Loading...
2018-36408 3-29-2018 2069 OAK CANYON EV CHARGER BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT City of Chino Hills 14000 City Center Dr.,Chino Hills,CA91709 Counter Phone (909)364-2780 4000 Building Permit 24-Hour Inspection Line p (909)364-2790 • 4411111112 (NOTE:You must call before 3p.m.for a next business day inspection) Chino EfiliN 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 NEW EV CHARGER IN GARAGE 2018-36408 449 BUILDING ADDRESS APT./UNIT NO. ISSUED DATE ISSUED BY 2069 OAK CANYON LN 3/29/2018 Larios,Sarah APN TRACT MAP# LOT FLOORS/UNITS PROJECT PERMITS P.TYPE 103106110 TR 10379-1 43 / CENCUS CODES CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434_Res Add/Alter VB R-S R-3 $900.00 0.00 Current Owners: Fees Name:GREG&LINDA APOSTOLOU Fee Group/ Fee Description Fee Amount Payments Address: 2069 OAK CANYON CHINO HILLS CA 91709 Transaction Type Ph: 310-386-9085 Electric Vehicle $192.00 Email: M@CH.ORG Charging Station Contractor: ECO-TECH ELECTRICAL SERVICES INC 37 Electric Vehicle Charging Station w/energy $191.00 191.00 Address: 2634 E COOLIDGE AVENUE ORANGE CA 92867 SB1473 $1.00 1.00 Ph: 714-514-5722 Email: STEVE@ECO-TECH- ELECTRICAL.COM TOTAL FEES $192.00 Lic.Information900705 Exp.Date:3/31/2020 • LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATIONAMOUNT PAID $192.00 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. • ,f. Date: 4 q/ 544/16..-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($500.00) I,as owner of the propterty,or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he she did not build or improve for the purpose of sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a contractor (s)licensed pursuant to the Contractors License Law). I am exempt under article 3 of the Business and Professions Code. Date: Permittee: Print Full Name: WORKERS COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers'compensation,as I certify that I have read this application and state that the above information is correct. I agree to comply provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is with all city and county ordinances and state laws relating to building construction,and hereby authorize issued. representatives of this city to enter upon the above-mentioned proptery for inspection purposes. 4\I have and will maintain workers'compensation insurance,as required by Section 3700 of the ,__sofzekipt Labor Code,for the performance of the work for which this permit is issued. My worker's compensation 34/,///X insurance carrier and policy number are: Carrier:LL1rO.1$ r A-i 74� 16-leAAPolicy APPLICANT SIGNATURE DATE #: Clt7o (.1114 Applicant: SALVADOR LOPEZ 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: 2634 E COOLIDGE AVENUE ORANGE CA 92867 agree that if I should become subject to the worker's compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Ph: 714-514-5722 Email: STEVE@ECO-TECH- ELECTRICAL.COM Da :Vel/// Lic.Information Exp.Date: Applicant:: I certify that the user of this facility shall comply with sections 25506,25533 and 25534 of the Health and WARNING: Failure to secure worker's compensation coverage is unlawful,and shall subject an Safety Code,which regulate the storage,handling and use of hazardous materials employer to criminal penalities and civil fines up to one hundred thousand dollars($100,000),in addition to the cost of compensation,damages as provided for in section 3706 of the Labor Code,interest,and attorney's fees. �t >>"\\$'4x,. �k .a n S�,,N F m a� M ,,,,.� ,"�,X.,,,.,,,,n,,,,,BUIL,,,,, �� ,,,, ;k ; +� n.m.a`��,DIV as ;`,,,,�fi#^ s. \,d• 'V S S$ ,"`'N xn a ,,,Fes.... n G.Es ,�,,.a a._, \"„ �,,, ",n,re M n.� a �.x,.I V 1 A 3 1 S\x"^ Can( •9):3(34-271:K)be1ore 3:00 \a .Icor P \ (lay inspection X \"a C C C "H `.C f \C 1XQ y,y, yy ��..,x approve �n. \ �\ and in\y i ^`�, xx� ,� \ .'a \ a .ne n,\ x„r".4) `.1 a s n,� s;, ,,..a i Z 1 1 Z yt F Post�.z,��, .ma;n.�,a a�_ Vin•w. �M...��_nn���,� �n�;,a_.... �a fro�.,n���, nn� �€,,,.�\n., �',n,��chi? �,,:xn-g g�a�a,a�...,��"�"•�".�.,.,,�' �� .,,��,x.�`.,,� .,,,�,���°�,�� �,n,� �,�•�,.�\„�:,n•�.;��.,,,,�'��, a�n,���„ �n; �na Q���i"..:a A.�n ob at NO A B I, \xp V