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2014-28307 2-13-2014 13721 Shadow Ridge Dr Furnace CO £L "f � x � BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT , , :op 14000 City Center Dr.,Chino Hills,CA91709 £ Counter Phone (909)364-2780 M, . BuildingI 24-Hour Inspection Line (909)364-2790 Y (NOTE:You must call before 3p.m.for a next business day inspection) ' i ,\\ ,,i ), 1, 1 City Hall Main Number (909)364-2600 ,;' NOTICE: THIS 1 NULL AND VOIDWITHIN PLEASE USE PERMIT NUMBER 180 ISSUANCE,OR IF WORK IS E AT ANY TIMEBELOW WHEN MAKING INQUIRIES THAN IF IS I I CITY OR REQUESTING INSPECTIONS THERETO.RELATING PROJECT DESCRIPTION PROJECT No. PERMIT No. FURNACE CHANGE OUT 2014-28307 1 - BUILDING ADDRESS ;APT./UNIT NO. ISSUED DATES°° ISSUED BY 13721 SHADOW RIDGE DR 2/13/2014 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102408256 TR 13651-2 175 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter i VB R-3 $4,000.00 0.00 • Current Owners: Fees .. •. - 4....t. V `., ,Ilial,texUA.15xS£`a'U£?df zY6;£A::�Tdf#��.Y6tL'2`:' -`sY WS «4i k1i4 V'rdY 41ia;11nk4,..1{te£.iYir'h\tRt�'i@:,151bk.3>42 tWX.kRd1Yrt2#SV�Sin. D Name:JOVITO MALIXI Fee Group/ Fee Description Fee Y„`ount Payments Address: 13721 SHADOW RIDGE DR CHINO HILLS CA 91709 Transaction Type Ph: 111-111-111100 Mechanical C/O $84.00 Email: m@ch.org Contractor. SERVICE CHAMPIONS-SERVICE CHAMPIONS B001 Permit Issuance Fee $56.00 56.00 Address: 22911 SAVI RANCH PKWY YORBA LINDA CA 92887 B111 FAU/A-C>100,000BTU $27.00 27.00 Ph: 714-692-7977 Email: m©ch.org Lrc.Information799170 Exp.Date:9/30/2015 SB1473 $1.00 1.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $84.00 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 $84.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. u r BALANCE DUE $0.00 • Date: ., Co`htractor.,f \ /--- , / Ay L > i ,,,,,,,.\:______,....-- 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,as II 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 thiscify to enter upon the above-mentioned proptery for inspection purposes. ccm I have and will maintain workers'compensation insurance,as required by Section 3700 of the a Labor Code,for the performance of the work for which this permit is issued. My worker's compensation �, LN-:-�,_ i insurance carrier and policy numberare: ,- t �,--.—-- \� �'—A;����`=''''`+' / Carrier t{"P gym,' 'ti Policy y'` 'APPLICANT S.a J NATURE , °' DATE '-' t a� I.. - pplrcant._ CARLOS ZAMORA- certify that in the performance of the work for which this permit is issued,I shall not employ any C,,,, 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: W� 4 �-- i G,� Lic.Information ;� � Date: Da — I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and i= Safety Code,which regulate the storage,handling and use of hazardous materials --WARNING: Failure to securworker'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. CO-( OF CHINO HILLS COMMUNITY DE"VELOPMENT—BUILDING & SAFETY DIVISION Call 00911 364-27"201 liihaifolye'3:00 for13ed: foy Pg-DsRIio 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. srti..ct L BE CiDiVE RED MTH 11 WISP E CAI File this permit with your permanent records when job is complete. Fp41 s PErFiiN FECiD:F1[J INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall k.m3idi Pregracle Meeting Footing,Rebar Rough Grade 151Lift Bond Beam Terraces 2 Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoa: Tear-off,Existing Conditions Und tromd Site I 4:- - Sheath Nailing Building Sewer Line Roof Final Water Supply Line WO Electrical Service Conduit Stv" P Storm Drain/Catch Basin Location/Rebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Veri Soils Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE, Fence,Gate 8,Alarm Underikxmll ;.slab km ;. Final Pool UF Waste Plumbing UE Water Fire Protectim Equi k UiF Mechanical UG Pipe UF Electrical Thrust Blocks UF Framing Hydro UF Insulation Flush Subfloor WeldOutlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hy(to FoundationIg -i- T- Pt. 13:0 Setback Footing—OK to Pour Electric --- UFER Ground(Rebar/Copper) Gas T Haretwae Hold-Dowre 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 r km Mo.): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hare Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade \ C 0 Fedi Final Electric Framing Final PlumbingRough Electric Final Mechanical Rough Mechanical Final Building/Construction , Rough Plumbing iTopout Water Meter Number iN) COVER NO 1I.0 RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmuktimi OK TO ISSUE D all kmdicre OTHER: Interior „ Exterior EXT LATH Stucco Scratch koFedi I Feeplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call fa-FINAL INSPECTION on e Ob. Access i Light SWtch Th" wdl egf - f is s -0- •-d or aboub a for a Patio Final tmriod of 180 th