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Permit No. 16394 BUILDING ADDRESS: 15994 CARLTON COURT PERMIT NUMBER: 16394 r-- BUILDING INFORMATION APPLICANT INFORMATION -4,"vt� BUILDING PERMIT APPLICATION Address: 15994 CARLTON COURT Name: IKAUFMAN AND BROAD • • It,y4 Community Development APN I r1��42).,.,p•. IV 1 1 —1-13^2.3 Address• 1801 CORPORATE CENTER DR.STE.#201 2001 Grand Avenue 'i Lot: 126 City,Zip Code. IPOMONA,CA 91766 r..._ _ Chino Hills,CA 91709 �;;:;:.. �n "� LICENSED CONTRACTOR DECLARATION Tract/Parcel: 115802 City Bus Lid/. 00-00758 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: I$133,000 00 I 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 DECLARATIONName: 1KAUFMAN AND BROAD Address: I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address• 1801 CORPORATE CENTER DR.STE.#20 1 City,Zip Code. I 1 I,as the owner of theproperty, Phone: ext. 0 or my employees with wages as their whole City,Zip Code: POMONA,CA 91766 I 1 compensation,will do the work,and the structure is not intended or offered for sale. Phone: 1(909)802-1100 I ext. I 1 Lic#• O i,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#• 00-00758 I City Bus Lic#: I 1 construct the project. Bus Exp: 112/31/00 APPROVAL INFORMATION I am exempt under Section i BPC for this reason i • I y WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION '' Issued By. 1YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor: KAUFMAN AND BROAD Date issued: 06/30/2000 Address: 1801 CORPORATE CENTER DR.STE.#20; Finance Code. 1C4-SM 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. 1101 which this permit is issued. Phone or Pager: (909)802-1100 ext. 1 Final Date: Bus.Lic.# 100-00758 Final By- I I have and will maintain workers'compensation,as required by Section 3700 of the ®i Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 394495 I Extension: workers'compensation Insurance carrier and policy number are: Exp Date. 7/31/00 Reviewed By KEITH L PRYOR Lic.Class- 1B Approved By: (KEITH L.PRYOR INSURANCE INFORMATION ---- .---- Insurance --"Insurance Company. (AMERICAN CASUALTY COMPANY IPROJECT INFORMATION - Policy Number: 1WC 196030679 I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date• 15/01/01 Structure: 1945 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage. I 1 I 1 1 368 i certify that in the performance of the work for which this permit is issued. I shall not employ Patio: 1 I I I I 1 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 1 1 1 1 18 California and agree that if I should become subject to the workers'compensation provisions of Other: I1 Section 3700 of the Labor Code. I shall comply with those provisions PROPOSED USE SINGLE FAMILY RESIDENCE Date: i i Signature: i I ' PLAN 3 I certify I have read this application and state that the abo e information is correct. I agree to • comply with all City Ordinances and state laws and her:4 authorize repre entatives of this City to • COMMENTS enter upon the above mentioned property for inspectio • •nse . n1_ Date: i �/)� w-t, I Signature: ��'���`Irl •OTHER FEES REQUIRED `�� ZONING SETBACK S GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: 1PD 1 Front Yard: 18 Over X: 1 0 Issuance: $29 00 Electrical: 1 $213.95 1 Land Use: IFR-2 Side Yard: 5/5 Cut: School: YES Permit Fees: $1,715.19 1 Plan Check: I $100 58 Plumbing: 1 $222.00 I Plan: PLAN 3 Rear Yard: 15 1 Development: YES 1 1 1 Fill: SMIP: 1 $13 50 1 Occ: 1R3 SSY: Total: 0 Sewer: I YES Mechanical: $68.82 Structural. 1 $1,005.84 1 Type: IVN 1 Water: YES I Geo Review: I $0.00 I Grading: I $75.00 I Total Fee Due I $1,728.69 INSPECTION RECORD II 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 `'�/7 y1/� Location/Rebar/Bonding/Light Storm Drain/Catch Basins T '/ 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 Fire Protection Equipment: U/F Watert.._.../.....----- ��i 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��ION Foundation Inspection: Temp Power Pole Setback/Footing / Electric Release yy//__ UFER Ground(Rebar/Copper) scji #4/'� Gas Test —4///,<r Hardware/Hold-Downs Piers/Caissons/Tendons I V FINAL INSPECTIONS DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED NO OCCUPANCY PERMITTED WITHOUT FINAL! Shear Inspection(Wood): County Environmental Roof Nailing g ,�js; / Health Dept (391-7570) Exterior Walls 4/ 7M ✓; Planning Dept (364-2750) Interior Walls Public Works (364-2770) Hardware/Hold-Downs Til Fire (393-3888) Combo Inspection: Landscape (364-2797) FramingTrust Accounts....(364-2769) 6�Rough Electric ALL ABOVE MUST BE APPROVED BEFORE FM/ LD Rough Mechanical Final Electric Rough Plumbing/Topout Final Grade A / COVER NO WORK UNTIL ABOVE IS APPROVED Final Plumbing II Insulation Final Mechanical Drywall Inspection: Final Building/Construction / ` Interior Water Meter Number "."-- ExteriorVr.52 " Lath V?--3/,et, /""-- CERTIFICATE OF OCCUPANCY Stucco Scratch 7 OK TO ISSUE MISCELLANEOUS INSPECTIONS / Masonry Fireplace OTHER: �9r�/ Plate Ties, Fire Block, G� / ��� Patio/Deck: Footing Access/Light/Switch Patio Final