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2014-29165 8-15-2014 15904 Oak Canyon Dr HVAC CO �it�iN rpt vaD. {J33 N&�d 4'/' • a Y t City Hills x,t � XF BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT yrt��t`t � k 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 .- Lat t ��� Building Permit24-Hour Inspection Line (909)364-2790 ,�� ` 1�s�te���'�tij,, S y����,�f��,��� iryut i q t F"tw l qte t t. q a "\ ' t t �tt� �� t� (NOTE:You must call before 3p.m.for a next business day inspection) X.� �,`'�.\)'',.,\, A fi ' ' ,, ' CityHall Main Number (909)364-2600 r' / t, ,Ik , �J: 04 4 40.4'Ii r \\(.<.--. amu. . NOTICE: THIS PERMIT BECOMES NULL AND VOIDIF IS I I PLEASE USE PERMIT NUMBER 180 FROM DATE OF ISSUANCE, IF IS TIME BELOW WHEN MAKING INQUIRIES THAN 180 IF WORK IS IN I I CITY T !OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION ... 'PROJECT No. PERMIT No. HVAC CHANGOUT,SPLIT SYSTEM 2014-29165 '=' BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ...- ISSUED BY 8/15/2014 Whiteman,Rosemary 15904 OAK CANYON DR `;FP9 APN TRACT MAP#... LOT.... FLOORS/UNITS PROJECT ... _ ........ PERMITS P.TYPE I 103134112 TR 12625 297 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB ,R-3 $11,000.00 0.00 Current Owners: Fees Name:XUFANG WU .sm,„aYCYfnnlCt3tiYt XYL NFi".:;,t:F32s.itkffaR`.Y:"ti.t4}YRYt#44Yhk ll2tt.ii£tSxi`."&kftlrS2S1ii4S1U{.YF.4,tSr4:4111ff}yYt£'91YSiX�F,Jz<}yh.ilXlSitYSPui[tif Fee Group/ Fee Description Fee Amount Payments Address: 15904 OAK CANYON DR CHINO HILLS CA 91709 Transaction Type Ph: 909-538-3128 �.a���.s�, ,Ftt,}��,.., u.�b» . mnn..,t„,: , ti�_�, ,� �.,.�. ..�>w ae,.,., � �, >,�. n r� ,�„ Mechanical CIO $423.40 Email: M@CH.ORG Contractor. ARS OF CORONA-ARS AMERICAN RESIDENTIAL SVCS OF CALIFORNIA 38 HVAC change out-Split System w/Energy $422.40 422.40 Address: 1225 GRAPHITE DR CORONA CA 92881 SB1473 $1.00 1.00 Ph: 951-280-3153 Email: m@ch.org Lit.lnformationl91820 Exp.Date:2/28/2015 TOTAL FEES $423.40 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $423.40 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 BALANCE DUE $0.00 c;,� effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. 'til a”' oi: .:—. ,.._�...- r ` Date: `6 \ Contractor 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 N ` \\:,,,\the Contractors License Law(Chapter 9 commencingwith Section 7000 of Division 3 of the Business and ti �; � - N,, ) 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 acompensation, PP agreecomply will maintain a certificate of consent to self-insure for workers' as I certifythat I have read this application and state that the above information is correct. I to com IY 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. 0._ ..-ve and will maintain workers'compensation insurance,as required by Section 3700 of the may. Labs Code,for the performance of the work for which this permit is issued. My workers compensation -.. ' k.s,_,,Li ” insurance carrier and policy number are: / °'''" Carrier: a 4`j 0�S. Policy 'APPLICANT SIGNATURE % DATE `') (Applicant:. MANS-RECKTENWALD ,.. I certify that in the performance of the work for which this permit is issued,I shall not employ any erson in any manner so as to become subject to the worker's compensation laws of California,and Address: 11750 STERLING AVE,STE G RIVERSIDE CA 92503 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: 714-336-6159 Email: m@ch.org b� Lic.Information � .Dat . Date. -,.i xp 10.00010061. l , (� Applicant_._.__. -, I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and - ( z 'Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure works 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. CIT.( OF CHINO HILLS COMMUNITY DEVELOPMENT–BUILDING & SAFETY DIVISION Ci e.,9091( livairove 3:00 113411,013f Han day h Dspeollo Post in a safe, conspicuous place affront of job. Provide permit number when calling for inspection. Have approved plans on job at time of inspection. VIO itR 'SHALL BE COVERED'MTH iTi1UECTKM File this permit with your petrnanent records when job is complete. ll0FEcri3i1 RECO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall kmicti-r Pregrade Meeting Footing,Rebar Rough Grade 151 Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3ni Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Und romd Se I Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit SW ixjPls: Storm Drain Catch Basin Location fRebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Vekify Soils Engi •-•;.74. Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undo-Mg:mil lab km 7:- m: Final Pool UF Waste Plumbing UiF Water Fire FN-otectim Equi k U Mechanical UG Pipe LIF Electrical Thrust Blocks UiF Framing Hydro LW' Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyo Found --0-ctim: T i Pi Pole Setback!Footing–OK to Pour Electric Pei-c- UFER Ground(Rebar/Copper) Gas TeA. Hare 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) Shea km a ion(Wool): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (3933388) Interior Walls Landscape (364-2766) Hare Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C..' 0 imeticwo: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO,-. RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE D all kr.clkwo: OTHER: Interior — -Exterior EXT LATH t& t0 r — StuccoScratch ) MII s\ „ kmimctil 4 ), 14'1 Fieplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER:Call fix FINAL INSPECTION on e Ob. Access Light Swtch This - will e "if ei s 4:- - -d or abkockp for a Patio Final imrbd a UM ..„----% 0j1L6," Vi -........ -__.---__..-_,.......---- - ,... .- ......... -- _ _ ._ . . ..,,... ' 1 ' 1 , . , 1 I, 1 1 ! ,1 1 .1' 1 1 !1 ,...... . . 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