Loading...
2016-32169 3-4-2016 14929 SANDALWOOD PHOTOVOLTAIC -lls BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 1 ,i4 � g 14000 City Center Dr.,Chino Hills,CA91709 `,�V1:15 Counter Phone (909)364-2780 Building Permit24-Hour Inspection Line (909)364-2790 r iiw Cft 35't1�! 7a (NOTE:You must call before 3p.m.for a next business day inspection) City Hall Main Number (909)364-2600 N -- 1�S�,Yrr,s}�sak,ty,,z.a`�+.y::il:a`�uart4tau�3� � ........... __..._ ............._.. ............. ._....... — ..W...... _.......... ............ — ._....._._.......—... ®TICE: 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 'BELOW WHEN MAKING INQUIRIES THAN 180 IF WORK IS DONE IN VIOL.ATIONOF ANY CITYSTATE OR REQUESTING INSPECTIONS RELATINGTHERETO. PROJECT DESCRIPTION (PROJECT No. PERMIT No. ROOF-MOUNTED PHOTOVOLTAIC 2016-32169 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 14929 SANDALWOOD LN 3/4/2016 Sarah,Larios APN T!-'CTAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102541118 TR 7046 174 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SFT BLDG.SOFT 434 Res Add/Alter VB R-S R-3 $49,000.00 0.00 Current Owners: Fees Name:ADRIAN&GLORIA CASARUBIAS g Fee Group/ Fee Description Fee Amount Payments Address: 14929 SANDALWOOD LANE CHINO HILLS CA 91709 Transaction Type Ph: 909-597-1894 Photovoltaic System- $482.00 Email: M@CH.ORG Roof Contractor. SUNCREST SOLAR SUNCREST SOLAR SB1473 $2.00 2.00 Address: 420 E SOUTH TEMPLE STE 280 SALT LAKE CITY CA 84111 36 Photovoltaic Roof Mounted Permit $336.00 336.00 Ph: 800-376-4115 Email: PROCESS@SUNCRESTSOLAR.0 36 Photovoltaic Roof Mounted Plan Check $144.00 144.00 OM Lic.Information987868 Exp.Date:10/31/2017 TOTAL FEES $482.00 LICENSED CONTRACTORS DEC A TIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $482.00 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 BALANCE DUE $0.00 property. -V2:/ Date: /4// "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. -N/I have and will maintain workers'compensation insurance,as required by Section 3700 of the ?Lab insurance ede,for the carrier and policy number areance of the: /. for which this permit is issued. My worker's compensation �� �' ��_..� F � C, •jr: i/ Polic414( -7679e y APPLICANT SIGNATURE DATE 4 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 OM ate: - ,� Applicant:: ,. 'Lic.Information Exp.Date: S ��-� 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. -- — Cm( OF CHINO HILLS COMMUNITY aEVELOP MENT--BUILDING & SAFETY DIVISION Can 9 364-27,7, 4 before 3:00 Pm.for Raid day igisilection Post in a safe, conspicuous s ace at front of job. Provide prIit number eber w en calling for inspection. Have approved flans:on job at time of inspection. HO WORE SHALL BECOVE 'E. 'WITHOUT INSPECTION File this perrnit with your permanent records when job is complete. d" INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradlog: Block'Wall .itI