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Permit No. 15593 BUILDING ADDRESS: 5089 JADE TERRACE PERMIT NUMBER: 15593 BUILDING INFORMATION APPLICANT INFORMATION of BUILDING PERMIT APPLICATION Address: 5089 JADE TERRACE Name: RICHMOND AMERICAN HOMES : �' • Community Development APN: 0 _67I 11 . 1 CC Address 16845 VON KARMAN,SUITE#100 2001" Grand Avenue iiLot: 19 City,Zip Code. IRVINE,CA 92606 Chino Hills,CA 91709 . '' Cross Streets: Phone/Pager: (949)756-7373 I ext. "T.°"P""°"•"„. LICENSED CONTRACTOR DECLARATION Tract/Parcel. 14285 City Bus Lic#• 00-03571 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $220,000.00 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: RICHMOND AMERICAN HOMES Address• I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address: 16845 VON KARMAN,SUITE#100 City,Zip Code: 1 property, g yZip Phone: ext. I,as the owner of theor myemployees with wages as their whole Cit Code. IRVINE,CA 92606 0 compensation,will do the work,and the structure is not intended or offered for sale Phone. (949)756-7373 ext. Lie#. O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lie#: 100-03571 • City Bus Lic#: 0 construct the project. Bus Exp: 17/31/00 I am exempt under Section i i BPC for this reason 1 APPROVAL INFORMATION , WORKERS'COMPENSATION DECLARATIONCONTRACTOR INFORMATION- Issued By: YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor. 1RICHMOND AMERICAN HOMES Date Issued: 02/09/2000 Address• 16845 VON KARMAN,SUITE#100 Finance Code C4-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: IRVINE,CA 92606 1 Census Code: 101 which this permit is issued. Phone or Pager 1(949)756-7373 1 ext. 1 Final Date Bus Lic.#. 00-03571 Final I have and will maintain workers'compensation,as required by Section 3700 of the By. C) Labor Code,for the performance of the work for which this permit is issued..My Lie.#: 1487535 Extension. workers'compensation insurance carrier and policy number are. Exp Date: 12/01 Reviewed By: KEITH L.PRYOR Lic.Class: 1B Approved By: KEITH L.PRYOR INSURANCE INFORMATION Insurance Company: LIBERTY MUTUAL IPROJECT INFORMATION Policy Number: WC7191415185-099 I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 7/00 I ( Structure: 1 I 3182 1 O Section need not be completed if permit is for one hundred dollars($100)or less Garage. 1 I i 635 1 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: I 68 0any 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: DECK 61 Section 3700 of the Labor Code I shall comply with those provisions. PROPOSED USE SINGLE FAMILY RESIDENCE Date: i 1 Signature: i PLAN 3 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 representtives of this City to - COMMENTS enter upon the ahov,_mentioned property for inspection putpos s, Z. ��i Date: •/ Signature: /y / 65 OTHER FEES REQUIRED v PRIOR TO ACTUAL PERMIT zo ING SETBACKS GRADING ISSUANCE PERMIT FEE INFORMATION Zoning: PD Front Yard. 18 Over X: 1 •.0 Issuance. $29.00 Electrical. $350.02 Land Use: FR-2 Side Yard: 5/5 School: YES 1 1 Cut: 0 1 Plan Check: 1 $139 85 Plumbing: $306.00 Permit Fees: 1 $2,377.22 Plan: PLAN 3 Rear Yard: 20 Development: YES 1 1 Fill. 0 SMIP: 1 $22.00 1 - Occ• 1R3 SSY• Total: 0 Sewer: YES Mechanical: $78.81 Structural. $1,398.54 Type: VN Water: YES 1 Geo Review. $0.00 Grading $75.00 Total Fee Due 1 $2,399.22 1 0 INSPECTION RECORD i INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing, ReBar . Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built ApprovedRoof Final Underground Site Inspections: / Swimming Pools: Building Sewer Line lC�— Location/Rebar/Bonding/Light Supply Water Line 30-cip OM' Gas Test Storm Drain/Catch Basins Gr Conduit/Ro Elect U/G Conduit/Electrical Pre-Deck DO NOT BACKFILL UNTIL ABOVE IS APPROVED POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Verify Soils Engineering: Fence,Gate&Alarm Compaction,moisture,conditioning,etc. Final Pool Underfloor/Underslab Inspection: Fire Protection Equipment: U/F Waste Plumbing 5`-'7,--CO 4 UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical Flush U/F FramingWeld Outlet Insp. Insulation _ _/ ) - Overhead Hydro Subfloor s _ ____ ABOVE IS REQUIRED PRIOR TO FOUNDATION'INSPECTION I T`-`v Temp Power Pole /9 Foundation Inspection: Electric Release O_ /t 4/ Setback/Footing <j-( _is &WV , Gas Test Z� � N. UFER Ground(Rebar/Copper) . i� t. _ Hardware/Hold-Downs • a% /j am'/1 FINAL INSPECTIONS Piers/Caissons/Tendons riliZt._ .• MEW;/,: NO OCCUPANCY PERMITTED WITHOUT FINAL! DO NOT POUR CONCRETE UNTIL ABOVE IS •PP-,•VEDCounty Environmental Shear Inspection(Wood): _ /7, Health Dept (391-7570) Roof Nailinglei - Planning Dept (364-2750) Exterior Walls?1. TY zy / Public Works (364-2770) Interior Walls „ ,CO ,M Fire (393-3888) Hardware/Hold-Downs '7,16$'.GZ7 -Ar "y Landscape (364-2797) Combo Inspection: / Q, ` Trust Accounts....(364-2769) Framing •-•)._1 O:4 _ ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric ')-[5,-cam Wpm. -`, Final Electric _4(5tJ/ Rough Mechanical -(A. C-0 '� Final Grade Rough Plumbing/Topout .00 Ampri. Final Plumbing / ./91:24:0 COVER NO WORK UNTIL ABOVE IS APPROV_D, cl, Final Mechanical 1/ /-N Insulation ` ,C �ed''Final Building/Construction _/ Drywall Inspection: 7/ � �_ Water Meter Number /g e/6-7Interior Exterior CERTIFICATE OF OCCUPANCY Lath ?/-2474e,. .--4---,---) /---- OK TO ISSUE Stucco Scratch 5 es _Ce. �r MISCELLANEOUS INSPECTIONS OTHER: Masonry Fireplace Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final i 11111 .3