14644 (SFD)Building 45-070 3xidgett tray
Owner Century Homes Communities
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing 200Address 1535 South "D" Street* Ste.
No. 14644
BUILDING: TYPE CONST. -W OCC. GRP.;
A.P. Number
R3 -
. City Zip Tel. r ' Lot 7 Tracl%-. 26188 Phase 1
San Bernardino CA 92408 (909) 381«6007 Legal Description
Contractor Project Description SFO Plan 2
Sage
Address . Del Rey -at -La Quinta Norte
I certify that in the performance of the work for which this permit is issued, -I shall not
'
employ any pperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
City
Zip'
Tel.:
NOTICE TO, APPLICANT., 8, after making this Certificate 'of Exemption you. should become
ZONE. ' BY:
State Lic.
& Classif. � ��
Cit
Lic. 4:12
Sq. Ft.
Size 1473
No. No. Dw.
Stories - Units
Arch., Engr., Feil aiuin Aguilar & Assoc.
Designer � �
New ❑ Add ❑
Alter ❑ Repair ❑ bemolition,❑
NdWsPas: c'ro Avenue
T(1714) 359--6066
Side Street Setback from Center Line '
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;
Side Setback from. P Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
Cversid - CA
l
Zip 92505
Lic.t#
This is a building permit when property filled out, signed, and validated, and is subject to
.y
,�r-L'ICENSED CONTRACTOR'S DECLARATION
I hereby affirrprthal 1 am licensed underpf�visions of Chapter 9 (commencing with Section
7000).df Division 3 ofthe'Businesy:antl ProfessionsFCode, and my license i In full orce and"—
�.effect.�''�,�r�.✓"'w"..i,,�"''•,,,.'"'"�..+,.'�"'�+/f�`, �'.�iti .
�o
1 certify that I have read this application and state, that the above information'is correct. ,,,j
_
I agree to comply with all city and county ordinances and state laws relating. to building
SIGNATURE'"' a DATE
OWNER -BUILDER DECLARATION ".
I hereby affirm that I 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 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) '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 five hundred dollars (5500). -
❑ 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,
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 inprove 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 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) Iicensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
$88i3250.00
..
PERMIT
AMOUNT
Plan Chk. Dep.
Mailing Address
Plan Chk. Bdl.
p
@ . �f
Const.
590.00
Mech.
! �g VFHf
O
Electrical
123.49
Plumbing
138.00
S.M.I..
8.84
Grading
20.00
Driveway Enc.
.00
Date owner
Infrastructure
1,987.98
WORKERS' COMPENSATION DECLARATION
I heieby affirm that I have a certificate of consent to self=insure, or a certificate of
Worke s Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic;No. Company
1. Copy 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.) '
TOTAL
3,416.68
REMARKS
)4.
I certify that in the performance of the work for which this permit is issued, -I shall not
'
employ any pperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO, APPLICANT., 8, after making this Certificate 'of Exemption you. should become
ZONE. ' BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith -
-
Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked. -
Front Setback.from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE.WORKERS'COMPENSATIONCOVERAGE IS UNLAWFUL, AND
Side Street Setback from Center Line '
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;
Side Setback from. P Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
.o'derty
ATTORNEY'S FEES.
FINAL DATE EC ti
This is a building permit when property filled out, signed, and validated, and is subject to
.y
expiration it work thereunder is suspended for 180 days.
�o
1 certify that I have read this application and state, that the above information'is correct. ,,,j
Issued by: D A rmlt
I agree to comply with all city and county ordinances and state laws relating. to building
Q�
construction, and hereby authorize representatives -of this city. to enter the. above--,
'r
mentioned property for inspection -purposes.....
Validated by: \
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SE f(
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH) (� �J
METER LOOP
DRAINAGE PIPING
CAR P. I SQ. FT. ®
REINF. STEEL
WALL SQ. FT. ®
TEMP. POLE
DRINKING FOUNTAIN
URINAL
SO. FT. ®
WATER HEATER
SERVICE
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
A
j)v(
LAUNDRY TRAY
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
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® I'A c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR ® 3/ac
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 _4/,/ 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 f(
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) (� �J
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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. -7f t l /
/^
FRAMING L� 7�
FINAL INSP.
ROOFING 2
A
j)v(
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION �\
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL