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14509 (AR)4 4 Qum& I tiR S P.O. BOX 1504 Building 54-511 Riviera LA Q Address UINTA, CALIFORNIA 92253 Owner Mr. & Mrs. Vreeland Address StnB CityZip Tel. La. Quintaa CA 92253 Contractor cal Tech Builders Address 52-711 Ave. Velasco Ity. Quinta, CA? %2253 Tel Tel X44-'1309 State Lic. City & Classif. 8 590()90 Lic. # 402 Arch., Engr., Designer pain; Scott Anderson AIA Address Tel. P.O.-Box 277 564-5038 �ity C� X2 Qui.nta, CA Zip 92253 State Lic. # LICENSED CONTRACTOR'S.DECLARATION . I hereby affirm that I am licensed under'provisions,of Chapter 9 (commencing with Section 7 ) of Division 3 of the Business:and Pr fesslon, Cod and ny license is in full force and ffect. . SIGNATURE ..n k DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bustness and Professions Code: Any 'City .or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to Me provisions of the Contractor's License Law, • Chapter 9 (commencing with Section 7000) of Division 3 of 'the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's- License Law does not apply to an. owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, .the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 4, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law does not apply to an, owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Date Owner, WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker'ss,&mpensation Insurance, or a certified T co€lV thereof .(Sec 380 Labor Code.) .) Policy I�. Company Gip "9:l JU . opy is filed with the city, ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. H, after making this Certificate of. Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. _ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000); IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This 'is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 160 days. - I certify that I have read this application and state.that the above information is correct. I agree to comply with all city and county ordinances and state -laws relating to building construction, and hereby authorize representatives -of this city to -enter the above-. mentioned property for inspection. purposes. Signature of applicant Date Mailing Address City, State, Zip No. 14509 LDING: TYPE CONST. OCC: GRP. Number Legal Description Atrium Project Description Enclosure Sq- Ft. No. No. Dw. size p5 Stories Units New ❑ Add ❑ . Alter ❑ Repair ❑ -Demolition ❑ I � JAN 0 6 1995. U Y _ Estimated Valuat' $6, 783,00 PERM1T AMOUNT Plan Chk. Dep. Plan Chk. Bal. 58. 50 Const. 9U. Vu Mech. Electrical .A— S.M.I. . t)U Grading Driveway Enc. Infrastructure TOTAL 149.18 REMARKS ZONE: BY: Minimum Setback Distances:. ' Front Setback from Center Line Rear Setback.from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by- Date Permit Validated by: ! CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES i FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ec HOUSE SEWER REMARKS: VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK i FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. . AL INSP/� ?S FRAMING _ / _( r///���EEE777 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING G FINAL INSPECTION,2 [ , CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS — GARDEN WALL FINAL Certificate of Compliance: Residential , (Page 1 of 2) CF -1 R • 17-1 Project Title Date '5,+ - f -v 6 I R-1 V I EPA . to av wl-A—, '12V53 Project Address Building Permit # Plan Check/ Date Docu nentatlon Author Telephone Field Check / Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 10 5 ft2 Building Type: Single Family _ Addition (check one or more) Mufti-Famil Existing -Plus -Addition Front Orientation: North . ast South / West / All Orientations (Input orientation in degrees and circle one.) Number of Dwelling Units: I Floor Construction Type: CqLabJRaised Floor (circle one or both) Revised January 1992 BUILDING SHELL INSULATION Construction Component Insulation Assembly, Location/Comments' Type R -Value LI -Value (attic to garage typical, etc.) ' Wall .............. Wall .............. Roof ............. —� •Roof ...:......... Floor ............. Floor ............. Slab Edge.... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type. Orientation (sf) U -Value (roller blind etc.) (shadescreen etc) (yes/no) (metal/wood/vinyl) Front..... ( ) Front.... ( ) Left ....... ( ) Left ....... ( ) Rear ..... ( ) Rear ..... ( ) Right..... ( ) Right..... Skylight ....... Skylight _ — - ....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen bath etc.) sehi- VINYL to N &&V cF- - C -F Revised January 1992 Certificate of Compliance: Residential Project Title HVAC SYSTEMS Note: Input hydronic or combined dronic data under Water Heati Distribution Heating Equipment Minimum Type and Type (furnace, heat Efficiency Location pump, etc.) (AFUE/HSPF) (ducts/attic, i Cooling Equipment Minimum Type (air conditioner,' Efficiency heat Durno. evao_ molinnl_ mizizm Duct Location (attic, etc. (Page 2 of 2) CF -1 R Systems, except Design Heating Load. Duct or Piping Thermostat. R -Value Type Duct Thermostat Configuration R -Value. Tvoe (sniff or nackarial WATER HEATING SYSTEMS Put-gr70:6— Ene r Rated' Tank Factorr Input (kW Capacity Recovery or Btu/hr) (oallons) . Efficiencv Water Heater Distribution Number in Systei External 1 Tank Insulation 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts t and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: p/ty� �. ! /V� Name: c Title/Firm: 6�7k-r--T` . Title/Firm- Address: �? C> . 277 Address: Telephone:Telephone: - Lic. r ��f Agency Name: Title: Agency: Telephone: (date) (signature) . (signature/stamp) (date) Rovisod January 1992 (date)