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2017-34003 2-7-2017 13164 SAN RAFAEL SOLAR City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 4,00 Building Permit 24-Hour Inspection Line ,,..---._-,.. p (909)364-2790 j C + )) 4111111Ill (NOTE:You must call before 3p.m.for a next business day inspection City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT NU 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 2017-34003 402 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 13164 SAN RAFAEL DR,Apt.0 0 2/7/2017 Cotter,Melissa APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102360130 1180/TR 13249 36 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $9,000.00 0.00 Current Owners: Fees Name:CURTIS A JR LARKIN Fee Group/ Fee Description Fee Amount Payments Address: 13164 SAN RAFAEL DR CHINO HILLS CA 91709 Transaction Type Ph: 626-775-4991 Photovoltaic Single $501.00 Email: M@CH.ORG Family-Roof Contractor: SOLAR CITY CORP-SOLAR CITY CORP SB1473 $1.00 1.00 Address: 3055 CLEARVIEW WAY SAN MATEO CA 94402 41 Photovoltaic Single Family Home Roof $350.00 350.00 Ph: 650-638-1028 Email: Mounted Permit NSOLANO@SOLARCITY.COM 41 Photovoltaic Single Family Home Roof $150.00 150.00 Lic.Information888104 Exp.Date:12/31/2018 Mounted Plan Check LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION TOTAL FEES $501.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing AMOUNT PAID $501.00 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 $0.00 Date° Contractor: iik w \.„,' I OWNER-BUILDER DECLARATION I, 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 'ty..,and county ordinances and state laws relating to building construction,and hereby authorize issued. represtatives of this city to enter upon the above-mentioned proptery for inspection.urposes. I have and will maintain workers'compensation insurance,as required by Section 3700 of the j La or Code,for the performance of the work for which this permit is issued. My worker's compensation Alik ,-"I .7 • in urance carrier and policy number are: f til a ier: Ci. PolicyA' NT SIGNATU EDATE / Applicant: CRYSTAL I4ORIS I certify that in the performance of the work for which this permit is issued,I shall not employ any ' \\ pe n in any manner so as to become subject to the worker's compensation laws of California,and Address: 1755 IOWA AVE#B RIVERSIDE CA 92507 agee that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith co ply ith those provisions. Ph: 714-274-7895 Email: CMORRISI @SOLARCITY.COM .-- Date: Lic.Information Exp.Date: Applicant:: i A I a 4 w I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING: Fat ure t. re worke s compensati.n.peerage is unlawful,and shall subject an Safety Code,which regulate the storage,handling and use of hazardous materials employer to criminal penalities and civil fines up t one higdred thousand dollars($100,000),in addition to the cost of compensation,damages as provide for in section 3706 of the Labor Code,interest,and - attorney's fees. 111\1 0 Post 1::‘,1 a colt of ProOcle p enn ro„„Irohcs9'omen Plo plate vy(::\‘0 RK A I„ E:, COV flk 10r de this 1;„n,q1 Vc0 it0 fTc";;;4)e ri 10 1:S: NS; (11: 1:10 S C 10 1\1 C)RD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregracle Meeting Footing,Rebar Rough Grade 1s1Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3n1 Lift Bond Beam Finish Grading Drain Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line UK Electrical Service Conduit Swimming Pools: Storm Drain Catch Basin Location Rebar 1 Bonding 1 Light DO NOT BACK FILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engineerlig: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Undedlloorlkxlerslab hspection: Final Pool LIF Waste Plumbing UF Water Fire Protection Equipment: UF Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hy&o Foundation Inspection: Temp Power Pole Setback Footing—OK to Pour Electric Release UF ER Ground(Rebar/Copper) Gas Test Hardware Hold-Downs Piers/Caissons Tendons FINIAL MSPECTIONS Slab Grade—OK to Pour NO OCCUPANCY PERMITTED WITHOUT FINAL DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear kispection()Mood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware f Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo inspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior Zig (3 5* EXT LATH tC, Stucco Scratch Miscellaneous kispections: Masonry Fleplace Plate Ties,Fire Block Patio Deck: Footing Frame ccaENOTICE TO OWNER:Call for FINAL INSPECTION on every job.s Light I Swtch This permitwill expire if work is suspended or abandoned for a Patio Final period of 180 days.