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Permit No. 18159 BUILDING ADDRESS: 5669 KNOLLSIDE WAY PERMIT NUMBER: 18159 BUILDING INFORMATION APPLICANT INFORMATION aot BUILDING PERMIT APPLICATION Address: 15669 KNOLLSIDE WAY Name: CENTEX HOMES .4%.. Community Development APN: Address. 7555 IRVINE CENTER DRIVE � 2001 Grand Avenue 1 d2}I .2�'� b .'t••'; Lot: 143 City,Zip Code: 'IRVINE,CA 92618 4y :,. • Chino Hills,CA 91709 Cross Streets. Phone/Pa er ' ,,...., g (949)453-0113 ext. °`!",9" , LICENSED CONTRACTOR DECLARATION Tract/Parcel: 115751-1 City Bus Lic#: 102-04604 I hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: 1$162,000.00 ENGINEER/ARCHITECTlNFORMATION 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: 17555 IRVINE CENTER DRIVE I City,Zip Code: I,as the owner of the property,or my employees with wages as their whole City,Zip Code: 1IRVINE,CA 92618 1 Phone. 1 ext. 1 0 compensation,will do the work,and the structure is not intended or offered for sale Phone. 1(949)453-0113 ext. 1 Lic# O I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#. 102-04604 City Bus Lie#: construct the project. I 0 I am exempt under Section 1 i BPC for this reason Bus Exp. 3/31/02 APPROVAL INFORMATION • IIIWORKERS'COMPENSATION DECLARATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ I hereby affirm under penalty of perjury one of the following declarations: Contractor. ICENTEX 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 0 as provided by Section 3700 of the Labor Code,for the performance of the work for City,Zip Code 1IRVINE,CA 92618 Census Code: 101 which this permit is issued Phone or Pager: 1(949)453-0113 1 ext Final Date: Bus Lic.#: 102-04604 1 Final By: I have and will maintain workers'compensation,as required by Section 3700 of the ® 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. 3/31/02 Reviewed By KEITH L.PRYOR INSURANCE INFORMATION Lic.Class: 1B&A Approved By. KEITH L.PRYOR insurance Company: AMERICAN GUARANTEE&LIABILITY 1 PROJECT INFORMATION Policy Number IWC 8322098 1 PROJECT DESCRIPTION LOCATION SQUARE FT. Expiration Date: 110/01/01 1 Structure 2353 1 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: 1 1 1 422 1 I certify that in the performance of the work for which this permit is issued. I shall not employ Patio• 29 ili 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. SINGLE FAMILY RESIDENCE PROPOSED USE 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 authorize representatives of this City to COMMENTS enter upon the above mentioned property for inspection purposes. I t n . Date: I UI"fps O\ I Signature: I4�• -84"----r i IOTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: 1PD Front Yard: 10 Over X: 1 0 1 Issuance: $29 00Electrical. $258.83 Land Use. 1 Side Yard: 5/5 School: YES 1 Cut: 0 Plan Check: $113 06 Plumbm $213.00 Permit Fees: I $1,928.25 I Plan: PLAN 2 Rear Yard: 15 Development. YES g. 1 1 I Fill. 1 0 SMIP: 1 $1620 1 Occ 1R3 SSY: Total. 0 Sewer: YES 1 Mechanical: $108.78 Structural: 1 $1,130.58 Type. VN Water YES 1 Geo Review: $0 00 Grading 1 $75.00 Total Fee Due 1 $1,944.45 1 IN'ECTION RECORD Permit Number Inspection Date Inspector Inspection Date Inspector Grading: Pregrade Meeting FINAL INSPECTIONS(Inspector verify following) Rough Grade 1.4-4/^0/ 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 /Q,Z Final Grade • Water Service Final Electric Storm Drain/Catch Basins Final Plumbing U/G Conduit/Electrical ` Final Mechanical Compaction Report Final Building/Construction ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Water Meter Number Footings / '�S�1alsqS UFER Ground (Rebar/Copper) �y CERTIFICATE OF OCCUPANCY Hardware/Hold-Downs Piers/Caissons/Tendons 'j/ / ' Slab Grade / OTHER: DO NOT POUR CONCRETE UNTIL ABOVE I APPROVED (j r..‘)v vnh Shear Roof Nailing g--'/ ( _ UP ( 5-‘1/31 AR, Exterior Walls i - !( Interior Walls - /� ;Lam 4--r-; ,+q,t_— Hardware/Hold-Downs Rough Electric Rough Mechanical Rough Plumbing/Topout Framing COVER NO WORK UNTIL ABOVE IS APPROVED Insulation 4-;J` 1 Drywall Interior/Exterior Lath Stucco Scratch 4,Z 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 S •