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2015-31491 11-25-2015 15925 Oak Canyon Dr Photovoltaic City of Chino Hills ...„ BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 4.0 Building Permit 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) F City Hall Main Number (909)364-2600 - ' - NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NUMBER 1 180 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. ROOF-MOUNTED PHOTOVOLTAIC 2015-31491 — . — BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 15925 OAK CANYON DR 11/25/2015 Freeman,Nicole APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103132123 TR 12625 323 / I . CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $8,000.00 0.00 ' — - - Current Owners: Fees Name:ELLA POCHAY Fee Group/ Fee Description Fee Amount Payments Address: 15925 OAK CANYON RD. CHINO HILLS CA 91709 Transaction Type Ph: 562-334-7393 Photovoltaic System- $481.00 Email: M@CH.ORG Roof ... . . Contractor SOLAR CITY CORP-SOLAR CITY CORP , SB1473 $1.00 1.00 Address: 3055 CLEARVIEW WAY SAN MATEO CA 94402 36 Photovoltaic Roof Mounted Permit $336.00 336.00 Ph: 650-638-1028 Email: NSOLANO@SOLARCITY.COM , 36 Photovoltaic Roof Mounted Plan Check $144.00 144.00 Lic.Information888104 Exp.Date:12/31/2016 ._ . ..; LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 1TOTAL FEES $481.00 1 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing 'AMOUNT PAID $481.00 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. BALANCE DUE I $0.00 , ,-. Date: //,'-i- ContractorS--LACAr ------ , , OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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,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. {, Ihive and will maintain workers'compensation insurance,as required by Section 3700 of the ,,;-"- ,----, (0,-'1, 7/ LAofCode,for the performance of the work for which this permit is issued. My workers compensation „,..„-, -,...___--„ ----- ..__--, insurance carrier and policy number are: _ ,- .,..„.,,,---5‘L„ ___,,- c...,....- ---1 ir I Carrier: - ,,r-v---,, , i, Policy APPLICANT SIGNATURE DATE )) ) #: i5',(-;),,r,t-(1.--,, Or; - - - Applicant STEPHANIE ANDERSON 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 workers compensation laws of California,and Address: 1755 IOWA AVE#B RIVERSIDE CA 92507 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. Ph: 714-274-7895 Email: M@CH.ORG Lic.Information Exp.Date: 7-pate: -, r -,:---, Applicant::/.,' ,-.',:'-- — I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and ,,5.------ I. - v Safety Code,which regulate the storage,handling and use of hazardous materials ,-- WARNING: Failure to secure workers 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. CITY OF CHINO HILLS CON IviUNITY DEVELOP MENT LUILD INC & SAFETY DIVIS ION 363,41,--27,2 01 Li tuaird,pa":-:i;:11)101 111.frifun u Post in a safe, conspicuous place at front 0-1,013. Provide permit riumberyvhen calling for inspection. Have approved plans on job at time of inspection. BE COME ER ED'YoliiiiHo:totii EllivtaiP E File this permit with your permanent records when job is complete. INSPECTION DATE INSPECTOR INSPECTION DATE, INSPECTOR Grading: Block Wall kormili Pregrade Meeting Footing,Rebar Rough Grade I Lift Bond Beam Terrac 2rd Lift Borri Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Undergrotold Site I Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit SW" Poob: Storm Drain Catch Basin Location/Rebar 1 Bonding 1 Light DO HOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Vol"S',)"Eng" - Ro Elect Compaction,moisture,conditioning etc. POOL 110T TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Underikmrill slab im Final Pool UP'Waste Plumbing LIE Water Fire Protedion Equi LEIF Mechanical UG Pipe • UF Electrical Thrust Blocks UF Framing Hydro IN Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REOUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hyd'o Foundation h dkwa: T . Po Setback/Footing—OK to Pour Electric - UFER Ground(Rebar/Copper) Gas Hardivwe/Hold-Dawns Piers/Caissons -Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FINAL. DO HOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear insi ionImp: Planning Dept (364 2752) Roof Nailing Public Works (364-2774) • - Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Harctivete Hold Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Carbo Iion Final Electric 8t1iAt . Framing Final Plumbing Rough Electric Final Mechanical _ Rough Mechanical Final Building/Construction Rough Plumbing f Topout Water Meter Number COVER HO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Irmuldim OK TO ISSUE D • all kal-mdi OTHER: Interior Exterior - IAJ (21 EXT LATH Stucco Scratch kordi M Fieplace Plate Ties,Fire Block Patio Deck: Footing Frame Acc Light Swtch NOTICE TO OWNER:Call fcm.FINAL INSPECTION on e "Ob. Th"' ' will exp."if -1 is s - -d or abalck) 'for a Patio Finali'mrbd of 180 d . -