Permit No. 2006-0353 BUILDING DIVISION OF COITY DEVELOPMENT DEPARTMENT
2001 Grand Avenue,Chino Hi 91709
City of C i n o Hills Counter Phone (909)364-2780
4~�
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
111'Y OF CMl4tl IW
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 DESCRIPTION I PERMIT No
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BUILDING ADDRESS I APT/UNIT No ISSUED DATE I ISSUEU BY
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APN PARCEL MAP# ITRACT LOT/PARCEL I TYPE IZOO I OCCLANDUSE
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CENSUS
CODES nP th I OVERLAY DIST I BLDG SOF F I PE PROJECT PERMITS SETBACK FY SETBACK RY I SETBACK SSY SETBACK SY
FEES
w Description Calc. Paid
HSIN, MARGARET Plumbing $15 00 $15 00
O 2572 PASEO TORTUGA Issuance/Suppl F $30 00 $30 00
CHINO HILLS, CA 91709
Total Paid 3/16/2006' $45 00
ALL STAR WATER HEATERS
30300 PUERTO VALLARTA Grand Total $45 00 $45 00
MENIFEE, CA 92584
0
U 800-727-0977
Z Contr Lic 812894
0
o Expiration. 9/30/2006
License Type:C36
Workers Comp:1791641
Expiration. 9/1/2006
Bus. License:05-09273
Expiration- 12/31/2005
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 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 the
behalf of the owner ofithe prRperty
p PROJECT DESCRIPTION
Date Contractor Au,. SSR
OWNER-BUILDER DECLARATION WATER HEATER CHANGE OUT
❑ I hereby affirm under penalty of perjury that I am exempt 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred
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
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 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, as owner of the property, am exclusively contracting with licensed contractors to construct PROJECT INFORMATION
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 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 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 Total Valuation fi s n n nn
permit is issued
I certify that t have read this application and state that the above information
I have and will maintain workers' compensation insurance, as required by Section 3700 the is correct I agree to comply with all city and county ordinances and state
Labor Code,for the performance of the work for which this permit is issued laws relating to building construction,and hereby authorize representatives of
this county to enter upon the above-mentioned property for inspection
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ purposes / /
any California,persoin anyamanner soIhaulto ecome subject to the worker's compensationcompenalaws of `��o
ornia,and agree that if I should become subject to the worker's compensation provisions X
of Section 3700 of the Labor Code,I shall forthwith comply with those provisions
APPLICANT SIGNATU' DA E
APPLICANT INFORMATION
ALL STAR WATER HEATERS
� 30300 PUERTO VALLARTA
X
Date / Applicant MENIFEE, CA 92584
WARNING Failure to recur:worker's compensation coverage is unlawful,and shall subject an 800-727-0977
employer to cnminal penalties and civil fines up to one hundred 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 1sI Lift Bond Beam
Terraces 24d 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 Engineering: 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 El-
Framing F - 'lambing d�p
Rough Electric Final Me •- cal 1 (�
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