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Permit No. 2010-23669 • r `,'\,t City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 �-:,�f0 Building Permit 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 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 BELOW WHEN MAKING INQUIRIES MORE 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. INSTALLATION OF ROOF MOUNTED PHOTOVOLTAIC SYSTEM. 201 0-23 669 BSUED Y 5575 VERONESE DR UILDING ADDRESS I APT./UNIT NO. I S9 6/ 2010 0 DATE I Whi emann,,Rosemary A01N69314 I TTRACT MAP# I; LOT 14 FLOORS/UNITS PROJECT PERMITS I P.TYPE 1 CENCUS Res Add/Alter 1CONST. CB TYPE 1ZONING ZOTYPE IOCCUPANCY O3TYPE 1VALUATION $36,000.001 TOTAL SQFT 0.001 BLDG.SQFT 434_ Current Owners: WILLIAM CLOONAN- Fees Address: 5575 VERONESE DRIVE CHINO HILLS CA 91709 Fee Group/ Fee Description Fee Amount Payments Ph: 909-597-9106 Transaction Type Email: Photovoltaic System $754.77 Contractor. AMERICAN VISION-AMERICAN VISION SOLAR Address: 2125-A N.Madera Rd SIMI VALLEY CA 93065 6001 Permit Issuance Fee $52.00 52.00 Ph: 888-740-3600 Email: 8003 Residential Plan Check Fee $262.67 262.67 Lic.Information778326 Exp.Date:5/31/2012 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION 839-853 Residential Structural Fee $404.10 404.10 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with 6103 Conduits/Conductors 34.00 $34.00 34.00 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. SB1473 $2.00 2.00 Date: 6—i- 1° Contractor. ("7 TOTAL FEES $754.77 AMOUNT PAID $754.77 OWNER-BUILDER DECLARATION BALANCE DUE $0.00 1 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: Owner. 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 / 9—1b 1 a insurance carrier and policy` number are: `-, �y1. u / / 6 Camey.I NSVCA MP COrtPAnH 0-r�^0-- c Policy#: w V E 5 bo`I 3 3 9 0 0 APPL ANT GNA1(JRE DATE I certify that in the performance of the work for which this permit is issued,I shall not employ any Applicant GEORGE MURRAY- person in any manner so as to become subject to the worker's compensation laws of California,and agree Address': 2125 N.MADERA RD SIMI VALLEY CA 93065 that if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ph: 805-915-1393 Email: Date: 6, 9-10 Applicant:: C... -------) Lic.Information Exp.Date: WARNING: Failure to secure worker s compensation coverage is un�wful,and shall subject an employer I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition to the cost Safety Code,which regulate the storage,handling and use of hazardous materials of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. CITY OF CHINO HILLS COM MUNITY DEVELOP MENT—BUILDING & SAFETY DIVISION Call(909)364-2790 before 3:00 pan.for next day inspection Post in a safe, conspicuous place at front ofjoh. Provide permit numberwhen calling for inspection. Have approved plans ori job at time of inspection. NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permit with.your permanent records when job is complete. INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Gradkig: Block Wall inspections: Pregrade Meeting Footing,Rebar • Rough Grade 15'Lii t Bond Beam Terraces 2n1 Lift Bond Beam Sub Drains 3itl Lift Bond Beam Finish Grading Drain 1 Seal Soils Certification Grading Certification Rough ReRoof: Tear-off,Existing Conditions Underground Site Inspections: Sheath Nailing Building Sewer Line Roof Final Water Supply Line UIG Electrical Service Conduit Swimming Pools: Storm Drain.!Catch Basin Location 1 Rebar 1 Bonding 1 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&Alarm Underfloor/Underslab nspection: Final Pool UT Waste Plumbing UIF Water Fire Protection Equipment: UIF Mechanical UG Pipe UT Electrical Thrust Blocks UIF Framing Hydro UT Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Overhead Hycro Foundation Inspection: Temp Power Pole Setback 1 Footing—OK to Pour Electric Release UFER Ground(Rebar/Copper) Gas Test Hard were 1 Hold-Downs Piers/Caissons I 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(Woad): Planning Dept.(364-2752) Roof Nailing Public Works (364-2774) ,ai' Exterior Walls Fire (393-3888) 7..75" 0 Interior Walls Landscape (364-2766) Harctwere/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo nspeotron: Final Electricp Framing ��� Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction Rough Plumbing 1 Topout Water Meter Number COVER NO WORK UNTIL ABOVE IS APPROVED Insulation CERTIFICATE OF OCCUPANCY OK TO ISSUE Drywall Inspection: OTHER: Interior Exterior EXT LATH Stucco Scratch Miscellaneous Inspections: Masonry F.eplace Plate Ties,Fire Block Patio 1 Deck: Footing Frame Access 1 Light 1 Swtch NOTICE TO OWNER:Call for FINAL INSPECTION on every job. peril-awl!! Final This perwill exilic if work is suspended or abandoned for a period of 1110 days.