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2019-38178 3-5-2019 16213 CANYON HILLS PANEL UPGRADE f''''F'"-->e\ 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 (NOTE:You must call before 3p.m.for a next business day inspection) Chink) MIN 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 No. 200 AMP PANEL UPGRADE 2019-38178 ,46= BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 16213 CANYON HILLS RD 3/5/2019 Trujillo,Brenda APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 100018110 TR 9781 7 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter VB R-3 $1,000.00 0.00 Current Owners: Fees Name:DYKIER TRUST C/O PAUL STEVEN DYKIER Fee Group/ Fee Description Fee Amount Payments Address: 16213 CANYON HILLS RD CHINO HILLS CA 91709 Transaction Type Ph: 714-726-4661 Panel Upgrade $382.70 Email: M@CH.ORG Contractor: OWNER BUILDER-OWNER/BUILDER 40 Electrical Service/Main Panel w/Energy $381.70 381.70 Address: N/A CHINO HILLS CA 91709 SB1473 $1.00 1.00 Ph: N/A Email: Lic.Information Exp.Date: 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. 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 Contractors 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. f• Dater, .. .+- ' 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. 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 '1/4 insurance carrier and policy number are: �s p Y Carrier: Policy APPLICANT SIGNATURE DATE #: Applicant: DYKIER TRUST C/O PAUL STEVEN DYKIER 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: 16213 CANYON HILLS RD CHINO HILLS CA 91709 agree that if I should become subject to the workers compensation provisions of Section 3700 of the Ph: 714-726-4661 Email: M@CH.ORG Labor Code,I shall forthwith comply with those provisions. Lic.Information Exp.Date: Date: Applicant:: 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. al .:.,d-1:1‘‘‘.qV pi'd1 PRin,ock, r"H,:?i"H nuroi":H:,"q W"0 t Ei.„„sk 1M 11(11',,i,„1 MS1) (1:1 iON S P R C INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall kispections: Precirade Meeting Footing,Rebar Rough Grade 11'lift Bond Beam Terraces 2 Lift Bond Beam Sub Drains 311 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 LUG Electrical Service Conduit Swimming Pools: Storm Drain Catch Basin , Location Rebar/Bonding/Light DO NOT BACKFILL UNTIL ABOVE IS APPROVED Gas Test Gr Conduit Verify Soils Engirbming: Ro Elect Compaction,moisture,conditioning,etc. POOL HOT TO BE FILLED UNTIL FENCING IS COMPLETE. Fence,Gate 8,Alarm Uncletfloorlinderslab Inspectioci: Final Pool U.IF Waste Plumbing UfF Water Fire Protection Equipment: LIF Mechanical UG Pipe UHF Electrical Thrust Blocks LIF Framing Hydro lJF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION. Overhead Hy&o Foundation Inspection: Temp Power Pole Setback i Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware Hold-Downs Piers/Caissons 1 Tendons FINAL INSPECTIONS Slab Grade—OK to Pour HO OCCUPANCY PERMITTED WITHOUT FINAL, DO HOT POUR CONCRETE UNTIL ABOVE IS APPROVED. County Environmental Health Dept. (391-7570) Shear Inspection(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) Exterior Walls Fire (393-3368) Interior Walls Landscape (364-2766) Hardware Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG., Final Grade Combo irspection: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing Plumbing I Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED, CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior - ,— /17 EXT LATH ; - Stucco Scratch Miscellaneous kIspections: Masonry Fireplace Plate Ties,Fire Block 1.-INAL,F0 N SYPiTFAii Patio Deck: Footing Frame NOTICE TO OWNER:Call for FINAL INSPECTION on every job. Acces Light Swich This permit will expie if work is suspended or abandoned for a Patio Final period of 180 days.