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Permit No. 2004-1749 / ", ,.,--- 1111 BUILDING DIVISION OF COMMUI'DEVELOPMENT DEPARTMENT ` : 7 2001 Grand Avenue,Chino Hills,CA 91709 -2fgT.'. Ci of Chino Hills Counter Phone i,�.��, (909)364-2780 - 1 Building Permit 24-Hour Inspection Line (909)364-2790 ; (NOTE You must call before 3p m for a next business day inspection) 4`''' .1... City Hall Main Number (909)364-2600 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED PLEASE USE PERMIT NUMBER WITHIN 180 DAYS FROM DATE OF ISSUANCE, OR IF WORK IS SUSPENDED AT ANY BELOW WHEN MAKING TIME FOR MORE THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY INQUIRIES OR REQUESTING OR STATE LAWS RELATING THERETO INSPECTIONS PROJECT DESCRIPTIONPERMIT No WATER HEATER CHANGE OUT I 2004-1749 0 BUILDING 15418ADDRESS OAKGROVE CT 0 APT/UNIT No I ISSUED DATE 11/16/2004 I ISSUED eY APN PARCEL MAP# TRACT LOT/PARCEL CONST TYPE ZONE 0CC IpVAL`A N E IA �� \ 1031-391-09 ITR 12625 I 32 I BLOCK I V-N I UN I R-3 IIY sidential CENSUSCODESODES I OVREIRLAY DIST I BLDG SOFT ISP R PE I PPROJECT PERMITS I SETBACK FY I SETBACK RY I SETBAC\C1SY j\SETBACKSY L FEES ��- Description Calc Paid w VALADEZ FAMILY TRUST (4-11-99) Plumbing $15 00 $15 00 15418 OAK GROVE COURT Issuance/Suppl F $30 00 $30 00 0 CHIINO HILLS, CA 91709 Total Paid 11/16/2004 $45 00 NOCK PLUMBING 11612 KNOLL STREET #17 Grand Total $45 00 $45 00 GARDEN GROVE, CA 92841 x 00 (714) 895-1246 0 F- Contr Lic 707775 z• Expiration 6/30/2005 O License Type C36 Workers Comp 02KR0028858 Expiration 9/1/2005 Bus License 05-01175 Expiration 6/30/2005 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a>rd rofessions Ce, and my license is in full force and effect In securing this permit I am acting „j3 th ,knowledge and on the behalf of tp4"owneer of the property 1 IY �( (i0 ' '9 CI Contractor ( 1fLI /1 I PROJECT DESCRIPTION I 1 OWNER-BUILDER DECLARMION WATER HEATER CHANGE OUT CII hereby affirm under penalty of perjury that I am exemp from the Contractors License Law for the following reason(Sec 7031 5 Business and Professional 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 there from and the basis for the alleged exemption Any violation of Section 7031 5 by r K any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ��++�py;31” Ciar'In � BY LIMITATION dollars($500) ❑ I, as owner of the property, 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 [1 Professions Code The Contractors License Law does not apply to an owner of property who Iry7dj'� builds or improves thereon, and who does such work himself or herself or through his or her Date 1 �n own employees, provided that such improvements are not intended or offered for sale If _. I t al however,the building or improvements is sold within one year of completion,the owner-builder - will have the burden of proving that he or she did not build or improve for the purpose of sale) I 1 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct PROJECT INFORMXTION the project(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 contracts for such I Desc I Location I Sq Foot I Valuation 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 penury 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 Toth(Valuation $500 00 permit is issued I certify that I have read thi application d state that the above information I have and will maintain workers' compensation insurance, as required by Section 3700 the is correct I agree t ly with all i and county ordinances and state Labor Code,for the performance of the work for which this permit is issued laws relating to build 9y ns uction, n hereby authorize representatives of this county (O en r/u o the a -mentioned property for inspection ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes f / 1 n any California,persoin any manner soIhaulto become becom ss bjet tot the worker's compensation comp compensation laws of is I 'k/ y /�IS, //i�// // 77-7 ' 7- /� �//� ornia,and agree that if I should become subject to the worker's compensation provisions ✓� ff' 9�/��If l / of Section 3700 of the Labor Code,I shall forthwith comply with those provisions /SIGNATURE DATE' n APPLICANT FORMATION /n NOCK PLUMBING ate. // 11612 KNOLL STREET #17 ////111/ Il - ka v f Applicant GARDEN GROVE, CA 92841 C, jt. V v (714) 895-1246 WARNING Failure to secure workers compensation cover ge is unlawful,and shall subject an employer to criminal penalties and civil fines up to one hand ed thousand dollars($100,000),in I certify that the use of this facility shall comply with sections 25505,25533, addition to the cost of compensation,damages as provided for in Section 3706 of the Labor Code, and 25534 of the Health and Safety Code,which regulate the storage, interest,and attorney's fees handling and use of hazardous materials • CITY OF CHINO.HILLS • COMMUNITY DEVELOPMENT—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 when job is complete INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading Block Wall Inspections Pregrade Meeting Footing, Rebar Rough Grade 15"Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd 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 Gr Conduit Verify Soils Engineenng Ro Elect Compaction,moisture,conditioning,etc POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underfloor/Underslab Inspection Final Pool U/F Waste Plumbing _ _ U/F Water Fire Protection Equipment U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F 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 Hardware/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 Inspection(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 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 CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection OTHER Interior Exterior EXT LATH Stucco Scratch Miscellaneous Inspections Masonry Fireplace Plate Ties, Fire Block Patio/Deck. Footing Frame Access/Light/Switch NOTICE TO OWNER Call for FINAL INSPECTION on every job This permit will expire if work is suspended or abandoned for a period of Patio Final 180 days