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Permit No. 16371 BUILDING ADDRESS: 16000 CARLTON COURT PERMIT NUMBER: 16371 BUILDING INFORMATION APPLICANT INFORMATION vt BUILDING PERMIT APPLICATION Address: 116000 CARLTON COURT Name: 1KAUFMAN AND BROAD Community Development APN: lilglagArab I 013------4-1 —22 Address: 1801 CORPORATE CENTER DR.STE.#2012001 Grand Avenue Lot: 125 1 City,Zip Code• POMONA,CA 91766 Chino Hills,CA 91709 r Sri Cross Streets: 1 Phone/Pager. 1(909)802-1100 I ext. `�"° ""°""� LICENSED CONTRACTOR DECLARATION Tract/Parcel: 15802 1 City Bus Lic#• 00-00758 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $102,000.00 1 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 1 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 theroe Phone: ext. p p rty,or my employees with wages as their whole City,Zip Code: POMONA,CA 91766 • compensation,will do the work,and the structure is not intended or offered for sale. Phone: (909)802-1100 1 ext. 1 Lic#: 1 O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#. 00-00758 • City Bus Lic#: 1 construct the project. Bus Exp: 112/31/00 I am exempt under Section I BPC for this reason I f APPROVAL INFORMATION 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: 06/30/2000 Address: 801 CORPORATE CENTER DR.STE.#20 1 Finance Code: C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation City,Zip Code: POMONA,CA 91766 0 as provided by Section 3700 of the Labor Code,for the performance of the work for 1-r(1 Census Code: 101 which this permit is issued. Phone or Pager: (909)802-1100 I ext. / 1 Final Date: Bus.Lic.#: 100-00758 I have and will maintain workers'compensation,as required by Section 3700 of the Final By. Ci 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 1 Reviewed By KEITH L.PRYOR •INSURANCE INFORMATION Lia Clas • IT\ Approved By: KEITH L.PRYOR Insurance Company. 1AMERICAN CASUALTY COMPANY 1f---- PROJECT INFORMATION Policy Number: 1WC 196030679 1 ROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 15/01/01 1 Structure: 1 1404 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 1 419 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: 1 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: I 41 ` California and agree that if I should become subject to the workers'compensation provisions of vection 3700 of the Labor Code. I shall comply with those provisions. Other: PROPOSED USE SINGLE FAMILY RESIDENCE Date: i i Signature: I i PLAN 1 I certify I have read this application and state that the abov- information is correct I agree to comply with all City Ordinances and state laws and hereb�thorize repres•ntatives of this City to COMMENTS enter upon the above mentioned property for inspection i .i ses.. / e Date: 1-61-„Y„)—(1)I Signature: WIIM�� l.� t �"_ OTHER FEES REQUIRED ZONING SETBACK S GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: PD 1 Front Yard: 20 Over X• I 0 i Issuance 1 $29.00 1 Electrical: 1 $154.44 Land Use: FR-2 Side Yard: 5 School: YES 1 Cut: Permit Fees: i $1,473.97 1 Plan: PLAN 1 Rear Yard: 15 Plan Check: $85.34 Plumbing: $198.00 Development: YES 1 Fill. 1 SMIP: I $10.20 1 vomer'. Se YES Mechanical: $78.81 Structural: $853.38 Occ: R3 SSY: 15 Total. 0 Type: 1VN Water: YES Geo Review: 1 $0.00 Grading: $75 00 Total Fee Due I $1,484.17 0 INSPECTION RECORD 0 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 fp ,04- ,- 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 U/F Waste Plumbing .49i Fire Protection Equipment: U/F Water /V/0/ - UG Pipe U/F Mechanical - I 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 I -1/ Electric Release ///ZT_--�� UFER Ground(Rebar/Copper) I / Gas Test ///.42 c---NI L. Piers/Caissons/Tendons ,//r- FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVEta✓ NO OCCUPANCY PERMITTED WITHOUT FINAL 1 Shear Inspection(Wood): County Environmental Roof Nailing .:../ JHealth Dept (391-7570) Exterior Walls i ?�:� Planning Dept (364-2750) Interior Walls Public Works (364-2770) . Hardware/Hold-DownsFire (393-3888) Combo Inspection: Landscape (364-2797) Framing Trust Accounts....(364-2769) Rough Electric e_0 t ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Mechanical Final Electric ,n �' / Rough Plumbing/Topout CFinal Grade /�/ V COVER NO WORK UNTIL ABOVE IS AP D Final Plumbing 47.t77 V Insulation 44C: Final Mechanical Drywall Inspection: Final Building/Construction Interior Water Meter Number ,V / Exterior / Lath - ,� �/ CERTIFICATE OF OCCUPANCY Stucco Scratch op' OK TO ISSUE MISCELLANEOUS INSPECTIONS r ' „......- Masonry Masonry Fireplace OTHER: ) Plate Ties, Fire Block, el .�t- -2/7-,7-/b d Patio/Deck: /// Footing Access/Light/Switch Patio Final