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2018-37491 9-18-2018 12961 OAKLAND PANEL UPGRADE Cityof Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 4,(/' ''N'' \ 14000 City Center Dr.,Chino Hills,CA91709 "' Counter Phone (909)364-2780 BuildingPermit 24-Hour Inspection Line (909)364-2790 ' (NOTE:You must call before 3p.m.for a next business day inspection City Hall Main Number (909)364-2600 ii 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 No. 200 AMP PANEL UPGRADE 2018-37491 9 . BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 12961 OAKLAND WY 9/18/2018 Larios,Sarah APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 102315123 TR 12135 24 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-3 $15,000.00 0.00 Current Owners: Fees Name:JOSEPH&SYLVIA RODRIGUEZ Fee Group/ Fee Description Fee Amount Payments Address: 12961 OAKLAND WAY CHINO HILLS CA 91709 Transaction Type Ph: 909-239-1211 Panel Upgrade $382.70 Email: M@CH.ORG Contractor: ENERGY ENTERPRISES USA INC DBA CANOPY ENERGY 40 Electrical Service/Main Panel w/Energy $381.70 381.70 Address: 6842 VAN NUYS BLVD STE.800 VAN NUYS CA 91405 SB1473 $1.00 1.00 Ph: 424-351-6610 Email: M@CH.ORG • Lic.Information1018825 Exp.Date:9/30/2020 TOTAL FEES $382.70 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $382.70 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 BALANCE DUE $0.00 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. �,,,,-- 1 a. Date: t 0$• til Contractor „,,,;:',..,.,..,-,:/„z'-,— , - -- 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. t ; I have and will maintain workers'compensation insurance, requiredby as Section 3700 of the �`�m�' s`ri:// ,,,, Lab Code,' M f _, r for the performance of the work for which this permit is issued. My worker's compensation - - `-¢ ,e,,,,,---,/,,,, ` insurance carrier and policy numbe(a ,r s 'c = ” / ' ,'1' Carrier: i ` ( c °./'s';/. Policy '.,._.,.APPLICANT SIGNATURE DATE # ,/ Vii/ / Applicant: DEONTRE NELSON 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: 6736 VESPER AVE VAN NUYS CA 91405 agree that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply wjth those provisions. Ph: 424-339-0005 Email: M@CH.ORG ,;‹,,---/ ,/-,7(' 1, Lic.Information Exp.Date: late"°-- r ' Applicant:: .,,,,-,..,,,,..."'-'1.--,------ 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: 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. � \ � \ �a a ,.,.,..., �,.,,.::� \\ :� \\ \\ .,..,�\\\.,to`^, ��\� �\?'..�\�...,�e..`\���� Have•..:.�'�0,;,.a � \�v\\e .. ,, a ..a \ \ \\ .t\\ ,;�,d �,,1a a�\,a place \. 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PIE; \\\\\\\.: � \\\\� \iZ INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,Rebar Rough Grade I slLift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3m Lift Bond Beam Finish Grading Drain/Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Unrlergromd Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line UaG Electrical Service Conduit Swimrning Pools: Storm Drain/Catch Basin Location/Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils EngineeriiH: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UnderflooriUnderslab it l ti n: Final Pool UF Waste Plumbing UF Water Fire Protection Equipment: UF Mechanical UG Pipe LIF Electrical Thrust Blocks UF Framing Hydro USF Insulation Flush Suhfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPE TI N Overhead Hyco Foundation Inspection: Temp Power Pole Setback a Footing—OK to Pour Electric Release OF ER Ground(RehartCopper) Gas Test Hard were/Hold-Down Piers/Caissons/Tendons FINAL INSPECTIONS Slab Grade—OK to Pour NO U P.AII Y PERMITTED WITHOUT FILIAL DO NOT POUR,CONCRETE UNTIL ABOVE IS APPROVED County Environmental Health Dept. (391-7570) Shear Is lion(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774) Exterior Walls Fire (93-3388) Interior Walls Landscape (364-2766) Hardware 1 Hold-Dowry ALL ABOVE MUST BE APPROVED BEFORE FI ILIAL BLDG. Final Grade Combo inspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction i Rough Plumbing Topout -1 P Water Meter Number COVER NO WORK UNTIL ABOVE IS.APPROVED CERTIFICATE F OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scratch Miscellaneous k pectic : M-asonry Fieplaacae Plate Ties,Fire Block Patio,e Deck: Footing Frame Access Light S wlch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. This pennit will expire if work is suspended or abandonedfor a Patio Final period of 180 days.