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Permit No. 2011-24944 l. ,:-:',,2`,-)-_—, '.5 City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPA-#f V / 14000 City Center Dr.,Chino Hills,CA91709 .I Counter Phone (909)364-2780 BuildingPermit i r ) ` 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 120101-24C944 No. !PERMIT No. WATER HEATER C/O JI BUILDING ADDRESS I APT./UNIT NO. ISSUED DATE I ISSUED BYHeredia,Monica 5545 VERONESE DR 1N 101769319 ITR 1 CT MAP# 119 T 1FLOORS /UNITS 1PROJECT PERMITS IP.TYPE 10ENCUS Res Add/Alter 1CONST.TYPE (ZONING TYPE IOCCUPANCY B OATYPE 1VALUATION $500.00 1TOTAL SQFT 0.00 1BLDG. SQFT434_ Current Owners: Fees Name:JEFF&MARY KLANTE Fee Group/ Fee Description Fee Amount Payments Address: 5545 VERONESE DR CHINO HILLS CA 91709 Transaction Type Ph: 909-851-1925 Water Heater C/O $69.75 - Email: 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: M@CH.ORG tic.Information872894 Exp.Date:9/30/2012 581473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $69.76 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 Professions Code,and my license is in full force and AMOUNT PAID $69.75 effect In securing this permit I am acting with the know nd on behalf of the of the property. ---O�/ BALANCE DUE $0.00 at :�//` / Con t• 3 • // F -= TION 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 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 a will maintain a certificate of consent to self-insure forworkers'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 cou ordinances and state laws relating to building construction,and hereby authorize issued. representati is • enter upon the above-mentioned proptery for inspection purposes. I have and willp mperformance workers'cern forw r hn permit i as required by Section 3700 of the ___ op-77,9X---)7 `�/9�% /�j Labor Code,for the performance a (r.forty rch this permit is issued. My worker's compensation i insurance carrier and policy number a� / ( a•j- - Policy : �•, A I DATE : _P I alit.. Applicant KENNETH BLOCK I certify that in the performance of the work for which this permit is issued,I shall not emplo person in any manner so as to become subject to the worker's compensation laws of California,a 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 Labor Code,I shall forthwith comply with those provi$jons. Ph: 800-727-0977 Email: �] � Lic.Information Exp.Date: Applicant: % 6> 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' -ail •- • -cure„•,: s . pensation coverage is unlawful,and shall subject an em•1• > 'c'i- .s..: vii fines upjp.one hundred thousand dollars($100,000),in addition to the • t. ,46@irr.•,.amagesroared for in section 3706 of the Labor Code,interest,and attome fee a 11 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 atfront ofjob. 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 vviien job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad-ng: Block Wall Inspections: Pregrade Meeting .Footing,Rebar Rough Grade 15ILift Bond Beam Terraces 2^'Lift Bond Beam Sub Drains 3id 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 Swmmng Pools: Storm Drain/Catch Basin Location J 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 UnderfloorlUnderslab Inspection: Final Pool OF Waste Plumbing U/F Water Fire Protection Equipment: LIE Mechanical UG Pipe UIF Electrical Thrust Blocks U/F Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd^o Foundation Inspection: Temp Power Pole Setback I Footing—OK to Pour Electric Releasee UFER Ground(Rebar/Copper) Gas Test Harcttvere J Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS Slab Grade—OK to Pour 110 OCCUPANCY PERMITTED WITHOUT FINAL DO HOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-75717) Shear inspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3888) Interior Walls Landscape (364-2766) Hardwere IHold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo inspection: Final Electric Framing Final Plumbing t /A Rough Electric Final Mechanical J \� Rough Mechanical Final Building/Construction U Rough Plumbing/Topout Water Meter Number 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 I Deck: Footing Frame Access/Light/Swtch NOTICE TO OWNER:Call for FILIAL INSPECTION on every job. This perrritwill expie if work is suspended or abandoned for a Patio Final period of 180 days.