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2015-31307 10-15-2015 13536 La Sierra Dr HVAC CO '�. '���� �,� ' BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT �'��� City of Chino Hills "` 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 ; ''� 24-Hour Inspection Line (909)364-2790 "�.�' o; (NOTE:You must call before 3p.m.for a next business day inspection) { City Hall Main Number (909)364-2600 , 2 Y, ' ,A4T Yui iM Y N$44,,,:,,t 6S'r,„)ib£YtU:c NOTICE: THIS IT BECOMES NULL AND VOIDIF IS T COMMENCED WITHINPLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, IS T ANY TIME FOR E BELOW WHEN MAKING INQUIRIES THAN IF IS IN TI ANY CITY OR STATEOR REQUESTING INSPECTIONS RELATING T . sPROJECT DESCRIPTION PROJECT No. PERMIT No. (2)HVAC CHANGE OUT.HERS REQUIRED. 2015-31307 ; BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 13536 LA SIERRA DR 10/15/2015 Sarah,Larios 4. APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102366159 TR 13249-6 29 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $26,000.00 0.00 Current Owners: Fees Name:TRISTAN FAMILY LIV TR 09/06/07 C/O VINCENT&CECILA TRISTAN,TRUSTEE °” Fee Group/ Fee Description Fee Amount Payments Address: 13536 LA SIERRA DR CHINO HILLS CA 91709 Transaction Type Ph: 909-614-3065 Mechanical C/O $213.20 Email: M@CH.ORG Contractor. BURGESONS HEATING AND AIR CONDITIONING INC-BURGESONS HEATING AND AIR 39 HVAC change out-Split System w/Energy $211.20 211.20 CONDITIONING INC Address: P 0 BOX 7310 REDLANDS CA 92375 SB1473 $2.00 2.00 Ph: 909-793-3685 Email: info@burgesons.com TOTAL FEES $213.20 Lic.Information263871 Exp.Date:3/31/2017 LICENSED CONTRACTORS DECLAFLATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $213.20 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing BALANCE DUE $0.00 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. ,. Date;:,-,—/ —71 ontractor //,7. " /7,632.--431; 1,1 ---77q / 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 - 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 ;f / N,,,, l ibor'Code,for the performance of the work for which this permit is issued. My worker's compensation ''„; ,, ,1�..f fa:Zs=--��'-`” insurance carrier and policy number,a : - f'' ' = k = 1 w_ =, '`� Carrier: ---,,.�` `'°°'` Policy A LICANT S GNA�R DATE ,�' �, ,,.� �4��� Applicant: DIAi\IN�E,...y .. .................. ......................................_ ..... r.. a BURG SON 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: 620 TENNESSEE -T---REDLANDS CA 92374 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: 909-793-3685 Email: info@burgesons.com Lic.Information Exp.Date: �, I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and ' "` Safety Code,which regulate the storage,handling and use of hazardous materials rAR ING: Fad =N to s cure rs,Compe iati o n coverage is unlawful,and shall subject an mployerto criminal penalities an.civil fineiip to/one hundred thousand dollars($100,000),in addition o the cost of compensation,damages as povided for in section 3706 of the Labor Code,interest,and 'attorney's fees. CflY OF CHINO HILLS COMMUNITY DEVELOPMENT—BUILDING & SAFETY DIVISION 12,1_10:i,364-2750 Ikzirorns, r}FoElf,:3!clik,1111 Post in a safe, conspicuous place at front of job. Provide permit number when callinu for inspection. Have approved plans on job at time of inspection. PIO 171ILeFE EBU c JV IV1 CilSP E IF H File this penit with your pen anent records'when job is complete. Ft Is CT 110 E CO RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grldibg: Block Wall klsicti.it Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2rd Lift Borri Beam Sub Drains 3'Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergromd Ste I di Sheath Nailing Building SewerLine Roof Final Water Supply Line UfG Electrical Service Conduit S." 7IV POZW3 : Storm Drain i Catch Basin Location I Rebar Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Veit,Soils Engi "-§g: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Linda-floor/LI •;--slab h-01,-, "m: Final Pool UF Waste Plumbing UF Water Fire Protection Equirm •° UF Mechanical UG Pipe UIF Electrical Thrust Blocks UF Framing Hydro LIF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hp±o Foundati - Tam Pole Setback Footing—OK to Pour Electric ic 7--'- UFER Ground(RebarlCopper) Gas Tett Hardiva'e Hold-Dowre Piers/Caissons I Tendons FINAL INSPECTIONS Slab Grade—OK to Pour HO OCCUPANCY PERMITTED WITHOUT FINAL DO HOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) She(i Planning Dept.(364-2752) Roof Nailing Public Works (36'4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardwere Hold-Dovvro ALL ABOVE MUST BE APPROVED BEFORE FiliAL BLDG. Final Grade C•:‘.130 imction: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough helechanical Final BuildinglConstruction Rough Plumbing Topout . Water Meter Number COVER NO RK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY lruIatflon OK TO ISSUE DYVSSSaII lasctim: OTHER: Interior Exterior EXT LlTH 5 Stucco Scratch MiskrlIaJ c Feplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on e- Ace.K,,s Light I Switch This pe ".will em- - if u "s cl or abamb for a Patio Final Irbil of 180 dl , , . . ' - ' ,-,--,; -• - , S ' -,-E ?-P,LA! .,„:„) ,,i, ) _ '------ --------------- I X SITE ADDRESS O t 5 01; e..)0 n6. -) -'----------------------------'---, A (7\ 4 -70-:, , _ L ASSESSORS PARCEL NUMBER 1 1/4--J tz... .-J ,, .., K., ,. • --------.- - ----- _ c rovicP----ie--1---\lorth Arrow- REAR PR*Elr:ER, V LINE - 1 -(771_ :3) 4; L A- IS QL: ,„1,-;-:,,i4, .... t,L)r . • //0 i6-/----- - 1 .....- ' • S I ' S -i...) E ti ,, ,,. -- f N ,i 1 I ,ii - \I , [ ill '''''''' o.'' . , ! - • p -, k ,..G\-:,0 ; . !,,,..s.. .. .:.... ,._,,,, ,-. oiv e- / , .„..,_„.., ,361., p E ! \-9' „ *'' Q!,": — 1 E , t) ,' T V /1 , . ,,-,- ,/ I ., 11 i''.. / /./ 1 ,, „.............„,i 'IF R.4,i--,,71 ,-',"',,••s PE10[1- '''( LINE i 3 6-16 A_ 5,1 Q....4—r a,....._ I)/ • 284-199 (Rev. 06/2009)