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2014-29583 11-18-2014 2477 HAWKWOOD HVAC C/OCity of Chino Hills Building Permit � BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr., Chino Hills, CA91709 Counter Phone (909) 364-2780 24 -Hour Inspection Line (909) 364-2790 (NOTE: You must call before 3p.m. for a next business day inspection) 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 HVAC CHANGE OUT. HERS REQUIRED BUILDING ADDRESS APT. / UNIT NO. 2477 HAWKWOOD DR APN TRACT MAP# LOT FLOORS / UNITS PROJECT PERMITS 102413311 TR 13651-3 45 / CENCUS CODES CONST. TYPE ZONING TYPE OCCUPANCY TYPE 434 Res Add/Alter VB R-3 Current Owners: Fees Name: CHOL CHON PROJECT No. PERMIT No. 2014-29583 rlrt ISSUED DATE ASSUED BY 11/18/2014 Sarah, Larios P. TYPE VALUATION TOTAL SQFT BLDG. SQFT $10,000.00 0.00 Fee Group / Fee Description Address: 2477 HAWKWOOD DR CHINO HILLS CA 91709 Transaction Type Ph: 909-465-6839 Mechanical C/O Email: M@CH.ORG Contractor. KLAUS & SONS CONSTRUCTION INC - KLAUS & SONS CONSTRUCTION INC 38 HVAC change out - Split System w/Energy Address- 1915 W ARROW RTE UPLAND CA 91786 SB1473 Ph: 909-982-5698 Email: KLAUSANDSONS@MSN.COM TOTAL FEES Lic. Information320990 Exp. Date- 7/31/2016 LICENSED CONTRACTORS DECLARATION LICENSED CONTRACTORS DECLARATION AMOUNT PAID I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing BALANCE DUE 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:. / / Contractor: OWNER -BUILDER DECLARATION 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 Fee Amount Payments $423.40 $422.40 422.40 $1.00 1.00 $423.40 $423.40 $0.00 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 Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance number are: carrier and policy �� =- Policy APPLICANT SIGATE DATE - Carrier: . .. 1 #: i. ) �� Applicant: DAN PIKSCHUS 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: 1915 W ARROW RTE UPLAND CA 91786 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Ph: 909-322-8556 Email - Labor Code, I shall forthwith comply with those provisions. Labor �. Date. J' t Lic. Information Exp. Date: Applicant:: y 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 s re worker's c mpensation 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. C, gg £ ig ,spy sg, p q\ q g'^'' � � ^ Ipy.'.�g°{ ' } ���9!y ��� 11`'1'"£ N�pg:� HILLS 8p pp'�' p p gg,R .... A , lk i [ itl d IJ i^F 9 AN i k �." E VEL. (D B µg tl di�f E: i R•R%' � .w D '® � S L � � H i '& �'6.`{ ,f„ach`. 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P�9 �,.. _°.. ..�•s, ( &"^ Io. . pe ^ t € w° i R F [ e� i'~t d, d e a.6 r R a R a �.� s E T R. .ms @ e£ , s{ gR ie .� s{ Bt �.P I rTd I �i -- �F3 -F L � { o a r � d o �� �t [ R { €as s b %° !� o .d p e �_. �� � m� o e gym, -t o � R i ��� _i wt t_� � �. ; a — s �,mt �_ � �.. � •�; � d �� zw� E d � � f � a. � � : i F�, �R6 � � � �_ �.- �• �':�roa � � � � I��M� Fm � fRd d ° � � �: �'�� calling � d �� �, � � �'• I i i.� �._ t �� i — � a �- time cif 4-:4nection. tl o..• i `-1 i t 6 ( a'. r "S i i ,. i s is c A•" `r i 3 nt re INSPECTION Pregrade Meeting Rough Grade Terraces Sub Drains Finish Grading Soils Certification Grading Certification Rough DATE INSPECTOR Underground Site Inspections: Building Server Line 'mater Supply Line WG Electrical Service Conduit Storm Crain f Catch Fusin ISO NOT HACK FILL tltiTIL ABOVE IS APP ROVED Verify Soils EnHir riinH: Compaction, moisture, conditioning, etc. Underfleor)°Hnderslah hislection: LIEF Waste P Iu mbing UF ~eater UjF Mechanical LIaF E lectrioal UF Framing UF Insulation S ubfleer ROVE IS REQ UIPI°E D P ILIO Ft. TO F OH 14 DATION 114SP ECTION Foundation lection: Setback f Footing — OK to Pour t IF E R Ground (RebariCopper) Hardware f Hold-Co%iwns PiersfCai-sons f Tendons Slab Grade — OK to Pour HO NOT PO UR CO NCRET E H HTIL ABOVE IS API ROV ED Shear Inspection (Wbori): Roof failing Exterior Walls Interior %�YaII� Hardware f Hold-Doomrs Cho iip edion: Framing Rough Electric Rough Mechanical Rough Plumbing f Topout COVER NO WO ICK U HTIL ABOVE IS APP ROVE H Insulation [drywall ispectien: Interior Exterior EXT LATH Stucco Scratch Miscellarmus ksp actio s: Masonry Fireplace Plate Ties, Fire Block Patio f Heck: Footing Frame Access f Light i �wtch Patio Final INSPECTION DATE INSPECTOR Block Wall iispecti : Footing, Rebar 1 " Litt Bond Beam 2r" Litt Bond Beam 3`d Litt Bond Beam Drain f Seal ReRoof: Tear -off , Existing Conditions Sheath Nailing Roof Final Bring Fools: Location f Rebar f Bending f Light Gas Test G'r Conduit Re Elect POOL NOT TO H E FILLE D H NTIL F ENCII FSG IS COMPLETE Fence, Gate & Alarm Final Pool Fire Protection Equi t: LIG Pipe Thrust Blocks Hydro Flush Weld Outlet Insp. Overhead Hydro Ten-ip Povoer Pole Electric tele Gas Test FINAL INSPECTIONS NO OCCH PNCY P E RMITTED VATHO HT FINAL County Environmental Health Cepa. (391 -757G) Planning Dept. (3E4-2752) Public Works (364-2774) Fire (393-3388) Landscape (364-276 ALL ABOVE MUST H E APPROVE H H E FO ISE FI NAL HLQ G. Final Grade Final Electric Final P lural ing � Final Mechanical Final Esu ildinga Cons-tructicn 1 'Fater Meter Number � CERTIFICATE OF OCCUP'A14CY OEC TO ISSUE OTHER: NOTICE TO OWN E R: Call for FINAL INSP ECTION on every job. This perrritwill expire if Youk is suspended or abandoned for a period of 180 rim.