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2015-30437 5-19-2015 4346 Jasmine Hill Ct Mechanical CO ..„ . .a ��� BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT � r iiill �a f 14000 City Center Dr.,Chino Hills,CA91709 i Counter Phone (909)364-2780 tjr , °r '�s BuildingPermit 24-Hour Inspection Line (909)364-2790 a ��tr ' (NOTE:You must call before 3p.m.for a next business day inspection) r t City Hall Main Number (909)364-2600 fi\i1/4,,,V 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 IS E AT ANY TIME FOR MORE BELOW WHEN MAKING INQUIRIES THAN 180 IF WORK IS IN I TI OF ANY CITY OR STATEOR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. MECHANICAL CHANGE OUT 2015-30437 38173 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 4346 JASMINE HILL CT 5/19/2015 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101764438 TR 13601 255 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE I VALUATION TOTAL SOFT BLDG.SOFT 434 Res Add/Alter VB R-3 $12,000.00 0.00 Current Owners: Fees Name:GARY&KAREN SWOPE- Fee Group/ Fee Description Fee Amount Payments Address: 0009034BERKSHIRE CIR EAZTUCSON 85710 Transaction Type Ph: • Mechanical C/O $106.60 Email: Contractor. CLEARVIEW HOME IMPROVEMENTS INC-CLEARVIEW HOME IMPROVEMENTS INC SB1473 $1.00 1.00 Address: 4155 E LA PALMA#500 ANAHEIM CA 92807 38 HVAC change out-Split System w/Energy $105.60 105.60 Ph: 714-920-8079 Email: M@CH.ORG Lic.Information838720 Exp.Date:3/31/2015 TOTAL FEES $106.60 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $106.60 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 $0.0k/ effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. Da V'''/o . ractor e -- 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). 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,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. I 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 insurance carrier and policy number are: 6 ,. C a y � urrier; �- , � Policy DATE._. '7/4;bitr `_ �, _ 'c� PLICANT SIGNATURE Applicant: ROBERT GOR,,' 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: 22911 SAVI RANCH PARKWAY YORBA LINDA CA 92887 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: 800-900-4247 Email: M@CH.ORG i __ _ Date: ''''''''),i'd./? _ Lic.Information Exp.Date: yr� - / , I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and t...c Applica •. u ______._ a Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Fail a to secure workers 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 DEVELOP MENT—BUILDING & SAFETY DIVISION Card 103019(i 364-27Q0 roire 3:00 p.mif*neM day Mspecitijon 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'Wilde RP:SHALL BE COVERED VATH :tiTttLPE3T1iP Fi 13 this permit with your permanent records when job is complete, ['INSPECT 110 N RECO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall kwrmcti II` Pregrade Meeting Footing,Rebar Rough Grade 1s1 Lift Bond Beam Terraces 2rd Lift Bord Beam Sub Drains 3''Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undro. d Se I di: Sheath Nailing Building Sewer Line Roof Final Water Supply Line UfG Electrical Service Conduit SW rg Storm Drain I Catch Basin Location/Rebar Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit Verily Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate Alarm UndafkKorll slab kx3 ti Final Pool UfF Waste Plumbing U IF Water Fire .1e.k.fil Egli! • ° UF Mechanical UG Pipe UfF Electrical Thrust Blocks U/F Framing Hydro U fF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyciti Foundation - TenP1: Pole Setback./Footing—OK to Pour EIectricIe -- U FER Ground( ebariCopper) Gas TL Hardware 1 Hold-Dowrrs 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 m hs ;. n(VA3cd): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364..-2766) Hardware 1 Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade C. 0 Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing f Topout Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmulatim • OK TO ISSUE D all i ..ctimi: OTHER: Interior Exterior EXT LATH Stucco Scratch Miscell- -a us Ire" Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call fix FINAL INSPECTION on e ‘;. job. AcciK I Light Swich Th"pe will ere if . a 555. - a-d or abEdicko for a Patio Final period of 180 EU,