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Permit No. 14816 BUILDING ADDRESS: TR# 15749 PERMIT NUMBER: 14816 BUILDING INFORMATION APPLICANT INFORMATION -os,.,,t BUILDING PERMIT APPLICATION Address: TR# 15749 Name: 1DEBORAH REIMER "".:. ;. Community Development APN: Address: 2399 CARLENE CIRCLE .. ,t�., 2001 Grand Avenue Lot: 1 City,Zip Code: CORONA,CA 91720 -r''~ Chino Hills,CA 91709 M:kCross Streets: PERIMETER WALL Phone/Pager: (909)372-0478 ext. CITY°R CHINO HILLS LICENSED CONTRACTOR DECLARATION Tract/Parcel: 15749 City Bus Lic#: N/A ,C 0 2 t O l A f[G II, n 1 hereby affirm that I'm licensed under the provisions of Chapter 9(commencing with Section Valuation: $343,080.00 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: HUNSAKER AND ASSOC. OWNER BUILDER DECLARATION Name: CENTEX HOMES Address: 3 HUGHES 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: IRVINE,CA 92618 I,as the owner of the property,or my employees with wages as their whole City,Zip Code: IRVINE,CA 92618 Phone: (714)583-1010 ext. 0 compensation,will do the work,and the structure is not intended or offered for sale. Phone: (949)453-0113 ext. Lic#: n I,as owner of the property,am exclusively contracting with licensed contractors to Bus Lic#: 00-04604 City Bus Lic#: construct the project. I am exempt under Section BPC for this reason Bus Exp: 3/31/00 APPROVAL INFORMATION CONTRACTOR INFORMATION Issued By: YVETTE MARTINEZ WORKERS'COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: Contractor: CENTEX HOMES Date Issued: 09/24/1999 Address: 7555 IRVINE CENTER DRIVE Finance Code: C4 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 92618 Census Code: which this permit is issued. Phone or Pager: (949)453-0113 ext. Final Date: e r/ / Bus.Lic.#: 00-04604 1 I have and will maintain workers'compensation,as required by Section 3700 of the Final By: ��,� ':-..•<--4-0e,r- Lic.#: 734094 Labor Code,for the performance of the work for which this permit is issued. My j Extension: workers'compensation insurance carrier and policy number are: Exp Date: 3/31/01 j Reviewed By: KEITH L.PRYOR INSURANCE INFORMATION Lic.Class: B&A Approved By: KEITH L.PRYOR Insurance Company: AMERICAN GUARANTEE&LIABILITY PROJECT INFORMATION Policy Number: WC 832096-02 PROJECT D ' CRIPTION LOCATION SQUARE FT. Expiration Date: 10/01/99 Structure: 0 Section need not be completed if permit is for one hundred dollars($100)or less Garage: I certify that in the performance of the work for which this permit is issued. I shall not employ Patio: _„, person in any manner so as to become subject to the Workers'Compensation Laws of Porch: ifomia and agree that if I should become subject to the workers'compensation provisions of oection 3700 of the Labor Code. I shall comply with those provisions. Other: PERIMETER WALL PER PLOT 1 57180 PERIMETER WALL- Fct,r P;e1 6 Act n PROPOSED USE Date: Signature: ___i 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 srArCOMMENTS lto enter upon the above mentioned property for inspection purposes. 4 Date: UZ Signature: Z- ' OTHER FEES REQUIRED ZONING SETBACKS GRADING PRIOR TO ACTUAL PERMIT PERMIT FEE INFORMATION ISSUANCE Zoning: PD Front Yard: PER Over X: 0 - Issuance: $29.00 Electrical: $0.00 Land Use: 1FR-1 Side Yard: PLOT Cut: 0 School: NO Permit Fees: i Development: NO Plan Check: $0.00 Plumbing: 1 $0.00 $1,821.20 P gin: j Rear Yard: 0 SMIP: $0.00 ' ' Fill: Sewer: NO Mechanical: $0.00 Structural: $1,792.20 Occ: SSY: Total: 0 Total Fee Water: NO �� Due $1,821.20 - '�pe: NR Geo Review: $0.00 Grading: $0.00 INSPECTION RECORD 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 Approved Roof Final Underground Site Inspections: Swimming Pools: Building Sewer Line Location/Rebar/Bonding/Light Supply Water Line Gas Test Storm Drain/Catch Basins Gr Conduit/Ro Elect JIG 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 UG Pipe U/F Water Thrust Blocks U/F Mechanical Hydro U/F Electrical Flush U/F Framing Weld Outlet Insp. Insulation Overhead Hydro Subfloor ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION Temp Power Pole Foundation Inspection: Electric Release Setback/Footing Gas Test UFER Ground(Rebar/Copper) Hardware/Hold-Downs FINAL INSPECTIONS Piers/Caissons/Tendons NO OCCUPANCY PERMITTED WITHOUT FINAL! DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED County Environmental Shear Inspection(Wood): Health Dept (391-7570) Roof Nailing Planning Dept (364-2750) Exterior Walls Public Works (364-2770) Interior Walls Fire (393-3888) Hardware/Hold-Downs Landscape (364-2797) Combo inspection: Trust Accounts....(364-2769) Framing ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Rough Electric Final Electric Rough Mechanical Final Grade Rough Plumbing/Topout Final Plumbing COVER NO WORK UNTIL ABOVE IS APPROVED Final Mechanical Insulation Final Building/Construction - Drywall Inspection: Water Meter Number Interior Exterior CERTIFICATE OF OCCUPANCY Lath OK TO ISSUE Stucco Scratch MISCELLANEOUS INSPECTIONS OTHER: Masonry Fireplace _ Plate Ties, Fire Block, Patio/Deck: Footing Access/Light/Switch Patio Final