Loading...
Permit No. 15890 BI..TILDING ADDRESS: TRACT #15802 PERMIT NUMBER: 15890 BUILDING INFORMATION APPLICANT INFORMATION . BUILDING PERMIT APPLICATION Address: TRACT#15802 Name: KAUFMAN AND BROAD 4''•"-: Community Development APN: Address: 801 CORPORATE CENTER DR.STE.#201 1 2001 Grand Avenue yl_ Lot: City,Zip Code: POMONA,CA 91766 !:. Chino Hills,CA 91709 Cross Streets: ..�;:,.,- . Phone/Pager: (909)802-1100 ext. CITY°!'2'1VOHILLS LICENSED CONTRACTOR DECLARATION Tract/Parcel: 15802 City Bus Lic#: 00-00758 I N C 0 0.�D 0.A 7 f D 1 9 9 1 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $2,460.00 ENGINEER/ARCHITECT INFORMATION 7000 of Division 3 of the Business and Professions Code)and my license is in full force and effect. OWNER INFORMATION Name: N/A OWNER BUILDER DECLARATION Name: KAUFMAN AND BROAD Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 801 CORPORATE CENTER DR.STE.#20 City,Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code: POMONA,CA 91766 Phone: ext. compensation,will do the work,and the structure is not intended or offered for sale. Phone: (909)802-1100 ext. Lic#: I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: 00-00758 City Bus Lic#: construct the project. I am exempt under Section I I BPC for this reason I + Bus Exp: APPROVAL INFORMATION I WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor: KAUFMAN AND BROAD Date Issued: 04/11/2000 Address: 801 CORPORATE CENTER DR.STE.#20 Finance Code: C4 I have and will maintain a certificate of consent to self-insure for workers'compensation 0 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code: POMONA,CA 91766 Census Code: which this permit is issued. Phone or Pager: (909)802-1100 ext. Final Date: Bus.Lic.#: 00-00758 Final By: I have and will maintain workers'compensation,as required by Section 3700 of the ( Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 394495 Extension: workers'compensation insurance carrier and policy number are: Exp Date: 7/31/00 Reviewed By: KEITH L.PRYOR Lic.Class: B INSURANCE INFORMATION Approved By: KEITH L.PRYOR Insurance Company: AMERICAN INTERNATIONAL SPECIALTY LI PROJECT INFORMATION Policy Number: WC188899094 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 5/1/00 Structure: I Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: any person in any manner so as to become subject to the Workers'Compensation Laws of Porch:California and agree that if I should become subject to the workers'compensation provisions of Other: SEWER LATERAL PER PLOT x �'"'' Section 3700 of the Labor Code. I shall comply with those provisions. _.1 - pY SEWER LATERALS AND CONNECTIONS PROPOSED USE Date: I I Signature: I I FOR SEWER LATERS AND CONNECTIONS ON PAUL COURT,STEVENSON COURT, I certify I have read this application and state that the above information is correct. I agree to CARLETON COURT,MIHALO COURT AND PETERSON COURT comply with all City Ordinances and state laws and hevey authorize representatives of this City to4371/'" enter upon the above mentioned property for inspectio/p os9s. p COMMENTS Date: `.1 1- I Signature: I i `-' .: i '" ). Z. Vi22 i R FEE RE UIRED01( i711 fIOTHE S QP TO ACTUAL PERMIT ' _ � •� V ZONING SETBACKS GRADING F MA TI ISSUANCE PERMIT FEE IN O ON Zoni_ g: PD , Front Yard: PER Over X: 0 Issuance: $30.00 Electrical: $0.00 Land Use: FR1 1 Side Yard: PLOT Cut: School: NO Permit Fees: $660.00 Development: NO Plan Check: $0.00 Plumbing: $630.00 Plan: SEWER Rear Yard: Fill: SMIP: $0.00 Sewer: NO Mechanical: $0.00 Structural: $0.00 Occ: SSY: Total: 0 Total Fee Due $660.00 Type: L _R _1 Water: NO Geo Review: $0.00 Grading: $0.00 INSPECTION RECORD INSPECTION DATE INSPECTOR Grading: INSPECTION DATE INSPECTOR Pregrade Meeting Block Wall Inspections : Rough Grade Footing, ReBar Terraces 1st Lift Bond Beam Sub Drains 2nd Lift Bond Beam Finish Grading 3rd Lift Bond Beam Soils Certification Drain/Seal Grading Certification ReRoof: Rough Tear-off, Existing Conditions As Built Approved Sheath Nailing Underground Site Inspections: Roof Final Building Sewer Line Swimming Pools: Supply Water Line Location/Rebar/Bonding/Light Storm Drain/Catch Basins Gas Test U/G Conduit/Electrical Gr Conduit/Ro Elect DO NOT BACKFILL UNTIL ABOVE IS APPROVED Pre-Deck Verify Soils Engineering: POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Compaction,moisture, conditioning,etc. Fence,Gate&Alarm Underfloor/Underslab Inspection: Final Pool IJ/F Waste Plumbing Fire Protection Equipment: U/F Water UG Pipe U/F Mechanical Thrust Blocks U/F Electrical Hydro U/F Framing Flush Insulation Weld Outlet Insp. Subfloor Overhead Hydro ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Foundation Inspection: Temp Power Pole Setback/Footing Electric Release UFER Ground(Rebar/Copper) Gas Test Hardware/Hold-Downs Piers/Caissons/Tendons FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL! Shear Inspection(Wood): County Environmental Roof Nailing Health Dept (391-7570) Exterior Walls Planning Dept (364-2750) Interior Walls Public Works (364-2770) Hardware/Hold-Downs Fire (393-3888) Combo Inspection: Landscape (364-2797) Framing Trust Accounts....(364-2769) Rough Electric ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Mechanical Final Electric Rough Plumbing/Topout Final Grade COVER NO WORK UNTIL ABOVE IS APPROVED Final Plumbing Insulation Final Mechanical / 7 4 Drywall Inspection: Final Building/Construction � +;' Interior Water Meter Number Exterior Lath CERTIFICATE OF OCCUPANCY Stucco Scratch OK TO ISSUE MISCELLANEOUS INSPECTIONS Masonry Fireplace OTHER: �, Plate Ties, Fire Block, Y_ .6114- Patio/Deck: c''�C ., M8- Footing Access/Light/Switch Patio Final .z; '444 . b /