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2017-33898 1-18-2017 13762 VISTA GRANDE EV CHARGER ("----->\ 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 jr— ., • (NOTE:You must call before 3p.m.for a next business day inspection). (el:,of kThino Hills = 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. INSTALL EV CHARGER IN GARAGE 240 VOLT 50 AMP OUTLET 2017-33898 •449 BUILDING ADDRESS APT.I UNIT NO. ISSUED DATE ISSUED BY 13762 VISTA GRANDE DR _1/18/2017 os, LariSarah APN TRACT MAP# LOT FLOORS I UNITS PROJECT PERMITS _P. TYPE 102410313 TR 13651-2 =64 / CENCUS CODES CONST,TYPE ZONING TYPE =OCCUPANCY TYPE VALUATION ,TOTAL SQFT _BLDG.SQFT 434__Res Add/Alter VB 'PD R-3 $700.00 0.00 Current Owners: Fees Name:PHILLIP L&MARY D TOY :Fee Group I Fee Description Fee Amount Payments Address: 13762 VISTA GRANDE DR CHINO HILLS CA 91709 Transaction Type Ph: 951-505-4123 -Electrical Inspection $229.80 Email: M@CH.ORG Contractor: TROUT ELECTRIC-TROUT ELECTRIC SB1473 $1.00 1.00 Address: 17843 GLEN HOLLOW WAY RIVERSIDE CA 92504 40 Electrical apparatus,conduits and conductors $228.80 228.80 Ph: 909-952-0047 Email: for which a permit is required but for which no SERVICEQTROUTELECTRICUSA fee is herein set forth w/Energy .COM TOTAL FEES , $229.80 Lic.Information933396 Exp.Date:6/30/2017 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION AMOUNT PAID $229.80 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing BALANCE DUE $0.00 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. ,, r" y� Date: 1 1 t. ¢ Contractor: 1.it' k..,E,..:'r tr i 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 • iss fid. representatives of this city to en4er upon the above-mentioned proptery for inspectiof purposes. �y °-1 ave 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 = insurance carrier and policy number aril: ®„ st 4,,. '''-7 ( 1:). t i' /I ;r ;Carbier;.i ,-- a: °'I, L a. �,_ Policy _APPLICANT SIGNATUREC DATE #: , f7 L. t 4- `_ d ___.. Applicant: MEIRAV EISENBERG 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: 31225 LA BAYA DR#213 WESTLANKE VILLAGE CA 91362 agree that if I should become subject to the workers compensation provisions of Section 3700 of the - Labor Code,I shall forthwith comply with thoseprovisions. Ph: 818-735-7876 Email: M @CH.ORG `r _Lic.Information Exp.Date: ;bate:, t v, l _ t° =I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and Applicant:: ,� �...w..�� r r.-w..., A ., ��.� t- Safety Code.which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure worker's comperirali"®n 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 aa post\ \ \\ conspicuous m\ \c •, Z .. \\, ..., .•..,,. .,,,. .m, ,:..,. ... .tl. \ Y••.•\ r..a\ I•.ge @ aa\ :\ • ‘S)1 t \a\\\ \\ �.a•.\ '.,\p\. 11H-p‘,3 inSruss,mlik",qL INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Ir ctior : Precirade Meeting Footing,Rebar Rough Grade .1, Lit Bond Beam Terraces 2''Lift Bond Beam Sub Drains 3f'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 UfG Electrical Service Conduit Swinrning Pools: Storm Drain I Catch Basin Location I Rebar 1 Bonding'Light DO NOT BACKFILL UNTIL ABOVE IS,APPROVED Gas Test Gr Conduit Verify Soils Engineering: Ro Elect Compaction,moisture,conditioning,etc. POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm UndetfloorlUnderslab Inspection: Final Pool UF Waste Plumbing UF Water Fire Protection Equipment: ent: UIF Mechanical UG Pipe LIF Electrical Thrust Blocks OF Framing Hydro UF Insulation Flush Subfloor Weld Outlet Insp. ABOVE IS REQUIRED PRIOR.TO FOUNDATION INSPE TION Overhead Hyco Foundation Inspe+tion: Temp Power Pole Setback/Footing—OK to Pour Electric Release OF ER Ground(Rebar/Copper) Gas Tit Hardweref Hold-Downs Piers/Caissons r 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 lus tier(Wood): Planning Dept.(364-2752) Roof Nailing Public Works (3E4-2774 Exterior Walls Fire (393-3388) Interior Walls Landscape (364-2766) Hardware!Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG. Final Grade Combo isition: Final Electric Framing Final Plumbing Rough Electric Final Mechanical Rough Mechanical Final Building/Construction r°� 13 I i -FIN")Plumbing!Topout Water Meter Number • COVER NO WORK RK UNTIL ABOVE IS.APPROVED CERTIFICATE OF OCCUPANCY Insulation OK TO ISSUE Drywall i l cion6t. : Interior OTHER: i) Exterior EXT LATH Stucco Scratch Miscellaneous Inspections: Masonry Fireplace Plate Ties,Fire Block Patio;`Deck: Footing Frame Access Light Swish NOTICE TO OWNER:Call for FINAL INSPECTION on every job. This I rn it ill expire if work is suspended or abandoned for a Patio Final period of 180 days. . .. ' • .. • . r )571(Q.2,_ v't•sitc„ ktratikob 4111,1 rk J C '‘,.., CA,Itt,t3 - - .. •......,......, :r. - OS\ 4 l g t. .1 • k441-1-r-ita"C.... , ,,),- c-,\., " , ,_,. A - 1-0'1 .„------ .1- _,,,,. ... \k%. '. - 1pz_...-----------' .70 r-,, kr0 I., •:': - j....-., sbi- ' , -... ' . tOSIvIA VelSO.P.- 41(R 1.71-Het3 . 1--- 1-17it--\.__4..... 1..