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Permit No. 18158 BUILDING ADDRESS: 5701 KNOLLSIDE WAY PERMIT NUMBER: 18158 �� BUILDING INFORMATION APPLICANT INFORMATION a$ BUILDING PERMIT APPLICATION Address: 5701 KNOLLSIDE WAY Name: (CENTEX HOMES iIv Community Development APN: 102.1-tj 3 2.—,o(p Address. (7555 IRVINE CENTER DRIVE 2001 Grand Avenue Lot: 39 ( City,Zip Code. (IRVINE,CA 92618 �..-_ Chino Hills,CA 91709 --, .- ...r Cross Streets: ( Phone/Pager: ((949)453-0113 I ext. ,T11'TrI9T11.. LICENSED CONTRACTOR DECLARATION Tract/Parcel. (15751-1 ( City Bus Lic#: (02-04604 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: ($162,000.00 ( 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: I,as the owner of the property,or my employees with wages as their whole City,Zip Code. IRVINE,CA 92618 Phone: ( ext. O 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. Bus Exp. 3/31/02 • ® I am exempt under Section I i BPC for this reason i I APPROVAL INFORMATION ill WORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations Contractor: (CENTEX HOMES Date Issued 4/30/01 Address. 7555 IRVINE CENTER DRIVE ( Finance Code: C4-SM I have and will maintain a certificate of consent to self-insure for workers'compensation as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code IRVINE,CA 92618 ( Census Code. 101 which this permit is issued. Phone or Pager: (949)453-0113 ext. ( Final Date- Bus Lie#: (02-04604 Final I have and will maintain workers'compensation,as required by Section 3700 of the By Di Labor Code,for the performance of the work for which this permit is issued. My Lic.#: 734094 ( Extension: ( workers'compensation insurance carrier and policy number are Exp Date- 3/31/02 ( Reviewed By: KEITH L.PRYOR Lic.Class B&A INSURANCE INFORMATION Approved By. (KEITH L.PRYOR Insurance Company: (AMERICAN GUARANTEE&LIABILITY PROJECT INFORMATION Policy Number: (WC 8322098 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: (10/01/01 Structure: ( 2353 O Section need not be completed if permit is for one hundred dollars($100)or less Garage- ( ( ( 422 i certify that in the performance of the work for which this permit is issued. I shall not employ Patio: ( ( ( 29 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 of Other •ection 3700 of the Labor Code. I shall comply with those provisions. PROPOSED USE SINGLE FAMILY RESIDENCE Date: I i Signature: i I PLAN 2 W/OPTION 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 authonze representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes. Date: ILf(�Jc of I Signature: ... r i t t OTHER FEES REQUIRED Wei ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION - ISSUANCE Zoning PD Front Yard. 10 Over X. ( 0 ( Issuance: $29 00 ( Electrical: ( $258.83 Land Use. ( Side Yard 5/5 Cut: ( 0 ( School. YES Permit Fees: $1,928.25 Development: YES Plan Check $113.06 Plumbing. ( $213.00 Plan: (PLAN 2 Rear Yard: 15 Fill. ( 0 ( SMIP $16.20 Occ• (R3 SSY: Total ( 0 Sewer: YES Mechanical $108.78 Structural. $1,130.58 Type: (VN Water: YES Geo Review: ( $0 00 Grading. $75.00 Total Fee Due $1,944.45 IN EC TION RECORD Permit Number r /� Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS (Inspector verify following) Rough Grade 4-/l-01 k'LP 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 Final Grade 4 Water Service Electric Storm Drain/Catch Basins �^ Final Plumbing 0 2 U/G Conduit/Electrical Final Mechanical Compaction Report Final Building/Construction v/ ABOVE IS REQUIRED PRIOR TO N INSPECTIONWater Meter Number ye/ Footings UFER Ground (Rebar/Copper) / CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs (O/ Piers/Caissons/Tendons j 9' Slab Grade 7 OTHER: DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED f /F c-s-ca - Shear `' J Roof Nailing /r-G-1 Coop, S Exterior Walls 4l4(-0( Interior Walls SL) Y � Hardware/Hold-Downs Rough Electric Rough Mechanical !t/ Rough Plumbing/Topout /I Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation (- - ?-c' , - Drywall Interior/Exterior 7-3-0/ 4- Lath Stucco Scratch 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 Gas Test -G/ } ? • 4111