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2014-28289 2-10-2014 2516 Paseo Tortuga Photovoltaic BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTykigy , City of Chino Hills 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 if ' 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 1PROJECT No. PERMIT No. INSTALL ROOF-MOUNTED PHOTOVOLTAIC SYSTEM 2014-28289 35910 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ;ISSUED BY 2516 PASEO TORTUGA— 2/10/2014 ,Heredia,Monica APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103243104 TR 14924 3 / ... ..... __ _ .... .....„_._ -- ..... CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $15,000.00 0.00 . ' Current Owners: Fees Name:THOMAS SIMERSON 'Fee Group/ Fee Description Fee Amount Payments Address: 2516 PASEO TORTUGA CHINO HILLS CA 91709 Transaction Type Ph: Photovoltaic System $460,59 Email: m@ch.org Contractor STOUT BERG-STOUT&BURG ELECTRIC B001 Permit Issuance Fee $56.00 56.00 Address: 15052 Red Hill Ave#C Tustin CA 92780 B003 Residential Plan Check Fee $144.61 144.61 Ph: 714-544-5066 Email: M@CH.ORG Lic.InformatExp.Date:5/31/2015 LICENSED B39-B53 Residential Structural Fee $222.48 222.48 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION . ; B103 Conduits/Conductors $36.50 36.50 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 SB1473 $1.00 1.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. TOTAL FEES $460.59,„, ,,H Date: --',- — , /-1 Contractor: ---' --',-/- c,-- .„0'--,',--,.„L,,-----t AMOUNT PAID $460.59 p' 1 BALANCE DUE $0.00 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 Contractors 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,asI 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'compensationinsurance, required bySection 3700 of the as i ___.. Labor Code,for the performance of the work for which this permit is issued. My worker's compensationc----1—' - ,----,,,-----------, insurance carrier and policy number are: Carrier:( ',,„;,-)I,, 1-----, , Policy '",../5,PPLICANT SIGNATURE DATE #: 'Applicant HENRY AFFRE I certify that in the performance of the work for which this permit is issued,I shall not employ any I person in any manner so as to become subject to the worker's compensation laws of California,and Address: 1542 EDINGER AVE TUSTIN CA 92780 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. 1 Ph: 562-682-4511 Email:HENRY.AFFRE@PEAKPOWERU 11( /1„ i 9 S.COM —14 Dat9. ' ' ' Applicant'.„ CIVIL,'''; c,---1-T-1-F-OA:7- Lic.Information Exp.Date: v , WARNING: Failure to secure workers compensation coverage is unlawfuland shall subject an i I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and , employer to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition Safety Code,which regulate the storage,handling and use of hazardous materials 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 COM tviUNITY DEVELOP IvIENT—BUILDING & SAFETY DIVISION CaP 9O91 &64-$$PO P O Car[1E4n-1i Post in a safe, conspicuous place at front of Job Provide permit number when calling for inspection. Have approved plans on job at time of inspection. iv nrp:sHIALL BE CC E RED Willi H Ul T NSP E lfflfl File this permit with your permanent records when job is complete. 11 11 P E 110 biej ECO CO INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradkag: Block Wall loredir Pregrade Meeting Footing,Rebar Rough Grade 151 Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3" Litt Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoot: Tear-off,Existing Conditions Undo-grouid Site I -di 0- : Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit Sw Tr PIs: Storm Drain./Catch Basin Location I Rebar Bonding Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit VerifySoils Engi Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undelfiwriti •;-slab k-s Final Pool UF Waste Plumbing UF Water Fire ' s ectim Equi• UIF Mechanical UG Pipe UF Electrical Thrust Blocks LIF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hylto Foundation 110 -• TowP. Pole Setback Footing—OK to Pour Electric Rei-z-- UFER Ground(Rebar/Copper) Gas TA. Hardvvere Hold-Downs Piers/Caissons/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) She o- 14- ionMocA): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393L3388) Interior Walls Landscape (364-2766) Haretyvare Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG, Final Gracie N C 11 .W01: Final Electric Framing Final Plumbing Rough Electric Final Mechanical ixrd Rough Mechanical Final Building/Construction Rough Plumbing'Topout Water Meter Number ) COVER NO : .11 R.UNTIL ABOVE IS APPROVED \k't CERTIFICATE OF OCCUPANCY IF .1.101 OK TO ISSUE D •:all kation: OTHER: Interior Exterior cL2 0 EXT LATH Stucco Scratch 4 , 004%S or' "cell.- F.- 4,bIME:ti M1t Fi-eplace Plate Ties,Fire Block Patio Deck: Footing Frame cc /Light/Swich NOTICE TO OWNER:CH to-FINAL INSPECTION on ess Thus 0-.will em- - s. - s- •-d o-abiocko -•far a Patio Final irkxl of 180 d.