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2018-37121 7-12-2018 14781 CALLE BRISA HVAC C/O City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 Building PermitOOP 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspec' n) ' ino EfiEk City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NhER 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 C/O.SAME SIZE/SAME LOCATION.*HERS REQUIRED* 2018-37121 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14781 CALLE BRISA-- 7/12/2018 Estrada,Letie APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103214241 TR 15660-1 36 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $7,400.00 0.00 Current Owners: Fees Name:DANIEL C&SUK C WU Fee Group/ Fee Description Fee Amount Payments Address: 14781 CALLE BRISA CHINO HILLS CA 91709 Transaction Type Ph: 909-485-9207 Mechanical C/O $93.40 Email: M@CH.ORG Contractor: CONNOR AIR CONDITIONING AND REFRIGERATION INC 45 HVAC change out Furnace or Condensing $92.40 92.40 unit only w/Energy Address: 4931 N ENCINITA AVE TEMPLE CITY CA 91780 SB1473 $1.00 1.00 Ph: 626-286-3157 Email: CONNORAIR@AOL.COM Lic.Information403735 Exp.Date:4/30/2019 TOTAL FEES $93.40 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $93.40 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. \n,tf t" 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. I have and will maintain workers°compensation insurance,as required by Section 3700 of the `Y` ' Labor Code,for the performance of the work for which this permit is issued. My worker's compensationr ,� y i insurance career and policy number are: r ;` � "�,a -m • Carrier: = Policy APPLICANT SIGNATURE DATE 4: Applicant: CARRA CONTRERAS-CONNOR AIR CONDITIONING \ 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: 4931 N.ENCINITA AVE TEMPLE CITY CA 91780 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. 626-286-3157 Email: M@CH.ORG Lic.Information Exp.Date: Date: Applicant:: t � 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. !TY 0 1"" I N 0 id ILLS 0 ryi M Y EE E P M E NT----E3 LD IN 0 S IE TY D S (909)364-2790 before:3:00 p.m.for next day inspectio n Post in a s ale CC)aSpiCLIOLIS piaCe fr o nt of j P r()vide perm it n Limb er n c a 11 ng fo r inspecti on eapp rovEE!d pia ns 011 jet) at "ti me of r‘r34o3 NO WO RK SH E COVE.R.ED V1Tik INS!)E CT!ON File th is p e rm it WI JTh an ent recor cis%MI jOb iS COMPiete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradhg: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line U Electrical Service Conduit Swimming Pools: Storm Drain I Catch Basin Location I Rebar I Bonding!Light DO NOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineerhg: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE. Fence,Gate 8:Alarm UnderflooriUnderslab hspection: Final Pool UT'Waste Plumbing UF Water Fire Protection Equipment: UF Mechanical UG Pipe UF Electrical Thrust Blocks UfF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION. Overhead Hydro Foundation Inspection: Temp Power Pole Setback Footing—OK to Pour Electric Release UFER Ground(RebariCopper) Gas Test. Hardware I Hold-Downs Piers/Caissons I 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) Shear Inspection Mood): Planning Dept.(354-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo irspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical a A.t OS Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior SI) tt •,4 EXT LATH Stucco Scratch Miscellaneous hspections: Masonry Fireplace Plate Ties,Fire Block Patio Deck: Footing Frame AcceLiht Swich NOTICE TO OWNER:Call for FINAL INSPECTION on every job. ss ci This permitwill expire if work is suspended or abandoned for a Patio Final period of 1180 da . 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