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Permit No. 15478 BUILDING ADDRESS: TRACT #15802 PERMIT NUMBER: 15478 1 BUILDING INFORMATION APPLICANT INFORMATION (-7 BUILDING PERMIT APPLICATION Address: TRACT#15802 Name: KAUFMAN AND BROAD Community DevelopmentAPN: Address: 801 CORPORATE CENTER DR.STE.#201 :14;. ti 2001 Grand Avenue Lot: City,Zip Code: POMONA,CA 91766 Chino Hills,CA 91709 '1. :..' Cross Streets: Phone/Pager: (909)802-1100 ext. i CITYNCOFCU[A HIN7OHI�t 9 9 ILLSl LICENSED CONTRACTOR DECLARATION Tract/Parcel: 15802 City Bus Lic#: 00-00758 R I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $40,000.00 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 DECLARATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ WORKERS'COMPENSATION I hereby affirm under penalty of perjury one of the following declarations: Contractor: KAUFMAN AND BROAD Date Issued: 01/19/2000 Address: 801 CORPORATE CENTER DR.STE.#20 Finance Code: C8 I have and will maintain a certificate of consent to self-insure for workers'compensation City,ZipCode: POMONA,CA 91766 • as provided by Section 3700 of the Labor Code,for the performance of the work for 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: Date: 7/31/00 workers'compensation insurance carrier and policy number are: Exp 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: • Section need not be completed if permit is for one hundred dollars($100)or less Garage: 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: GRADING PER PLOT 10,000 C.Y. Section 3700 of the Labor Code. I shall comply with those provisions. GRADING PROPOSED USE Date: I I Signature: I I I certify I have read this application and state that the above information is correct. I agree to comply with all City Ordinances and state laws and hereby authorize representatives of this City to ,, SCANNED enter upon the above mentioned property for inspection purposes. COMMENTS �411r , k.-.0 i I Date: 1 w. '.-� : I Signature: r ( hit--- OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: PD Front Yard: PER Over X: 0 Issuance: $29.00 Electrical: $0.00 Land Use: FR1 Side Yard: PLOT School: NO $1 019 00 Cut: Plan Check: $000 Plumbing: $0.00 Permit Fees: . Plan: GRADING Rear Yard: Development: NO . Fill: SMIP: $0.00 Occ: SSY: Sewer: NO Mechanical: $0.00 Structural: $0.00 _ Total: 10000 — Total Fee Due $1,019.00 Type: NR Water: NO Geo Review: $0.00 Grading: $990.00 INSPECTION RECORD INSPECTION DATE INSPECT.%I INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: p s Pregrade Meeting /f24/Oi „ Footing, ReBar Rough Grade ' / 1st Lift Bond Beam Terraces L./ 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools : Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test Storm Drain/Catch Basins Gr Conduit/Ro Elect U/G Conduit/Electrical Pre-Deck DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Verify Soils Engineering: Fence,Gate&Alarm Compaction,moisture,conditioning,etc. Final Pool Underfloor/Underslab Inspection: Fire Protection Equipment: U/F Waste Plumbing UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical Flush U/F Framing Weld Outlet Insp. Insulation Overhead Hydro Subfloor ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Temp Power Pole Foundation Inspection: Electric Release Setback/Footing Gas Test UFER Ground(Rebar/Copper) Hardware/Hold-Downs FINAL INSPECTIONS Piers/Caissons/Tendons NO OCCUPANCY PERMITTED WITHOUT FINAL! DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391-7570) Roof Nailing Planning Dept (364-2750) Exterior Walls Public Works (364-2770) Interior Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo Inspection: Trust Accounts....