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2019-38462 4-24-2019 14825 KELTY EV CHARGER City of Chino Hills BUILDING DIVISION OF COMMUNITY DEVELOPMENT DEPARTMENT f(FM\ .: 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) ;Chino �h i.o Hills City Hall Main Number (909)364-2600 NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK IS NOT COMMENCED WITHIN PLEASE USE PERMIT UM:,,,- 180 DAYS FROM DATE OF ISSUANCE,OR IF WORK IS SUSPENDED AT ANY TIME FOR MORE • BELOW WHEN MAKIN. •--7,4 RIES THAN 180 DAYS OR IF WORK IS DONE IN VIOLATION OF ANY CITY OR STATE LAWS OR REQUESTING IN CT • rr RELATING THERETO. PROJECT DESCRIPTION PROJECT No. P-- - o. INSTALL(N)EV CHARGER IN GARAGE. 2019-38462 411 240 V 50A NEMA 14-50 OUTLET. BUILDING ADDRESS APT.I UNIT NO. ISSUED DATE ISSUED BY 14825 KELTY CT _4/24/2019 Estrada,Letie APN TRACT MAP# LOT FLOORS I UNITS PROJECT PERMITS P.TYPE 103259206 TR 15723 -14 / CENCUS CODES -CONST.TYPE ZONING TYPE OCCUPANCY TYPE VALUATION TOTAL SQFT BLDG.SQFT 434 Res Add/Alter -VB R-3 $450.00 0.00 Current Owners: Fees Name:ASHER,SANJEEV&URVI TRUST 9-19-12 C/O SANJEEV&URVI ASHER I I i , I I _Fee Group I Fee Description Fee Amount Payments Address: 14825 KELTY CT CHINO HILLS CA 91709 -Transaction Type Ph: 909-438-7925 I III IIII I II I I II I II II III II I I I I I I I I I II Electric Vehicle $211.10 Email: M@CH.ORG Charging Station Contractor TROUT ELECTRIC-TROUT ELECTRIC 37 Electric Vehicle Charging Station w/energy $210.10 210.10 Address: 17843 GLEN HOLLOW WAY RIVERSIDE CA 92504 SB1473 $1.00 1.00 Ph: 909-952-0047 Email: SERVICE@TROUTELECTRICUSA TOTAL FEES $211.10 .COM Lic.Information933396 Exp.Date:5/31/2020 AMOUNT PAID $211.10 LICENSED CONTRACTORS DECLARATIONLICENSED CONTRACTORS DECLARATION BALANCE DUE $0.00 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 effect. In securing this permit I am acting with the knowledge of and on behalf of the owner of the property. - 1 -,,, , i Date: G. I '(. r Contractor: ;' a.'r: -.... 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 vvho 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 yp enter upon the above-mentioned proptery for inspection purposes. y"have and will maintain workers'compensation insurance,as required by Section 3700 of the �r La r Code,for the performance of the work for/which this permit is issued. My worker's compensation _ / /',, '� insurance carder and policy numh^- , f a / 4--41. 41, . �` �`° ����� ,t T R -.,---�- DATE ,6 .�-�`� `' . t "Carr"6r. r - f Policy APPLICANT GNA U 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 worker's compensation provisions of Section 3700 of the @CH.ORG Labor Code,I shall forthwith comply with those provisions. Ph: 818-735-7876 Email: M A-) Lic.Information . Exp.Date: L Applicant: Efate: /4—� � � 6- :, . , I certify that the user of this facility shall 2533 and 25534 of the Health and 5 comply with sections 25506,." �„w_g � Safety Code,which regulate the storage,handling and use of hazardous materials WARNING: Failure to secure worker's 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. CITY OF CHINO HILLS COMMUNITY DEVELOPMENT- BUILDING & SAFETY DIVISION Call (909)364-2790 before 3:00 p.m.for next day inspection Post in a safe,conspicuous place at front of job. Provise permit number when call for inspection. Have approved plans on job at time of inpsection NO WORK SHALL BE COVERED WITHOUT INSPECTION File this permit with your permanent records when job is complete. INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Pre Construction Meeting RETAINING WALLS Grading Certification Rough Footing Rebar Location Underground Site Inspections: 1st Lift Bond Beam Verify Soils Engineering: 2nd Lift Bond Beam Compaction, Moisture,Conditioning, 3rd Lift Bond Beam Drain&Seal Undersiab Inspection: Building Sewer Line BBQ FIREPIT/FIREPLACE Water Supply Line Footing/Rebar Location U/G Electrical Service Conduit 1st Lift Bond Beam po NOT BACKFILL UNTIL ABOVE IS APPROVED 2nd Lift Bond Beam Waste Plumbing Underground Electrical Water Supply Line Underground Gas&Gas Test Electrical Gas Sleeve &Vent (if Under Structure ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION PATIO COVERS/ENCLOSURES/DECKS Foundation Inspections: Track&Ledger Structual Observation Footing Building Location Certification Roof Sheathing (Solid ) Setback Footing-OK to Pour Framing UFER Ground(Rebar/Copper) Access/Light/Switch/Photo Cell Hardware/Hold Downs Piers Caissons/Tendons I Cony. RE ROOF/RE-FELT Slab Grade-OK to Pour Tear Off/Existing Conditions DO NOT POUR CONCRETE UNTIL ABOVED IS APPROVED Sheathing Nailing Shear Inspections(Wood): MISCELLANEOUS Second Floor Nailing CF Forms(Energy Code) Roof Sheathing HERS Rating (Energy Code ) Building Height Certification Temporary Power Pole Structual Observation (Wood/Steel ) Exterior Walls FIRE PROTECTION EQUIPMENT (Fire Department ONLY) Interior Walls U/G Pipe Hardware/Hold Downs Thrust Blocks COVER NO WORK UNTIL ABOVE IS APPROVED Hydro Flush Combo Inspection: Overhead Hydro Framing Final Solar Inspection Rough Electrical FINAL INSPECTIONS Rough Mechanical Rough Plumbing Top Out NO OCCUPANCY PERMITTED WITHOUT FINAL I! Hot Mop/Shower Pan County Health Dept (800)442-2283 COVER NO WORK UNTIL ABOVE IS APPROVED Planning Dept (909)364-2750 Insulation . Public Works Dept (909) 364-2770 Drywall Inspection: Fire Dept (909)902-5280 Interior Landscape Dept. (909)364-2740 Exterior Exterior Lath ALL ABOVE MUST BE APPROVED BEFORE FINAL BUILDING, Stucco Scratch Final Electrical Gas Test Final Plumbing Electrical Meter Release Final Mechanical 7 _ Final Building/Construction q. 7K171 COMMERCIAL installation of Smoke&Carbon Alarms T-Bar and Above Waste Management Forms Mechanical Duct Pre Wrap Water Meter Number Hood System Pre Wrap Final Grading Acceptance Forms( Energy) CERTIFICATE OF OCCUPANCY (Commercial Only) OK to Issue SWIMMING POOLS prime; Permit Letter Excavation Report OT Location/Rebar Bonding Light Gas Test Underground Electrical OM 9 2019 Underground Plumbing Equipotential Bonding POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate &Alarm Rough Electric NOTICE TO OWNER:Call for on evert job.This permit will expire if work is suspended Final Pool or abandoned for a per iod of 180 days