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2015-30263 4-21-2015 15904 OAK CANYON HVAC y,WsX t 4 BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT• } ity of Chino HiIIS 0 14000 CityCenter Dr.,Chino Hills,CA91709 , " � Counter Phone (909)364-2780 e4,iw Building Permit 24-Hour Inspection Line (909)364-2790 IIy v (NOTE:You must call before 3p.m.for a next business day inspection) It at n �� y'�r { $ �iP 1l City Hall Main Number (909)364-2600 NOTICE: THIS PERMITBECOMES _..NULL AND .. ..,I IF IS NOT COMMENCED WITHIN I PLEASE USE.................._. PERMIT NUMBER 180 DAYS FROM F ISSUANCE, IF IS SUSPENDED T ANY TIME BELOW WHEN MAKING INQUIRIES THAN 180 IF WORK IS DONE IN I TI CITY T T OR REQUESTING INSPECTIONS RELATING PROJECT DESCRIPTION PROJECT No. PERMIT No. HVAC CHANGE OUT(RE-ISSUE,REF:2014-29165) 2015-30263 37993 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 15904 OAK CANYON DR 4/21/2015 Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS I PROJECT PERMITS P.TYPE 103134112 TR 12625 297 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SOFT BLDG.SOFT 434 Res Add/Alter VB R-3 0.00 Current Owners: Fees .:<.,... f iRi to:vu>K-.4tu Gsitit KY 4"Y t<:Y3SCtiY3};y YS. Name:XUFANG WU Fee Group/ Fee Description Fee Amount Payments Address: 15904 OAK CANYON DR CHINO HILLS CA 91709 Transaction Type Ph: 909-538-3128 Mechanical C/O $105.60 Email: M@CH.ORG Contractor. AMERICAN RESIDENTIAL SERVICES DBA RIGHTIME HOME SERVICES-ARS DBA 38 HVAC change out-Split System w/Energy $105.60 105;60 RIGHTIME HOME SERVICES Address: 965 RIDGE LAKE BLVD STE 201 MEMPHIS CA 38120 TOTAL.FEES $105.60 Ph: 951-276-9744 Email: M@CH.ORG AMOUNT PAID $105.60 Lic.Information76507 Exp.Date:6/30/2015 LICENSED CONTRACTORS DECLARATIONLIC.... .... ENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 I hereby affirm under penalty of perjury that l 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 effect. In securing this permit I am acting w; ,.,-knowledge of and on behalf of the owner of the property. /alDate-` 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 the Contractors License Law(Chapter 9 commencing with Section 7000 of Division 3 of the Business and MAR 1 _2:11, 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-builderwill 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 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. \t) I have and will maintain workers'compensation insurance,as required by Section 3700 of the Lab Code,for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy nu bei re: 1 i / am AL1Policy APPLICANT SIGNATURE (.# DATE 4 / #:�,, - -Applrcani: JUDY HALLOCK 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: 2574 BRYCE CT COLTON CA 92324 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Ph: 909-754-0126 Email: LORIYCCPS@ATT.NET Labor Code shall forthwith complywith thoseprovisions.„.„,—., —. 1✓p Lic.Information Exp.Date: Date: � ' I certifythat the user of this facilityshall comply with sections 25506,25533 and 25534 of the Health and P Y Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure workers compensation cvera'e' unlawful,and shall subject an employer to criminal penalities and civil fines up to one bund thousand dollars($100,000),in addition r 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 COM MUI'AITY DEVELOPMENT—BUILDING SAFETY DIVISION Call 9 364-27'90 .for next day iliSpeCtiOli Post in a safe, conspicuous place at frontetIs �Provide permit number when callinu for inspection. Have approved planon job at time of inspection. HO WORK SHALL BE COVEREDill;OUT ` S COO File this permit with your per r-o anent records vvhen job is complete. INSPECTION1 INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Meeting Footing,Rebar Rough Grade I5 1 Lift Bond Beam Terraces 2nd Lift Bord Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough a f. Tear-off,Existing Conditions Sheath Nailing Building Sewer Line Roof Final Water Supply Line LliG Electrical Service Conduit torm Drain atch Basin Location/Rebar 1 Bonding/Light APPROVEDDO NOT BACKFILL UNTIL ABOVE IS Gas Telt Gr Conduit Va-ifyiEngi a-- Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING Fence,Gate&Alarm Undaflwrill Final Pool I_I Waste Plumbing LIE Water Fire Protectim Equi' USF Mechanical UG Pipe UW Electrical Thrust Blocks UF Framing Hydro LIE Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycto Setback!Footing-OK to Pour Electric ;-- LIFER Ground(Rebar/Copper) Gas TegA. 1-lardwery/Hold-Dc yr Piers/Caissons 1 Tendons FINAL INSPECTIONS Slab Grade—'OK to Pour NO OCCUPANCYPERMITTED DO NOT POUR CONCRETE UNTIL -. ED County Environmental Health'Dept. (391-7570) Shem -gni t.'I Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393. 58 Interior Walls Landscape (364-2766) Har e'/Hold-Dons ALL ABOVE MUST`BE APPROVED BEFORE FINAL BLDG. Final Grade CI° 1 _, Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Meclr~anica! Final Building/Construction Rough Plumbing/Topout Water Meter Number COVER NO $RK UNTIL ABOVE IS APOROVED CERTIFICATE CCU OK TO ISSUE OTHER: Interior Exterior kN % EXT LATH Stucco Scrch Fieplace --Q Plate Ties,Fire Block Patio/ d Footing Frame Acce5s I Light,'"Swtch NOTICE TO OWNER:Call fix L INSPECTION on eThis re _ - will,e s! s..4,o ll z-u fix a Patio Final I road of 180 -