The URL can be used to link to this page

07150 (MFD5)Building 78_321 Scarlet Court Address Boulevard Develoom 4.4 a" P.O. BOX 1504 N Q . 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 777 S. Nafn Street Suite 106 City Zip Tel. Orange CA 1 92686 1714-547-8056 Contractod.. Address b City State Lic. City & Classif461814 I Lic. # Designer Address City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION f • I of heraffirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) W bivision 3 of,the Business and Professions Code, and my license is in full force and effect / A•. v----� Iy _SIGNATURE !" + Y _- DATE y 4,/ OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec. 7031.5,Busiress and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that hes licensed pursuant to the provfsions of the Contractor's License Law, Chapter 9 (cominencmg with Section 7000) of Dhision 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exenpSorh. Any violation of Section 7031.5 by any applicant for a permit sub)ects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, 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 bulls or reproves thereon and who does such work himself or through his own employees, Provided that such improvements are not intended or offered for sale. H, however, the building or improvement is sold within one year of completion, the owner -budder will have the burden of proving that he did not buil or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such pro)eds with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION � I hereby affirm. that I have, a, certificate of, conserit to seliinsure for a certifioti�te of Workers Compensation Insuranceror&certifi& copy thereof. (Sec. 3800, Labor Code.1' Policy No Company 42,-- (-• .f' - .7 /: - / t'-- . w ❑ Copy is filed with the city. ❑ Ceitified copy is£hereby-famished. 4-- 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 thg 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 8, after maker this Certificate of Exenpton you should become strb)ect to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this,pernit is issued. (Sec. 3097, CW Code.) Lenders Name Lenders Address This is abuilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certity that 1 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 Addr� City, State, Zip 07.150 BUILDING: TYPE CONST. ' . OCC: GRP. A.P. Number 613-79i} I3 Legal Description BLD 426 Unit #253 Project Description PI an 2L Sq. Ft. 912 Size No. Stories - No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �rJ�22S PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. b4. OU Electrical b7.- Plumbingl. S.M.I. 4,6Z Grading Driveway Enc. Infrastructure i�lb TOTAL REMARKS t1tkK4'� Rf1�i.4Jh-xis. 4Y,..t awl i..4"lAr1F .L R !.7 t Yxh,, a s._7 k1C> ..i fa ZONE: BY: Minimum Setback Distances: Feont.Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property tine FINAL DATE INSPECTOR :. Issued by: Date 2/21/90 Permit Validated by - Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. a $ UNITS A.C. UNIT COLL. AREA SLAB GRADE/ YARD SPKLR SYSTEM 2ND FL. SQ. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR SQ FT ® SEWER OR SEPTIC TANK ROUGH WIRING GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF./iL DRAINAGE PIPING CAR P. I SQ. FT. ® HEATING (FINAL) WALL SO. FT. ® REINF. STEEL DRINKING FOUNTAIN FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRYTRAY AIR HANDLING UNIT CFM FRAMING % �� L 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ec HOUSE SEWER SPARK ARRESTOR 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 FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF./iL GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. Ip FRAMING % �� L FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA HING Q� MESH INSULATIONISOUNnI L FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL