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2014-28502 3-28-2014 15571 Oakdale Rd HVAC CO �t t •,��� fi ��tf y BUILDING DIVISION OF C011 MUNITY DEVELOPMENT DEPARTMENT ', ; 14000 City Center Dr.,Chino Hills,CA91709 f j Counter Phone (909)364-2780 is ti..,AV,,, d ' Building Permit 24-Hour Inspection Line (909)364-2790 fj',i Yttkt 'FS,, t t, - (NOTE:You must call before 3p.m.for a next business day inspection) ` I,;.y City Hall Main Number (909)364-2600 \JFt" e_ ......— ..._..._,_ _..._...... __,..,.,........ _..._......... _..W.......,. -....__.._. NOTICE: THIS I NULL AND VOIDIF IS I PLEASE USE PERMIT NUMBER 160 DAYS FROM DATE OF ISSUANCE, IF WORK IS T ANY TIME BELOW WHEN MAKING INQUIRIES THAN Y IF IS IN I I OF ANY CITY OR STATEOR REQUESTING INSPECTIONS RELATING THERETO. _ PROJECT DESCRIPTION PROJECT No. PERMIT No. HVAC CHANGE OUT /2014-28502 T. BUILDING ADDRESS APT./UNIT NO. I ISSUED DAVE ISSUED BY 15571 OAKDALE RD 3/28/2014 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103136103 TR 12625 99 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $10,000.00 0.00 • Current Owners: Fees "-Y PS ?fN.:-Ft'Yt YiUFtPI t t€titUkl..1xY 3..ks.SkiYb Yi.lt Y..k 1'._.S"YY i- .A 7..... Name:ROBERT BREITENSTEIN- Fee Group/ Fee Description Fee Amount Payments Address: 0015571 OAKDALE RD CACHINO91709 Transaction Type Ph: ����,� Mechanical C/O $1 Email: Contractor. A PLUS GENERAL CONTRACTORS dba A PLUS HEATING&AIR CONDITIONING-A 8001 Permit Issuance Fee $56.00 56.00 PLUS GENERAL CONTRACTORS Address: 11330 KNOTT ST GARDEN GROVE CA 92841 B110 FAU/A-C=<100,000BTU $44.50 44.50 Ph: 714-901-0500 Email: m@ch.org SB1473 $1.00 1.00 Lic.Information763154 Exp.Date:5/31/2015 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $101.50 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing AMOUNT PAID $101.50 with Sec.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 behalf of the owner of the property. BALANCE DUE $0.00 C. Date: - 4-'8'21/- Contractor: -' /. t .—y.,.. a� ,../ ) '1/4..., 1- 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 3 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,as — I certify that I have read this application and state that the above information is correct. I agree to comply i 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. performancepermitMyP \----' I have and will maintain workers'compensation insurance,as required by Section 3700 of the � , insurance er de,for carrierhe and polinumber are: forwhich this is issued. workers compensation k _�° � .-R- i2, - -- Carrier: _-i" i,,fit. , Policy ..),!° ��` A".•LICANT (GNAT �.. DATE Applicant: ROY DOMINGUEZ 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: 11330 KNOTT ST GARDEN GROVE CA 92841 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: 714-201-0500 Email: m@ch.org Lic.Information Exp.Date: �pplican'� fi t I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and u �- Safety Code,which regulate the storage,handling and use of hazardous materials WAR�NG: Failure to ecure 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 ME NT,—BUILDING & SAFETY DIVISION i*09;(,364-27M flief3ove 3:00 rium imra&cyrinqitectio Post in a safe, conspicuous place at front of joli Provide permit number when calling for inspection. Have approved plans on job at time of inspection. SH IL SE,J.7.:0- .FE RED VTRTHfiatiT PsiSPECT110D1 File this p enit with your permanent records when job is complete. NSPECTFI)N RECO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad": Block Wall 101:Mdiir Pregrade Meeting Footing,Rebar Rough Grade 15ILift Bond Beam Terraces 2 'Lift Bord Beam Sub Drains 3 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions UndiNgroamd Se I Sheath Nailing Building Sewer Line Roof Final Water Supply Line • Electrical Service Conduit Sw" PIs: Storm Drain Catch Basin Location I Rebar Bonding/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 Undo-l :mai lab km 7:- km: Final Pool UF Waste Plumbing UF Water Fire R-ote.km Equi rr UF Mechanical UG Pipe UF Electrical Thrust Blocks U Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REOUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation -II-dicm: Term Pi Pole Setback Footing—OK to Pour Electric le- UFER Ground(Rebar/Copper) Gas T Hare Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS Slab Grade—OK to Pour tlO OCCUPANCY PERMITTED'WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shetai;• un"pod): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393- 88) Interior Walls Landscape (364 .2766) Hardyvere Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade - 0 Final Electric Framing Final Plumbing Rough Electric Final Mechanical -1,411 Rough Mechanical Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO i.R.UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irul.km OK TO ISSUE D all k ..km: OTHER: Interior Exterior EXT LATH Stucco Scratch MisIl- km.cti • Replace Plate Ties,Fire Block Patio I Deck: Footing Frame Acc ls 1 Light Swkch NOTICE TO OWNER:Call for FINAL INSPECTION one Rob. Th"3. •".will em" - • les - d abgmcb - kw a Patio Final rbd of 180 di „ ,„ 7 i/71 !tit,— . , \,,,,,,,, ,,\3 , i t,v-'/7-1 7 7 ,,,,---,c 1''s e.., ,- '''/0,7'e7/1/1 e,....,-- 6'/:- ----L7.4/. i ./ ' 1''':ti.''-1' / '•'‘ ' '''' %' z /, ,,,,,t,elx _.-(- - u E n n r lf i~ — / / /:// Oakdale Road APN: 1°31 - Ts er at:bta lc w /- 6'1-0 I/ gg• •• ®® W• /IT ,,,,,,,,,:,) - / N '‘ #''''..\ \\-1:1'.1 :1°.-° ® II! ,,,w aq„ 8 =7,5\ c ��Cr -__V%'\'‘I?.__.0_-*%/k*9 04*/'''111 i i -'4*::'s e:861 a e:-4: I R,4 >18. 0 D 0/ l ' .:,,,,. , '''''''''\'' ''iv.„..) 1'// ....„ 1 1‹,,Afoot° 0 04 4 1 ,N'Pa'--:,fr6:14—b:I'''.,%' ''''' ,,,,,/,-”‘1' ° '''''' 1' V, 0 , i, . . ,_,,:,y,,,_..„i„,,,,,.: ,,,,: // i_ • 4P` d,v,, ,, % (11,-----7,271.-'L_____-2 2_,),, ''''''''4/ N. _ A .. 5" 0,,,, -----'17,L, ° ity-ctil- 1 V °I /% i:1 oti.. w u0 „..71 II '' . 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