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2014-29216 8-27-2014 5569 Veronese Dr Photovoltaic City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 , . , . ,•i ,':':',4,0-z '' 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)364-2600r k ,64-1,x,PlII gq,q',, t,' 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. - a , PROJECT DESCRIPTION PROJECT No. PERMIT No. ROOF-MOUNTED PHOTOVOLTAIC 2014-29216 .., BUILDING ADDRESS APT./UNIT NO. ISSUED DATE - ISSUED BY 7 5569 VERONESE DR 8/27/2014 k„,/' Whiteman,Rosemary APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS ,P.TYPE 101769315 TR 14079-3 15 / _ CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE 'VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $35,000.00 0.00 Current Owners: Fees Name:SUFWAN KHAN Fee Group/ Fee Description Fee Amount Payments Address: 5569 VERONESE CHINO HILLS CA 91709 Transaction Type Ph: 111-111-1111 , Photovoltaic System- $482.00 Email: M@CH.ORG I Roof Contractor. VIVINT SOLAR DEVELOPER LLC-VIVINT SOLAR DEVELOPER LLC SB1473 $2.00 2.00 Address: 4931 N 300 W PROVO UT 84604 I 35 Photovoltaic Permits-Roof Mounted $480.00 480.00 Ph: 657-600-8252 Email: ORANGECOUNTYSOLAR@VIVIN TOTAL FEES $482.00 T.COM Lic.Information973756 Exp.Date:6/30/2016 AMOUNT PAID $482.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 V 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 1 ' effect In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. ,....,-Dire,---71g17:1 j ( )' ', „---.6-0;tract r. „,....ir\r\ , __,_-_,_ y2„..,..-• _____i___ 1 1 ( ...... ___?,,,, u 1 '1/4\ OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Licence Law for the , followingreason,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 I 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 II hereby affirm under penalty of perjury one of the following declarations: i 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 providedsfor by section 3700 of the Labor Code,for the performance of the work for which this permit is withallrepresentatives and ocfotuhr:styd7tryditndaenncteesr uponandstthateeelabwovseremlaetnintigdntoedbupirlddpintegrycofonrstinruscpteiodd construction andpurposes.heresbeysauthorize (\\\\ "h I have and will maintain workers'compensation insurance,as required by Section 3700 of the abor Code,for the performance of the work for which this permit is issued. My worker's compensation I ,...„„„ , . VI' 1 lir 1 i _____. 1 i surance carrier and policy number are: , ' 4..j\_ __ P Carrier ki:i t.kbekivir,, , iC..,n Policy ( 15----- ALI-CANT SIGNATURE", (, __,„,,--------- DATE -, I certify that in the performance of the work for which this permit is issued,I shall not employ any '''A;31511eaMELISSAPRINCE - ,-.., person in any manner so as to become subject to the worker's compensation laws of California,and Address: 1529 E.MCFADDEN,STE A SANTA ANA CA 92705 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 thcS6 provisions., . ' 4 , ' ( Ph: 657-600-8252 Email: ORANGECOUNTYSOLAR@VIVIN ii - '--------------t :2,\I Uls T.COM - --‘ -------- . Date: rApplicant ,, . V4--\--,)1, i - 1 ll,....--- , ,, Lic.Information Exp.Date: Failure to secure worker' compensation coverage is unlawfuland shall subject an I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING: s , 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 COMMUNITY DEVELOPMENT BUILDING & SAFETY DIVISION cargoam 564-2010.ilmirove 5:135 pm.for siy rmpic-nittio Post in a safe conspicuous place at front ofjoL Provide permit number when calling for inspection. Have approved plans on job at time of inspection. PIO r hiP SH IL B E 5531133 ATIIH U I ivOPO 1111rg File this penit with your peinanent records when jobis complete. Ei S P CI 110 III RECO RD, INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR. Gradiag: Block Wall k-mrmctiv1:44 Pregrade-Meeting Footing,Rebar Rough Grade 1'1 Lift Bond Beam Terraces 2 Lift Bord Beam Sub Drains 3fh Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-oft,Existing Conditions Undo-gram-id Se Sheath Nailing Building Sewer Line Roof Final Water Supply Line UfG Electrical Service Conduit Sw r inirg PI : Storm Drain I'Catch Basin Location Rebar Bonding f Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderfinorvU ;::lab Final Pool UfF Waste Plumbing UF Water Fire Protedimi Whig U Mechanical UG Pipe UI Electrical .Thrust!Blocks 11,F Framing Hydro Ulf Insulation Flush Sul3floor Weld Outlet-Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation hdion: Taw Po Pole Setback f Footing—OK to Pour _Electric UFER Ground(Rebar/Copper) Gas Tat Hardware,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. (391-7576) Shea-hp4milkon(N3cm1): Planning Dept.(364-2752). Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (39388) Interior Walls Landscape (364:-2766) Hardware Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. final-Grade Comilto Final Electric Framing Final Plumbing Rough Electric -Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbingi Topout Water Meter Number COVER NO 0 RK UNTIL ABOVE IS-APPROVED CERTIFICATE OF OCCUPANCY Irgt mulicwo OK TO ISSUE kodien-ll: OTHER: Interior \Jr, „,.1t. Exterior EXT LATH Stucco Scratch ,‘ \'‘ 4 A - rurimlo, to k ...di, Mu Feplace Plate Ties,Fire Block Patio I Deck: Footing Frame NOTICE TO OWNER: FINAL INSPECTION on Access Light Swtch This wdl e ii s cwabdo -s for a Patio Final mrk:oci of 180