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2014-28764 5-27-2014 2201 Hedgerow Ln HVAC CO of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT �a14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 uilding Permit ,1 ," �,, e� -���. 24-Hour Inspection Line (909)364-2790 ; - ,, • , ,, 0,,,-c.''''' (NOTE:You must call before 3p.m.for a next business day inspection) mr,. �. City Hall Main Number (909)364-2600 �r�, r _ „. NOTICE: THIS IT BECOMES NULL AND VOIDIF WORK IS NOT COMMENCED WITHINI PLEASE USE PERMIT NUMBER 180 T OF ISSUANCE,OR IF WORK IS E E AT ANY TIME FOR BELOW WHEN MAKING INQUIRIES THAN 180 IF IS IN I I OF ANY CITYSTATE OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. HVAC CHANGE OUT:REPLACE FURNACE&COIL ONLY IN GARAGE 2014-28764 BUILDING ADDRESS I APT./UNIT NO. ISSUED DATE ISSUED BY 2201 HEDGEROW LN5/27/2014 Sarah,Larios . APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102420140 TR 13651-9 39 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $7,000.00 0.00 Current Owners: Fees Name:GLENN RATUITA �� ,..,. � ..,__.�, Fee Amount Payments ,tom Fee Group/ Fee Description Address: 2201 HEDGEROW LN CHINO HILLS CA 91709 Transaction Type Ph: 626-488-0212 g.25 Mechanical C/O $79.25 7 Email: M@CH.ORG Contractor. SERVICE CHAMPIONS-SERVICE CHAMPIONS 8001 Permit Issuance Fee $56.00 56,00 Address: 22911 SAVI RANCH PKWY YORBA LINDA CA 92887 B110 FAU/A-C=<100,000BTU $22.25 22.25 Ph: 714-692-7977 Email: m@ch.org Exp.Date:9/30/2015 SB1473 $1.00 1.00 Lic.Information799170 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $79.25 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 $79.25 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. BALANCE DUE $0.00 Date: .� w ti '_,r,f Contractor: --. '.. z ('L • t :,— ti-.' t '.., ; ' OWNER-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 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 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,tion,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 and county ordinances and state laws relating to building construction,and hereby authorize issued. representatives of this city to enter upon the above-mentioned proptery for inspection purposes. have and will maintain workers'compensation insurance,as required by Section 3700 of the } Labor Code,for the performance of the work for which this permit is issued. My worker's compensation 5^ a insurance carrier and policy number are: - 'II -',,, ,t..1`j'' � PolicyAPPLICANT SIGNATURE' DATE i d, r Carrier* #: `.;,'fG itsr "g :Yo ffi` Applicant: CARLOS ZAMORA 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 Address: 5858 DOVETAIL DR AGOURA HILLS CA 91301 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. Ph: 818-735-7876 Email: G mrcarlosazamora@gmail.com Date: t'` f, / _tl:"' r' Lic.Information Exp.Date: Applicant:: , >>.. r I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and 'r Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to sedge worker's compensation coverage is unlawful,and shall subject an employer to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. CITY OF CHINO HILLS COMMUNITY DEVELOPMENT.—BUILDING & SAFETY DIVISION Call 4909;(=364-27 beforfe fof iittaX:ii,day PNISR,S,CIti011t 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. ViO LIU Ric SH SLL SE )\&irERED VIR1 H4 0.,[111 1[113P ECT1 ut File this permit with your permanent records when job is complete. ilJSPECTDNE CORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading Block Wall Imidi# Pregrade Meeting Footing,Rebar Rough Grade 151 Lift Bond Beam Terraces 2rd Lift Bord Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undugromd Site I - ir Sheath Nailing Building Sewer Line Roof Final Water Supply.Line UfG Electrical Service Conduit Sw" Storm Drain.!Catch Basin Location/Rebar f Bondingi Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Vally Soils Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm -lab Irks -4- "0-1: Final Pool UF Waste Plumbing UF Water Fire otedimi Equi k UF Mechanical UG Pipe UfF Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycl'o Found" T Pi ;- Pole Setback!Footing—OK to Pour Electric 14e 34- UFER Ground(Rebar/Copper) Gas Ted Hardwae f 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) She his .4- "on w31): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364-2766) Hardweref Hold-Dowra ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG., Final Grade C Final Electric Framing Final Plumbing Rough Electric Final Mechanical ji4431(19.> A Air- Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmuktion OK TO ISSUE D all Irmimctim: 19TH Interior Exterior I 1))1 M 56'4 /7 itiO - EXT LATH Stucco Scrdch MisII 11 M Fieplace Plate Ties,Fire Block Patio I Deck: Footing Frame Access.1'Light.'"Swich NOTICE TO OWNER:CaIlforFINAL INSPECTION one This --- will em" - if s lss d cw a lum cb fix a Patio Final rbd of 180 d-