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14997 (SFD)Buildin Address 44385 Camino bavand€t Owner Century Homes Comunities P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Address 1535 South *fl` Street, Ste. 200 CityZip Tel. .San Bernardin , Ca 92408 (903)381-6007 Contractor Same Address el.: State Lic. City & Classif. $ . 3144?3 Lic. # 2120 Arch., Engr.,', r l k: G©nr"..ale' 3 Assoc. Designer Addr�e � �. Chapman Ave. Tel. Citt Zip State Gyrancie, . Ca _.. - 92666 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ 1 / •- SIGNATURE DATE OWNEWBUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Susiness'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 ($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 ownemployees, 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.) ❑ 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 or property who builds or Improves thereon, and who contracts for such projects with a contractor(s) flcensed pursuant to the Contractor's License Law.) ❑ • 1 am exempt under Sec. B. & P.C. for this reason I Date Owner I !' 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 No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit.ls'for one hundred dollars ($100) valuation " or less.) -� Icertify that in the performance of-thg ow�i'k for which this permit is issued, I shall not employ any person in any manner.so as .to become subject,to the Workers',Compensation LLs, awot Califgginia `� r.«+ Date /�"/ 1 'l �Owner,�'-"fi"""r- ,'"rm °cz�.• NOTICE TO APPLICANT: 'tt, 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 (510),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 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. 14997 BUILDING: TYPE CONST. VN OCC. GRP. R3 A.P. Number Legal Description Lot- 26 frac 25290 Project Description7FID Plan 3' Rancho Ocotillo @ La Qu;i.nta Phase 1IB Norte Sq. Ft. 2746 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $161,260.00 I PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 709.21 Const. $56.50 Mech. 55.50 Electrical 169.73 Plumbing 162.00 S.M.I. 16.13 Grading 20.00 Driveway Enc. .00 Infrastructure 3, 57916. 07 Arts in -Public Places, -,.153.15 TOTAL 5,720.29 REMARKS t, ZONE: BY: Minimum Setback Distances: Front Setback from Ce�n! ne Rear Setback from Rg�r p. Line Side Street Setback/✓✓*o Cent( -li Side Setback fr(,mn/ roper,fyyine � �G FINAL Issued by: Validated Validation CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE ( / ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. STORAGE TANK FORMS SEWER OR SE T MOBILEHOME SVC. BAR SINK POR. SO. FT. ® FOUND. REINF. GAS (ROUGH) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS REINF. STEEL GAS (FINAL) , DRAINAGE PIPING CAR P. I SQ. FT. GROUT WALL SQ. Ff. SERVICE DRINKING FOUNTAIN SQ. FT. ® BOND BEAM URINAL ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES ROOFING VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® I,/. c SEWAGE DISPOSAL 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 ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ( / ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE T ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) , TEMP. POLE GROUT WATER HEATE SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. // FRAMING In I N , ``o 1 FINAL INSP. ROOFING VENTILATION VVV �+ / / REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUNDill FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL