14767 (SFD)..^.T--.. - -
wo
4
' - P.O. BOX 1504
No. 14767
Building 78-495 CALLE TAMPICO
Address •Q4--270 .Camino Lavalhda LA QUINTA, CALIFORNIA 92253
Owner 'Century Homes Co*unitles
Mailing - BUILDING: -TYPE CONST..: OCC: GRP. �3
Address I63-5-Sout;2 IND Street, Ste. 200
A.P. Number
City Zip' ITel. :Lot 16 Tract 25290 Phase IIA
San
BernidW if CA 92408 009) 381-6007 Legal Description
ContractorSPS Plan 3k
Project Description
Same'
".Address Rancho Ocot-illo @ La Quinta Norte.,
- • � .. .. ..
-city'' Zip Tel.:
State Lic.- City
B� 3.3:4.4.73., 2120
& Classif.: Lic. # Sq. Ft. No. No..Dw.
Size - .2216 Stories '"Units
Arch:, Engr.,
Designer girank `Gon a lea ASSOC. Arch. New ❑ Add ❑ Alter ❑ Repair'❑ 'Demolition, ❑
dr s T.010532-6878 4
;3 i;ast . �hapi�an venue 010 5s2�-6878
City Zip State
Orange92666 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of•Chapter.9 (commencing with Section
• ]000) of Division 3 of the Business and Professions Code,and my license is in full force and
ffect.
" SIGNATURE DATE. -
OWNER -BUILDER DECLARATION Estimated: Valuation
I hereby affirm that I am'exempt from the Contractors -License Law for the following $132,482.00- .
.,reason: .(Sec. 7031.5;Business 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 I -
requires thi applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
- the, provislons of the Contractor's License Law, Chapter 9" (commencing with Section 7000) of
Division 3 of the Business and Professions. Cade, 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 - Plan Chk: Dep...
"subjects the applicant to a civil penalty of not more than five hundred dollars (5500).- - C�a
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan ,Chk. Bat. U � . JV
do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and* Const. 7_55A0
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, Mech. - - 55.50
.:.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 Electrical $ �,
-of proving that he did not build or Improve for the purpose of sale.) ..
' O'I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing ' r 144-.00
F struct the project. (Sec. 7044, Business and Professions Code: The Contractor's" License Law
I does not apply to an, owner of property who builds or improves thereon, - and who contracts for :. S.M.I. 13.25
such projects with a contractorGrading s). censed pursuant to the Contractor's License Law.) 20.00
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc. 88
Bate owner" Infrastructure . 2,r 930.54
Arts in Public Place, ' 81.20
WORKERS' COMPENSATION DECLARATION
I hereby affirm'that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy NoCompany
Cl .. opy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 4 77£.17 , t
CERTIFICATE OF EXEMPTION FROM' REMARKS J
WORKERS'COMPENSATIONINSURANCE
(This section need 'not be completed if the permit is for one hundred dollars (S100) valuation
'or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
'employ anyperson 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 Exediption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith "
inimum Setbac
comply with such provisions or this permit shall be deemed revoked. Mk Distances:
Front Setback from Center Line
. Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE ISUNLAWFUL,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 Property Line
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
FINAL DATE INSPECTOR
expiration it work thereunder is suspended for 180 days. _.
I certify that I have read this•applicetion'and state that the above information is correct. t'.ISSUed by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of•.this city 4o enter the above
mentioned property for inspection purposes. Validated by:
Slgnature'of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE (b r
2ND FL. SQ. FT. p
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH) ETER LOOP
DRAINAGE PIPING
CAR P. I SQ. FT.
REINF. STEEL
WALL SQ. FT.
1(3 J TEMP. POLE
DRINKING FOUNTAIN
SQ. FT. ®
GROUT
URINAL
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
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING /t/eLECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN p"f UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE (b r
ROUGH PLUMB. j BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC A ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
1(3 J TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
1
FRAMINGAL/
FINAL INSP.
ROOFING
f � /% F['�,1�I
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 1 .39f,i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL