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2015-30006 2-26-2015 2201 HEDGEROW AC C/OCityof Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT `� 14000 City Center Dr., Chino Hills, CA91709 Counter Phone (909) 364-2780 Building Permit 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 nl= ANV r_ITV nR STATF LAWS OR REQUESTING INSPECTIONS RELATING THERETO. PROJECT DESCRIPTION A/C CONDENSER CHANGE OUT. SAME LOCATION. HERS REQUIRED. BUILDING ADDRESS APT. / UNIT NO. 2201 HEDGEROW LN APN TRACT MAP# LOT FLOORS / UNITS PROJECT PERMITS 102420140 TR 13651-9 39 / CENCUS CODES CONST. TYPE ZONING TYPE OCCUPANCY TYPE 434 Res Add/Alter VB R-3 Current Owners: Fees Name: GLENN & SALAAM RATUITA Fee Group / Address: 2201 HEDGEROW LN CHINO HILLS CA 91709 Transaction Type Ph: 626-488-0212 Mechanical C/O Email: M@CH.ORG Contractor. SERVICE CHAMPIONS - SERVICE CHAMPIONS Address: 22911 SAVI RANCH PKWY YORBA LINDA CA 92887 Ph: 714-692-7977 Email: m@ch.org TOTAL FEES Lic. Information799170 Exp. Date: 9/30/2015 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. 'OTDate: ,� Contractor w 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). 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 provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 carrier and policy number are: C erg Policy #: �. 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 agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: _ Applicant:: ` WARNING: Fa lure toecure worker's corn nsation 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. PROJECT No. PERMIT No. 2015-30006 3i ISSUED DATE ISSUED BY 2/26/2015 Sarah, Larios P. TYPE VALUATION TOTAL SQFT BLDG. SQFT $900.00 0.00 Fee Description Fee Amount Payments 37 HVAC change out Furnace or Condensing unit only w/Energy SB1473 $317.80 $316.80 316.80 $1.00 1.00 $317.80 $317.80 $0.00 I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned proptery for inspection purposes. ,Z;z,4' 0 e ,� e APPLICANT ATUMIEDATE Applicant: ROBERT GORMAN Address: 22911 SAVI RANCH PARKWAY YORBA LINDA CA 92887 Ph: 800-900-4247 Email: M@CH.ORG Lic. Information Exp. Date: 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 .w � i I 1 11.11 I �3 � a D C€ RCE "mtB @�-^'°�€ Rd €..... [k -41T-— B � � I L & D 1 �, 9 �;F S 3.€ gg ,+'S"a" "� °€ €a g°"'°€ ��,.. �,.,. 3 :�� — � "a^� ���,.� @�.." � Ese � L.� E u� F �_. 8 sd �� € "fr aw'i 3'"�' � Px M �._z� � �` AF C 4,,� € A�. P °= t 1 n .� '« E �w c-� °m :1 C f S® � `- P I . e �a � � � � b , _€ g o R e �e t :1- c e � l ^ nw +! 66 P � �� � � � �w m pa _ � , � I �� e +,prove � � I a. ��.- ��:�'� I ��I� a�. ,:E ma a=��`�. ; ���.-+��_ � � � �_a° � � �� m� � front �: � _ � �� � �_ �. �'�-�-m � � �� !�: �I �m� ��� �` see yep � ��:� �"€ ,-� : �I ! €���� for I � �,� �i � �R� �I ����e� � ea �m F�P _ I- Time of iirispection. 4 1 O R, K S H A L L B E 4"_ 0%. E RZ E0 W1 TH Ci U T I N S P E. C T I () I I e this p�_-'ti'nia 6aekeith BBs` u r pe(man, en reco rd '€e:aCtlhen job is r.otnpie e. S E C, ^* I O 11, R de's :.'0 RD INSPECTION Grading: Pregrade Meeting Rough Grade Terraces Sub Drains Finish Grading Soils Certification Grading Certification Rough DATE I NS P E CT OR Underground Site Inspections: Building Sewer Line Water Supply Line UIG Electrical Service Conduit Storm Crain f Catch Basin DO NOT BACK FILL UNTIL ABOVE IS APPROVED Verify Soils Engineering: Compaction, moisture, conditioning, etc. UnderfloorMnderslab iisl tion: LIEF Waste P Iu mbing UjF 'Fater UI F Mechanical t IAF E Iectrical USF Framing UjF Insulation Subfloor ABOVE IS REQ DIRE D P ILIO R TO F OU N DATIOIJ I FISP ECTION Foundations Inspection: Setback f Footing — OK to Pour t IF E R Ground (RebarfCopper) Hardware f Hold-Dowrz PiersfCaissons f Tendons Slab Grade — OK to Pour UO NOT PO UR CO HCRET E U NTIL ABOVE IS APPROV ED Shear brisition (Mod): Roof Mailing Exterior Walls Interior Falls Hard,vere f Hold-Downs- Con-bo eld-Cowry Con-bo inspection: Framing Rough Electric Rough Mechanical Freugh Plumbing f Tepout COVEN. NO WO RK U HTIL ABOVE IS APP ROVE U Insulation Drywall ikspection: Interior Exterior EXT LATH Stucco Scratch Miscellaneous iislections: Masonry Fireplace Plate Ties, Fire Block Patio f Deck: Footing Frame Access i Light I Switch Patio Final INSPECTION DATE INSPECTOR Bloch 'Fall tispecti : Footing, Rebar I " Lit Bond Beam 2'4 Lift Burd Beam 3rdLitt Bond Beam Crain f Seal ReRoof: Tear -off, Existing Conditions Sheath Flailing Roof Final i °tirg Pools: Location a Debar f Bonding f Light Gas Test Gr Conduit Flo Elect POOL NOT TO BE FILLED! UNTIL FENCING IS COMPLETE Fence, Gate & Alarm Final Pool Fire Protection EquiPrrKwt UG Pipe Thrust Blocks Hydro Flush Feld Outlet Insp . Overfeed Hyde Tend Power Pole Electric Fele Gas Test. FINAL INSPECTIONS NO OCCUPANCY PERMITTED WITHOUT FINAL County Environmental Health Dept. (391-7579) Planning Cepa. (364-2752) Public Works (364-2774) Fire (393-3888) Landscape (364-2766) ALL ABOVE MUST H E APPROVE D H E FO FSE FI HAL HLQ G. Final Grade Final Electric f Final P lumb ing " Final Mechanical r. Final Bu ildingf Construction Water Meter Dumber CERTIFICATE OF OCCUPANCY � Ofd TO ISSUE TH ER: fJy' d°� I NOTICE TO OWN E R: Call for FINAL INSP ECTION on every job This pem-it. ill eigAr+e if vvwk is stz3fended or abandoned for � period of 180 days. k. RW pfoplWY LJM- E AaW —M00% 1704 s= VAol ■ "I'll 4 . ......... s FROM "IOPERTY., Ulm .0. 1 .1