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Permit No. 16402 BUILDING ADDRESS: 5057 JADE TERRACE PERMIT NUMBER: 16402 BUILDING INFORMATION APPLICANT INFORMATION r(ot BUILDING PERMIT APPLICATION Address: 5057 JADE TERRACE I Name RICHMOND AMERICAN HOMES s J I Community Development APN: I j014' Crn u3- a 7) Address: 16845 VON KARMAN,SUITE#100 2001 Grand Avenue Lot. 123 City,Zip Code• IIRVINE,CA 92606 • ..•._._ Chino Hills,CA 91709 s' Cross Streets I I Phone/Pager. 1(949)756-7373 I ext. i . "'"° LICENSED CONTRACTOR DECLARATION Tract/Parcel: 114285 City Bus Lic#: 100-03571 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$222,000.00 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: 1N/A OWNER BUILDER DECLARATION Name: RICHMOND AMERICAN HOMES Address 1 1 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. I,as the owner of the property,or my employees with wages as their whole City,Zip Code: IRVINE,CA 92606 Phone: 1 ext. 1 O compensation,will do the work,and the structure is not intended or offered for sale Phone- 1(949)756-7373 1 ext. 1 Lic#: 1 1 • I,as owner of theproperty,am exclusivelycontractingwith licensed contractors to CityBus Lie#: construct the project. Bus Lie#: 100-03571 .........I am exempt under Section BPC for this reason I Bus Exp: 17/31/00 APPROVAL INFORMATION , WORKERS'COMPENSATION DECLARATION I CONTRACTOR INFORMATION Issued By: 1YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor: RICHMOND AMERICAN HOMES 1 Date Issued• 107/05/2000 Address: 116845 VON KARMAN,SUITE#100 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 IRVINE,CA.92606 Census Code. 1101 which this permit is issued. Phone or Pager: 1(949)756-7373 1 ext. Final Date. Bus.Lic.#: 00-03571 Final By: I have and will maintain workers'compensation,as required by Section 3700 of the 0 Labor Code,for the performance of the work for which this permit is issued. My Lic # 7535 Extension: workers'compensation insurance carrier and policy number are: Exp Date. J 12-0\ Reviewed By: KEITH L.PRYOR Lic.Class t ,1B ! Approved By KEITH L.PRYOR INSURANCE INFORMATION Insurance Company: 1LIBERTY MUTUAL 1 i PROJECT INFORMATION Policy Number: 1WC2-191-415185-110 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 107/01/01 1 Structure: 3182 O Section need not be completed if permit is for one hundred dollars($100)or less Garage: 635 • I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: 68 any person in any manner so as to become subject to the Workers'Compensation Laws of Porch: 1 1 • • California and agree that if I should become subject to the workers'compensation provisions of Other: DECK 1 61 •ection 3700 of the Labor Code. I shall comply with those provisions. ROPOSED USE SINGLE FAMILY RESIDENCE Date: i I Signature: i 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 representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes. Date: 1_2/4/00 I Signature: '1.-. 6.--"C ��`'��i Lb OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning. 1PD Front Yard: 18 Over X: 1 0 Issuance: $29 00 Electrical: $350 02 1 Land Use 1FR-2 Side Yard• 5/5 Cut: 1 o School: YES Permit Fees: I $2,387.39 I Plan PLAN 3 Rear Yard: 20 Development. YES Plan Check. $140.78 Plumbing- $306.00 I Fill: 0 SMTP: 1 $22.20 1 Occ: 1R3 SSY: Total. 1 0 SewerYES Mechanical: $78.81 Structural: $1,407.78 1 Type: 1VN Water. 1 YES 1 Geo Review. $0 00 Grading: 1 $75 00 1 Total Fee Due 1 $2,409.59 1 INSPECTION RECORD INSPECTION DATE INSPECTOR ' Grading: INSPECTION DATE INSPECTOR Pregrade Meeting /9 Block Wall Inspections : Rough Grade 'VW (�W0 b '_- /,� 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 U/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 //z .(t;" ..—' UFER Ground(Rebar/Copper) ,,, 'A % . Gas Test 1t(?/KO �Q Hardware/Hold-Downs W 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 3. Fire (393-3888) Combo Inspection: Landscape (364-2797) Framing /fOj.--" Trust Accounts....(364-2769) Rough Electric • ALL ABOVE MUST BE APPROVED BEFORE FINAI(B.L-Eft. Rough Mechanical d g_/,/(r' .---------- Final Electric /i /,{i""r / Rough Plumbing/Topout f �� Final Grade „ i/21 / COVER NO WORK UNTIL ABOVE IS APPROVED f Final Plumbing /%/ Insulation /1/,<"-- �jj Final Mechanical / �(Jf/ Drywall Inspection: -' - Final Building/Construction '� Interior 11640 Sp Water Meter Number iri g-7 3 26. Exterior Lath ►ib7.11aD P CERTIFICATE OF OCCUPANCY Stucco Scratch ' OK TO ISSUE MISCELLANEOUS INSPECTIONS Masonry Fireplace OTHER: Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final • 0