolicy number are: �, _ Cartier i_/�/�^t1.S Policy#.40 11V ..A !CANT SIGNATURE y Cf E / I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant. KEN BLOCK- person in any manner so as to become subject to the workers compensation laws of California,and Address: 36300 PUERTO VALLARTA MENIFEE CA 92584 that if I should become subject to the worker's compensation provisions of Siyction 3700 of the LaboJJJJJJ������ode, I shall forthwith comply with those provisions. n{ .yam ,/!/f Ph: 800-727-0977 Email: Dat G Applicant:: / //wry// Lic.Information Exp.Date: L� r/r I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNI G: ilure to secure workers compensation rage is unlawful,and shall subject an employer Safety Code,which regulate the storage,handling and use of hazardous materials to criminal penalities and civil fines up to one hundre ousand dollars($100,000),in addition to the cost of compensation,damages as provided for in sects n 3706 of the Labor Code,interest,and attorneys fees. CITY OF CHINO HILLS COMMUNITY DEVELOP MENT—BUILDING & SAFETY DIVISION Call(909)364-2790 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 permit with your permanent records wt-ien job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1;'Lift Bond Beam Terraces 2`11 Lift Bond Beam Sub Drains 3"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 U/G Electrical Service Conduit Swimming Pools: Storm Drain./Catch Basin Location/Rebar/Bonding/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 Underfloor/Underslab Inspection: Final Pool UT Waste Plumbing USF Water Fire Protection Equipment: UT Mechanical UG Pipe UT Electrical Thrust Blocks USF Framing Hydro UT Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyclo Foundation Inspection: Temp Power Pole Setback I Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test. Harc w re 1 Hold-Downs Piers/Caissons/Tendons - FINAL INSPECTIONS SIab.Grade-OK t Pour NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County.Environmental Health Dept. (391-7570) Shear Inspection(Wood): Planning Dept.(364-2752) Roof NailingPublic 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 inspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing./.Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED • Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: OTHER: Interior C� Exterior EXT LATH \ Stucco Scratch Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio/Deck: Footing Frame Access/Light/Swich NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Patio Final This permitwill eerie if work is suspended or abandoned for a period of 180 days.