14772 (SFD)Building
Address .
Owner
Mailing
Address
City
Scan E
Contractor,
• Sarre
Address .
Abf
• P.O. BOX 1504
No. 14772
78-495 CALLE TAMPICO
44 -265 -Camino Lavanda LA QUINTA, CALIFORNIA 92253
Century, Homes ('.ommunities
BUILDING: TYPE CONST: OCC: GRP.
1535 Saves "Do Q$reat, Ste.. 2100
A.P. Number '
er za.rti .aa p CA, 92$06 Te(909.) 381--6007 Legal Description 30T ito$ 25290 Phase IIA
Project Description ' SFD Plan 3x1
Rancho Ocotillo @ .La Quanta Norte
ZIDTel.:
State Lic.
& Classif:<... -3144.73
City
Lic. # 21.20 ..
Sq. F�
Size "i d6 •-
No:
'Stories
No. Dw.
Units
Arch:; Engr.; a c3 ESIi.zales & As' oc. -
Designer
New ❑ Add ❑ .
Alter ❑ Repair O Demolition ❑
A0113,6 Hatt. i.�1apmn. AtPenniE
T1 -7I4 ) 359 -6066
City.
' Riverside;, --CA
Zip
.92505
State
Lic. #
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section'
_1(7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect: - w
SIGNATURE DATE
' : -- ' OWNER -BUILDER 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,cgy 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 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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
- O I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an, owner of property who
builds or Improves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered• for sale. If, however, the building...
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) '
0'1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or Improves thereon, and who contracts for -
such projects with -a contractors) licensed pursuant to the Contractor's License Law.)
.0 1 am exempt under Sec B. & P.C. for this reason
Estimated Valuation -11611,260.00
-
.r
c .PERMIT
i
AMOUNT
�� r
Plan Chk. Dew -
Plan Chk. Bal.
7 fi 9 .
Const.
A-
8!;6 * -50
Mech.
e ��
"EI@CtfICBI�
n
gi�$ a 73
Plumbing
162.00 ,
S,M.I.'
e
16. 13
Grading
20.00.
Driveway Enc.
00
Date Owner
Infrastructure
3,578.07
Arts-4n.Public
Places
153.15
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 No. Company '
Copy is filed with the city: 'O Certified copy is hereby furnished.
r
TOTAL
. 720. 24.
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed H 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 pperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT:, N, 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 180 days. . • I I\ .
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
ZONE: BY:
Minimum'Setbatk Distances:.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback fro. • nter.Line
Side Setback from Pr 9 y Li
FINAL DATE INTORI
Issued by: Date rmit'_
Validated by:
Validation, �.
l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
i
SEWER OR SE C
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF. 3
DRAINAGE PIPING
CAR P. I SO. FT.
HEATING (FINAL)
OTHER APPJEOUIP.
WALL SQ. FT.
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
ROOFING � �
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® Y4c
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 I _e �ECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBINCkj
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 2 ( 7
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
i
SEWER OR SE C
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 3
GAS (ROUGH) /t 01
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 /
FRAMING u
FINAL INSP.
ROOFING � �
v— ,/ / �' �
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION �3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL