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Permit No. 18153 BUILDING ADDRESS: 5685 KNOLLSIDE WAY PERMIT NUMBER: 18153 BUILDING INFORMATION APPLICANT INFORMATION o$ BUILDING PERMIT APPLICATION Address: 5685 KNOLLSIDE WAY Name: CENTEX HOMES Community Development APN. I i j —5 32—n Address- 17555 IRVINE CENTER DRIVE ` 2001 Grand Avenue Lot• 41 I City,Zip Code (IRVINE,CA 92618 Chino Hills,CA 91709 Cross Streets: 1 Phone/Pager: (949)453-0113 I ext. I CITY°"""°HILLS LICENSED CONTRACTOR DECLARATION Tract/Parcel: 115751-1 City Bus Lic#: 02-04604 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $157,000.00 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. CENTEX HOMES Address I hereby affirm that I'm exempt from the Contractor's License Law for the following reason: Address• 7555 IRVINE CENTER DRIVE City,Zip Code. OI,as the owner of the property,or my employees with wages as their whole City,Zip Code (IRVINE,CA 92618 Phone 1 ext. I compensation,will do the work,and the structure is not intended or offered for sale. Phone: (949)453-0113 ext. Lic#. ® I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: 02-04604 City Bus Lic#: construct the project. 0 I am exempt under Section i i BPC for this reason I Bus Exp: 13/31/02 APPROVAL INFORMATION • CONTRACTOR INFORMATION IYVETTE MARTINEZ WORKERS'COMPENSATION DECLARATION Issued By: I affirm under penaltyof perjury one of the followingdeclarations: Contractor CENTEX HOMES Y P J rY Date Issued: 14/30/01 Address: 7555 IRVINE CENTER DRIVE Finance Code: C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation asprovided bySection 3700 of the Labor Code,for theperformance of the work for City,Zip Code: IRVINE,CA 92618 Census Code. 1101 which this permit is issued Phone or Pager: 1(949)453-0113 ext 1 _ Final Date. I Bus Lic.#: 102-04604 Final i have and will maintain workers'compensation,as required by Section 3700 of the By. ® Labor Code,for the performance of the work for which this permit is issued. My Lic # 734094 Extension: workers'compensation insurance earner and policy number are: Exp Date 13/31/02 I Reviewed By: (KEITH L.PRYOR Lic.Class: B&A Approved By. (KEITH L.PRYOR INSURANCE INFORMATION Insurance Company: AMERICAN GUARANTEE&LIABILITY I PROJECT INFORMATION Policy Number. WC 8322098 I PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 110/01/01 2194 StructureI 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 592 I certify that in the performance of the work for which this permit is issued I shall not employ Patio. I i I 29 4* 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 ofI ISection 3700 of the Labor Code I shall comply with those provisions Other. "'Section PROPOSED USE SINGLE FAMILY RESIDENCE Date: I i Signature: 1 i PLAN 2 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: I 14(3-4-1 I Signature: I �2 1 OTHER FEES REQUIRED V"17 ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning. 1PD Front Yard: 10 Over X• 0 1 Issuance: $29.00 Electrical: $241.34 Land Use. Side Yard. 5/5School: I YES I Cut. I 0 1 1 Plan Check: $110 75 Plumbin Permit Fees: $1,894.35 Plan PLAN 2 Rear Yard 15 Development: YES i g $222.00 I 1 Fill. 0 SMIP $15.70 Occ. IR3 SSY: Total 0 Sewer YES Mechanical $10878 Structural. $1,107.48 Type: IVN Water YES Total Fee Due I $1,910.05 Geo Review $0.00 I Grading: $75.00 IN SEC TION RECORD • Permit Nurnber/' T' Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS(Inspector verify following) Rough Grade 4-;(-01 k.L P NO OCCUPANCY PERMITTED WITHOUT FINAL! Terraces County Environmental Sub Drains Health Dept Finish Grading Planning Dept Soils Certification Public Works Grading Certification Fire Rough Landscape As Built Approved Underground Site Inspections: ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Building Sewer 1rOI Final Grade _I Water Service 2 -Ej7 477-- Storm Drain/Catch Basins Final Electric U/G Conduit/Electrical Final Plumbing Final Mechanical Compaction Report Final Building/Construction ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number �S�?�( S q S Footings UFER Ground(Rebar/Copper) �� CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs t Piers/Caissons/Tendons Slab Grade / OTHER: DO NOT POUR CONCRETE UNTIL ABOVE1S APPROVED ( )F 2fu 11bc-g / �JQ 7�- Shear Roof Nailing ^l! /@ or s Cp r 5-41-0 c 11F- Exterior Walls R-�/ AF-: vU Interior Walls5 J&, ye v- ' Hardware/Hold-Downs Rough Electric ry�� Rough Mechanical Rough Plumbing/Topout f Framing %/ r COVER NO WORK UNTIL ABOVE IS APPR S/ED Insulation (4--;-8.13 1 A Drywall Interior/Exterior -2-Q-0 I C� Lath a---6 Stucco Scratch -7-41-or �-- Roof Covering Block Wall Inspections : Footing, ReBar 1st Lift Bond Beam 2nd Lift Bond Beam 3rd Lift Bond Beam Drain/Seal SWIMMING POOLS : Location/Rebar/Bonding/Light Gr Conduit Ro Elect POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE Fence,Gate&Alarm Final Pool Temp Power Pole Electric Release Q-(o-o/ �Q Gas Test 7 -O/ ,- 1111 i �/