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2016-32170 3-4-2016 14929 SANDALWOOD PANEL UPGRADE BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT Coty of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 14,7044, Bui 1 24-Hour Inspection Line (909)364-2790 (NOTE:You must call before 3p.m.for a next business day inspection) x � City Hall Main Number (909)364-2600 NO TICE: THIS PERMIT EC E NULL AND VOID IF WORK IS NOT COMMENCED IT I PLEASE USE PERMIT NUMBER 180 T ISSUANCE, IF TIME BELOW WHEN MAKING INQUIRIES THAN IS IN I TI CITY T 'OR REQUESTING INSPECTIONS RELATING T PROJECT DESCRIPTION PROJECT No. PERMIT No. 225 AMP PANEL UPGRADE 2016-32170 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14929 SANDALWOOD LN 3/4/2016 Sarah,Larios APN 'T CT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102541118 TR 7046 174 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter 1 VB R-S R-3 $1,000.00 0.00 Current Owners: Fees Name:ADRIAN&GLORIA CASARUBIAS Fee Group/ Fee Description Fee Amount Payments Address: 14929 SANDALWOOD LANE CHINO HILLS CA 91709 Transaction Type Ph: 909-597-1894 Panel Upgrade $33320 Email: M@CH.ORG Contractor: SUNCREST SOLAR-SUNCREST SOLAR 34 Electrical Service/Main Panel w/Energy $332.20 332.20 Address: 420 E SOUTH TEMPLE STE 280 SALT LAKE CITY CA 84111 SB1473 $1.00 1.00 Ph: 800-376-4115 Email: PROCESS@SUNCRESTSOLAR.0 TOTAL FEES $333.20 OM Lic.lnformation987868 Exp.Date:10/31/2017 AMOUNT PAID $333.20 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. - k , Date: Contractor: )\_\\ , 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). 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. 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 compensationff insurance carrier and policy number are: � ;.�m� ._�' �: Carrier: �. F� Policy ---- -- APPLICANT SIGNATURE DATE #:CO \- C rc ,t :A Applicant: JONATHAN BLACKHAM 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: 420 E SOUTH TEMPLE#280 SALT LAKE CITY CA 84111 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 those provisions. Ph: 800-376-4115 Email: _... _ PROCESS@SUNCRESTSOLAR.0 -3- � OM D.te: 4 t Lic.Information Exp.Date: WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an 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 COMMUNITY DEVELOPMENT,—BUILDING SAFETY DIVISION CaII O09 364-2790 efo 3:00 A n.for itexl day insilection Post ost in a safe, conspicuous l c® t front of job. P _ ri permit num`er when aailing for inspection, Have approved plans on job at time of inspection. NO WORK SHALL BE COVERED WITHOUT INSP TION File this permit with,your permanent records vd-ien job is complete RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grad— Block I knrocio 111 -: Pregrade Meeting Footing,Rebar Rough Grade I s I Litt Bond Beam • Terraces 2" Lift Bordi,Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough Tear-off,Existing Conditions Undugrotrod Sge I . Sheath Nailing Building Sewer Line Roof Final Water Supply Line U/G Electrical Service Conduit Storm Drain I Catch Basin Location/Rebar r Bonding 1 Light DO NOT BACK FILL UNTIL ABOVE OS Gas Test Gr Conduit Vffify ig. Ro Elect Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED Fence,:Gate&Alarm Undffilcoralr-slab loll:- Final Pool UF Waste Plumbing UiF=Water Fire ProtedimEquip 7 UF Mechanical UG Pipe USF Electrical Thrust Blocks UiF Framing Hydro USFInsulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED verhead Hycip Setback 'Footing-OK to Pour Electric .. LIFER Ground( obaraCopper) Gas TeA HarcM ere 1 Hold-Dowro 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) Planning Dept.(364-2752) Roof Nailing Public Works (3E4.-2774) 393-3388 Exterior Walls Fire (393-a388) Interior Walls Landscape (364-276 Hare/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final GradeCI NIO" . Final Electric Framing Final Plumbing Laugh? Electric pa. „ m cal ,Rough Mechanical ,. Final Building/Constrution` Rough Plumbing 'Topout Water Meter Number COVER NO RK UNTIL A E IAPPROVED ttIPV TF TE' F �. . . T ISSUE OTHER: Interior Exterior Stucco Scrdch I 113 k.nrCti M,t.j> Fleplace Plate Ties,Fire Block Patio Deck: Footing Frame NOTICE TO OWNER:Call fcm-FINAL INSPECTION on e "13. AcCiKS 1 Light Swtch z- Patio Final imrkod of 180 ,, _:.