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14643 (SFD)Building � Address 45^f!6?? 13ridgetic 1aaj7 Owner Century Homes Communities P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Address 1535 South "D'tree t o .ate. 200 City Zip ITel. San Bernardino, Ch 92408 (909)351-6007 Contractor sAiRe Address City Tel.: State Lic. B 32-4.73 (City 2120 & Classif. Lic. # Arch.,fngr., Designer Penjaim n Aguilar & ASSOC. e4ddr§ssPasser© Avenue T614) 359-606 CityZip State Riverside, CA� _._ j92505 Lic. # I hereby affirm:that I am licensed 7000) of Division 3 of the'Business effect.,, with Section ull fo ce and d a I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec.. 7031.5,Business and Professions Code: Any city or county which requires' a. permit to construct, atter, Improve, demolish, or repairanystructure, 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) 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 penalty of not more than rive 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 orimprovement 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.) . . ❑ 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 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 consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Polic o. 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 ($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. 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 permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. . I ce,rify 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. 14643 P BUILDING: TYPE CONST.' OCC. GRP.- A.P. Number Legal Description .Lot 6 Tract 26188 Phase 1 Project Description plan 5x Del•Rey at La Quina Norte Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add O Alter ❑." Repair ❑ . Demolition ❑ Estimated Valuation' $116,983.00 PERMIT AMOUNT Plan Chk. Dep. 2501.00 Plan Chk. Bal. Const. 699.00 Mech. 55.56 Electrical 141.85 Plumbing 156.00 S.M.I. 11.70 Grading 20.00 Driveway Enc. .00 Infrastructure 2432.12 5.32.12 Arts 'in Publi " Places 42.4 TOTAL 4,346.76 4',(x9;9.76 REMARKS. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prope Side Street Setback from C Pein " Side Setback from Prope FINAL DATE INSPE R ,,QQ Issued by: Date A • Perm lt. Validated by: ,`9 Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ UNITS COLL, AREA - 2ND FL. SO. FT. p ROUGH PLUMB. YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER OR SE ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. ' GAS (ROUGH) DRAINAGE PIPING CAR P. I SO. FT. ® HEATING (FINAL) OTHER APPJEOUIP. WALL SO. FT. GAS (FINAL) DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATE WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP.i GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM ^ �y1� / Z U' IKITCHEN 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 SO. FT. ®c IWATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL LATHING 2S SO.FT.GAR ® 3/.c HOUSE SEWER 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 1 �„�/ ELECTRICAL 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 SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ' GAS (ROUGH) ,`1 G'S METER LOOP vY 7 HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATE III SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP.i M-72 q FRAMING Z3 S FINAL INSP. ` 0 ry ROOFING SJ ©/� ^ �y1� / Z U' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 2S MESH INSULATION/SOUND S' FINISH GRADING FINAL INSPECTION 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL