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2017-33956 1-30-2017 15966 OAK CANYON HVACCity of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr., Chino Hills, CA91709 e Building Permit24-Hour Counter Phone (909) 364-2780 Inspection Line (909) 364-2790 - l �r•r aaf - (NOTE: You must call before 3p.m. for a next business day inspection) kl-1 i.nk) Hills City Hall Main Number (909) 364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 180 DAYS FROM DATE OF ISSUANCE, OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE BELOW WHEN MAKING INQUIRIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION PROJECT No. PERMIT No. HVAC CHANGE OUT. HERS REQUIRED. 12017-33956 BUILDING ADD RESS APT. / UNIT NO. ISSUED DATE ISSU11 ED BY 15966 OAKCANYON DR 1/30/2017 Larios, Sarah APN TRACT MAP# _LOT FLOORS f UNITS PROJECT PERMITS PTYPE P. 103132105 TR12625 -305 / CENCUS CODES CONST. TYPE ZONING TYPE OCCUPANCY TYPE .VALUATION 'TOTAL SQFT I °BLDG. SQFT 434_Res Add/Alter - VB R-3 $7,000.00 0.00 ' Current Owners: Fees Name: JACK LU Address: 15966 OAK CANYON DR CHINO HILLS CA 91709 Fee Group / Fee Description Fee Amount Payments Transaction Type Ph: 626-807-4930 Email: M@CH.ORG Mechanical C/O $109.90 Contractor: W C HEATING & AIR CONDITIONING INC dba WECARE 45 HVAC change out -Split System w/Energy $108.90 108.90 Address: 41085 GOLDEN GATE CIR MURRIETA CA 92562 SB1473 $1.00 1.00 Ph: (951 ) 600-0700 Email: M@CH.ORG Lic. Information779604 Exp. Date: 6/30/2018 TOTAL FEES $109.90 LICENSED CONTRACTORS DECLARATION LICENSED CONTRACTORS DECLARATION AMOUNT PAID -.. $109.90 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 BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property_ Date: f 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: v 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 Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: ' f� �y Carrier:- . �(ri �- f e a c ✓��/ C I ( � Policy _APPLICANT ��{{ J ,{ ,/ y.�/q y SIGNATURE DATE ` '' ' Applicant: NINA SPANGLER 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: 125 E. COMMERCIAL ST BLDG "B" ANAHEIM CA 92801 agree that if 1 should become subject to the worker's compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Ph: 714-318-1953 Email: M@CH.ORG .-; l Date: t �' Lic. Information Exp. Date: Alicant::J+. ���3Cs .r� pp �, If 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 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. \ \\\ \ \ \ V u..., \. \\ `\\ u.\ \\\\ je \ LJ If \. \ k:.�\�•� \.\ �..�\\>� \e \\.,.� \�, �; �, �.,,\\.... \ '� p\ \.,. \,.,fit °•,...,Q �Q\\�\Q,\�.,.�., �,., 3i„ ��\\`�C:.,, ,�..,\ \'.,.,. ��• \ \ lS\\��� INSPECTION Pregrade Meeting Rough Grade Terraces Sub Grains Finish Grading Soils Certification Grading Certification Rough BATE INSPECTOR UnderHrorirycl Site Ir�,.�ectior : Building Sewer Line Water Supply Line U)'G Electrical Service Conduit Storm Crain f Catch Basin DO NOT BACK FILL UNTIL ABOVE IS APPROVED Verify Soils Enghwe iiH: Compaction, moisture, conditioning, etc. Un(Je fl r,t`Urxlers,la b fislw tioi,: LIEF 'Waste P lu mbing UMF Water UHF Mechanical UiF E lectrical LIEF Framing UfF Insulation Subfloor ABOVE IS R EQ UIR E D P RCIO R. TO F OH H DATIOH I NSP E TION Foci idi tiori Irk diori: Setback I Footing — OK to Pour OF E R Ground (RebarfCopper) Harctyv re f Hold-Covwns Piers)'Caissons r Tendons Slab Grade — OK to Pour DO NOT PO IMP. CO NCRET E H HTIL ABOVE IS APPROV ED liea3r frisl tier' (VVb(xd): Roof Nailing Exterior 'malls Interior Y�ralls Hardware f Hold -Do wry Con l)o iisl cti0r1: Framing Rough Electric Rough Mechanical Rough Plumbing f Topout COVER NO WO RK H HTIL BOVE IS DPP" ROVE D Irrila�tiorl Drywall i l ctiori: Interior Exterior EXT LATH Stucco Scri tcl) Mis llmrrs kispe ctictils: Mkinoriry Fireplace Plate Ties, Fire Block Patio f Deck: Footing Fame access f Light f Swich Patio Final INSPECTION CRATE INSPECTOR Block -Wall tislctior: Footing, Rebar 1"' Lift Bond Beam 2r'd Litt Bond Beam 3"' Litt Bond Beam Crain f Seal ReRoof. Tear -off, Existing Conditions Sheath Mailing Roof Final in,intiivj Pools: Location f Rebar f Bonding f Light Gas Test Gr Conduit fro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence, Gate & Alarm Final Pool Fire 1131rot+ectiori Egtfll)nwtt: LAG Pipe Thrust Blocks Hydro Flush Weld Outlet Insp . Overhead Hydro Tri Power Polk, Electric Release, Gas Tot FINAL INSPECTIONS NO OCCU P. NCY P E RMITTECI ATHO HT FINAL County Environmental Health Dept. (391-75 o) Planning Dept. (384-275,2)) Public orbs (364 41 Fire (393-3888) Landscape (3E4-27E6) ALL ABOVE MUST H E APPROVE D H E FO FEE FI RAL HLC1 G. Final Grade Final Electric Final Plumb ing Final Mechanical Final BuildingfConstruction Water Meter Number CERTIFICATE OF OCCUPANCY OK TO ISSUE OTHER: %00- NOTI E TO OWN E R: Call for FINAL INSP E TION ort every job. 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