14642 (SFD)Buildin
Address 45-050 Bridgett Way
Owner Century Homes Communities
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
Mailing
Address 1535 South AD" Street, Ste. 200
.City
Zip Tel.
San Bernard no, CA 32308 1(909)381-6007
Contractor
same
Address .
Zip
State Lia S 3144.73 City 2120
& Classif. Lic. #
Arch., Engr:, Benjamin Aguilar Assoc.
' Designer
*>'Is`Passer® Avenue 1114)359-6066
City Zip State
t RiYe:ra_s CIL' CA92565 Lic. #
"'LICENSED CONTRACTOR'S DECLARATION
I heiebyy,afflim that I am licensed under,provis ons of Chapter 9 (commencing with Section
7 f7) of Division`3 of the Business and`Professions.CoBe, and my license isfin full force and
I •:y,,effect�.%'_,..er"""_s.�.-.a:«�'"t"✓+.•,.^...+✓"'=-.1` i'_°_'a�4'R . ]"x ter.
OWNER-SWILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or -county which requires a
permit to construct, alter, Improve, demoltsh, 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
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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 penalty of not more than five hundred dollars ($500).
0'1, 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
builds or Improves thereon and who does such work himself. or through his own employees,
prodded that such improvementsare 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.)
D I, 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 contractors) Pcensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. tB. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I heroby"affirm that I have a certificate of consent to self -insure, or a certificate of
Worker' 'Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poli No. Company
'Copy is filed with the city. O 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 (8100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner.
NOTICE TO APPLICANT. If, 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 p&rnit when properly filled out, signed and:validated, and is subject to,
expiration it work thereunder is suspended for 180 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. x.4642 -
BUILDING: TYPE CONST. I I OCC: GRP.;
R3
A.P. Number
Legal Description Lot 5 Tract 26188 Phase 2
Project Description . SFB Plan 3
Del: Rey at La Quinta torte
Sq. Ft.
Size
New ❑
No. , No. Dw.
.410.0 Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
Valuation�BP'4�.�
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const. "
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
A
AMOUNT-
499.90
MOUNT
499.90
590.00
49.00
125.20
138.00
8..855
20.00
.00
1,990.49
3421.44
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rearprop. Line
Side Street Setback from Center Line
Side Setback from Properp_Line
FINAL DATE It
t
'Issued by: Date_
Validated by:
Validation:_
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
UNDERGROUND
A.C. UNIT
YARD SPKLR SYSTEM
2ND FL. SO. FT.
ROUGH PLUMB.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
STORAGE TANK
FORMS
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING
DRAINAGE PIPING
CAR P. SO. FT.
FOUND. REINF.
WALL SO. FT.
/ J
!Y (
DRINKING FOUNTAIN
SO. FT. a
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
TEMP. POLE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
BOND BEAM
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
/Zi
SO. FT. ®c I
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1'A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FIRE ZONE ROOFING
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 I ECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI
T
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) %
/ J
!Y (
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
1
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
yd.
$ plus x$
,
_$
LUMBER GR.
FINAL INSP.
f*�-cu.
FRAMINGL? Sl
FINAL INSP.
ROOFING
%)
O 1
f!R
�
/Zi
y�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�7
LATHING j/✓ Z!% /
MESH
INSULATIONISOUND 1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL