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2017-35267 8-22-2017 5089 JADE PHOTOVOLTAIC City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr..Chino Hills,CA91709 Counter Phone (909)364-2780 Building Permit 24-Hour Inspection Line (909)364-2790 ' 4111111116 '\ (NOTE:You must call before 3p.m.for a next business day inspection) .ii it u Estill-, til]- City Hall Main Number (909)364-2600 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. PROJECT DESCRIPTION PROJECT No. PERMIT N ROOF-MOUNTED PHOTOVOLTAIC 2017-35267 4.342e BUILDING ADDRESS APT.I UNIT NO. ISSUED DATE ISSUED BY 5089 JADE TR -8/22/2017 -Larios,Sarah API TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 101750319 TR14285 19 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $25,000.00 0.00- Current Owners: Fees . Name:RENE&KAREN LOPEZ Fee Group I Fee Description Fee Amount Payments Address: 5089 JADE TER CHINO HILLS CA 91709 Transaction Type Ph 951-545-6783 Photovoltaic Single $585.00 Email: M@CH.ORG Family-Roof Contractor: 1ST LIGHT ENERGY INC SB1473 '$1.00 1.00 Address: 1869 MOFFAT BLVD MANTECA CA 95336 41 Photovoltaic Single Family Home Roof $350.00 350.00 Ph: 209-824-5500 Email: M@CH.ORG Mounted Permit 41 Lic.Information921371 Exp.Date:9/30/2018 MountedPhotovoltaic PlanCheck Single Family Home Roof $150.00 150.00 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION = OL-Business License Yearly $84.00 84,00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sec.7004).of Division 3 of the Business and Professions Code,and my license is in full force and TOTAL FEES • .. $585.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property.. $585.00 AMOUNT PAID 8/-Ill BALANCE DUE $0.00 Date: 1 — ,�1 r ^! Contractor: .4. OWNER-BUI 4 LDER 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 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 issue representatives of this city to enter upon the above-mentioned proptery for inspection purposes. I 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 compensation i` I£ I insurance career and policy number are: -,=:' i/2 7 1 Carrier qa e Policy APPLICAr '1 7✓ ATURE DATE #: 2tt`i 2.-3-? =Applicant: EMIN FLORES I certify that in the performance of the work for which this permit is issued,I shall not employ any Address: 1869 MOFFAT BLVD MANTECA CA 95336 person in any manner so as to become subject to the worker's compensation laws of California,and agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Ph: 818-979-9909 Email: M@CH.ORG provisions. Labor Code,I shall forthwith complywith those rovrs 8 /2,// -Lic.Information Exp.Date: Date: ( l Applicant:: ? ., r1 I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Fail ecure worker's 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. NI 1 r e EE\LEe a\ M 1EE NIT r:.,i,.,,•` \••...,D 1N\\:.,.\ ,,.,.,\ k E,,, DIV e S IC Post s i.. asafe, . , i \ . $ iplace la p5t „e \job. Prcwi 3 permit 8r $t e.It.,3 ieuca ii i r \$s , tF C approved \ \ C„ j ob ,gi : I „ ; 8>.' p.6 a i o."et%Y,gg `v LI Z p„•§? e r Ft t .,e`,,,e,••:=r CIS'Ce`\`:e ` Q C r .:, ? e e SPECT \N CO xA M.....,e.. INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradlig: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade I a�Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3R:1 Lift Bond Beam Finish Grading Drain I Seal Soils Certification Grading Certification Rough ReRoof: Tear-oft,Existing'Conditions UndergroLci Site Inspedions: Sheath Nailing Building Sewer Line Roof Final Water Supply Line U Electrical Service Conduit SwimningP Iks: Storm Drain I Catch Basin Location/Rebar I Bonding,Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Or Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate 8 Alarm Underfloorlinderslab Inspection: Final Pool U/F Waste Plumbing U/F Water Fire Protection Equipment: U/F Mechanical UG Pipe U/F Electrical Thrust Blocks U/F Framing Hydro U/F Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPE TION Overhead Hyco Foundation Inspection: Te : Power Pole Setback 1 Footing—OK to Pour Electric Release OF ER Ground(Rebar opper) Gas Telt 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. (391-7570) Shear Inspection Mood): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware 1 Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade ` N Cho irspedion: Final Electric ``,Q cikiwre-s_ Framing Final Plumbing Rough Electric Final Mechanical r rt Rough Mechanical Final Building/Construction 11 J I kocAl` AA, Rough Plumbing/Topout Water Meter Number COVER HO WORK UNTIL ABOVE IS APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall ilsl)edion: OTHER: Interior t ZVI. /13 Exterior EXT LATH L LI t [V'? co a tooh8 04- tucco Scratch Miscellaneous tpspections: Masonry Fireplace Plate Ties,Fire Block Patio Deck: Footing Frame 'access Li ht Swich NOTICE TO OWNER:Call for FINAL INSPECTION on every job. This permitwill expire if vtodt is suspended or ab iido I for a Patio Final period of 180 dais.