(364-2769) Framing ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric Final Electric Rough Mechanical Final Grade Rough Plumbing/Topout Final Plumbing COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical Insulation Final Building/Construction Drywall Inspection: Water Meter Number Interior Exterior CERTIFICATE OF OCCUPANCY Lath OK TO ISSUE Stucco Scratch MISCELLANEOUS INSPECTIONS OT Masonry Fireplace (trv\. Ti›.4k41,—;(:,1/1/9 Plate Ties, Fire Block, (� Patio/Deck: Footing Access/Light/Switch Patio Final /' -` C ADDRESS: 'TRACT #15802 PERMIT '`AMBER: 15478 INSPECTION DATE 1 VSPECTOR . Any Comments regarding an inspection can be viewed through the GENERAL INFORMATION individual inspection data entry screens.The dot to the left of the CONTRACTOR INFO: KAUFMAN AND BROAD inspection shows if their are any comments. NAME OF PROJECT: GRADING ' PROJECT ADDRESS: (TRACT#15802 MISC.(FIREPLACE/PATIO/DECK INSPECTION) LOT: TRACT: 15802 PLATE TIES: FIRE BLOCK: GRADING INSPECTION F j DOTING: PREGRADE MEETING: FRAME:: ROUGH GRADE: / I ACCESS/LIGHT/SWITCH: TERRACES: If`-/ SUB DRAINS: i \ i I iV'l ED RETAINING/MASONARY INSPECTION FINISH GRADING: ,:ifi6 4f )if il FOOTING,REBAR: SOILS CERTIFICATION: , A V 1ST LIFT BOND BEAM: GRADING CERTIFICATION: i . 2ND LIFT BOND BEAM: ROUGH: 3RD LIFT BOND BEAM: O COMMERCIAL DATA DRAIN/SEAL: PRECONSTR.MEETING: CONSTR.TRAILOR: ROOF INSPECTION COMMER.TEMP POWER: TE OFF EXISTING SHE H NAILING: CD UNDERGROUND SITE INSPECTION CO1V . ,:G 0,FRAMING: BUILDING SEWER LINE: ° )!s COOF DRAINAGE: SUPPLY WATER-LINE: \. STRM DRN/CATCH BASIN: POOL INSPECTION U/G CONDUIT/ELECT: \ 1`,,� C./REBAR/LGHT/BNDING: SOIL VERIFICATION INSPECTIONS ° POOL PIPING: U d POOL GAS TEST: COMP../MOISTURE/COND ! ' GR CONDUIT/RO ELECT: 0 UNDERFLOOR/UNDERSLAB INSPECTION I\ FENCE,GATE AND ALARM: U/F WASTE PLUMBING: , i'l V ' El;`' FIRE PROTECTION EQUIPMENT INSPECTION U/F WATER: x .� U/F CAL: ill ' UG PIPE: U/F ELECTRICAL: y I THRUST BLOCKS: U/F FRAMING: HYDRO: INSULATING: I FLUSH: SUBFLOOR: 1 WELD OUTLET: O FOUNDATION INSPECTION OVERHEAD HYDRO: SETBACK/FOOTING: CD UTILITIES INSPECTION UFER GR.(REBAR/COPPER): TEMP POWER POLE: HARDWARE/HOLD-DOWNS: ELECTRIC RELEASE: PIERS/CAISSONS/TENDONS: GAS TEST: O SHEAR INSPECTION ROOF NAILING: ENVIRONMENTAL INSPECTION --., EXTERIOR WALLS: HEALTH DEPART.FINAL: INTERIOR WALLS: j ! PLANNING DEPART.FINAL: I i HARDWARE: ; PUBLIC WORKS FINAL: FIRE FINAL: COMBO INSPECTION LANDSCAPE FINAL: I, RO.FRAMING: RO.ELECTRIC: FINAL BUILDING INSPECTION RO.PLUMBING/TOPOUT: ELECTRIC FINAL: / ' A i. _ a RO.MECHANICAL: GRADING FINAL: //3/ P a �'7� ' W.‘,.__ INSULATION INSPECTION PLUMBING FINAL: l / ( / / INSULATION: MECHANICAL FINAL: `� t i., BLDG/CONSTRUCT. FINAL: DRYWALL INSPECTION WATER METER: 0 INTERIOR: EXTERIOR: CERTIFICATE OF OCCUPANCY LATH: OK TO ISSUE: STUCCO SCRATCH: