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2016-32331 3-31-2016 14999 SANDALWOOD A/C C/O {1 °��;. BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT Coty of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 ? 11 { ? Counter Phone (909)3642780 - 1 i t; , , Builcling Permit 24-Hour Inspection Line (909)364-2790 'k� { (NOTE:You must call before 3 .m.for a next business day inspection) a { City Hall Main Number (909)364-2600 14411": °� - mei 1>tYt,.Ublr�ll kbJl Y.,a41.vSJia bih;a}aui:�}.�ji'<atw5so -.:-: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NU ¢:ER 180 DAYS FROM DATE ISSUANCE, IF WORK IS SUSPENDED AT ANY TIME FOR MORE BELOW WHEN AKI G IN Q RIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION F ANY CITYSTATE OR REQUESTING INSPECTION RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. A/C CHANGE OUT ONLY.HERS REQUIRED. 2016-32331 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14999 SANDALWOOD LN 3/31/2016 Sarah,Larios APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102541111 1225/TR 7046 181 / I CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $9,000.00 0.00 Current ers• Name:ROBERT BOGLE- Address: 0014999SANDALWOODLN CACHINO HILLS91709 Ph: Email: Contractor. SERVICE CHAMPIONS-SERVICE CHAMPIONS Address: 22911 SAVI RANCH PKWY YORBA LINDA CA 92887 Ph: 714-692-7977 Email: m@ch.org Lic.Information79917 Exp.Date:9/30/2017 LICENSED CONTRACTORS DECL.ARATIONLICENSED CONTRACTORS. ..� ., ORS DEC,.: TION 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. 111 Date:— 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 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 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. have and will maintain workers'compensation insurance,as required by Section 3700 of the La or lICode,for the performance of the work for which this permit is issued. My worker's compensation �, d` insurance carrier and policy number are: � (3 -\() C°anr: Policy 1APPLICANT SIGNATURE DATE - Applicant: TIFFANY DOUTHIT 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: 31225 LA BAYA DR STE 112 WESTLAKE VILLAGE CA 91362 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith compl)r with those provisions. Ph: 909-210-3116 Email: M@CH.ORG w Lic.Information Exp.Date: Applicant:: `; 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 WARNING: Failure to secure worker'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. CITY OF CHINO HILLS C 0 iiii IvIUKIITY DEVELOP MENT—BUILDING 8, SAFETY D RIG ION Cza iP'909L,1364-27023,11hiefoce 3:00 riiiroLfw:or neat dzy Mrzliuectkin Post in a safe„ conspicuous place at front of job. Provide permit number when callincl for inspection. Have approved plans on job at time of inspection. WO 1L,11.0'414: SHALL BE CrOilim'rERED VAT! OUT I.i"),ISP E Cll.OW File this print with your permanent records when job is complete. [1][11Si 'F CT Ko 1-'41 RE CO FD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradkig: Block Wall kmimdi l' 4-.: Pregrade Meeting Footing,Rebar ..... ....... Rough Grade 1'1 Lift Bond Beam - , ril Terraces 2 Lift Bord Beam = _ Sub Drains 3m Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRool: Tear-off,Existing Conditions Undagromd Site I 4-o-dill 4: Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit Sw- ' rg P 1 I. :I. Storm Drain I Catch Basin Location/Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engi i7r.;;-. lig: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undeifkmr/U .... -lab km .;- i 4 : Final Pool UF Waste Plumbing UF Water Fire Protection Equii --;• . LiE Mechanical UG Pipe ...... IliF Electrical Thrust Blocks UIF Framing Hydro ........ .... UF Insulation Flush ....___. Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hydio Foundation I 4:- -dim: T.;- Pe :- Pole Setback i Footing—OK to Pour Electric 1: ,4,- - UFER Ground(Rebar/Copper) Gas T-;,,, HardevaT 11-lold-Dovols Piers/Caissons/TendonsFINAL 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-kmI.-- "n(Mc.1): Planning Dept.(364-2752) .„......_______ ........._ Roof Nailing Public Works (364.-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) • — Hari:to/we I'Hold-Dooms ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade CCMT130- IM..iM: Final Electric Framing , ,1 I 1 Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing 1 Topout Water Meter Number OVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation - OK TO ISSUE D 'all k . dimi: OTHER: Interior Exterior 1 , EXT LATH )) . Stucco Sudchi „1 ; ,,‘ km. ,_ i' 2„ rft.ell, ,.LB knimdi. Mi.,. Fleplam Plate Ties,Fire Block Patio/Deck: — Footing ..._, Frame NOTICE TO OWNER:Call for FINAL.INSPECTION on e ..-, Ob. dacc;1/4.-. 1 Light 1Swicli This pa - will emke if 1 "s 4:-.0- 1-d or abold) .,-”o for a Patio Final period of 100 dl ---:. ;,711':,A,„,177-)iit:,1 ''''' *' '• t, : ,,,,,,,,,,4\,,,,,' , -----,-- 4:'--"`'''''::::; li..,: f AN SETh 4::,;,, t ti-, - ,,,,./ ,,, r, f, _, ! 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