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14991 (SFD)Building Address 44--391 Camino Lavanda P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Owner Century Hchnes Comunitiea I Address 1535 South City Zip San Beimardi o, Contractor Some No. 14991 BUILDING: TYPE CONST. VN OCC. GRP. R3 Street, Ste. 200 A.P. Number Tel. Lot 20 Tract 25290 Phase 11B Cry 9240,: (909)381-60()"4 Legal Description Project Description SFD Plan 2X Rancho Ocotillo 9 La Quinta Norte: WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of i Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor. Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM r 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 pertormance 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' ' "7 _:> Owner - NOTICE TO APPLICANT: ' ll,-affer making this Certificate o of Exemption you should become subject to the Workers' Compensation provisions or'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 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 TOTAL 4,258.76 REMARKS ZONE: BY' Minimum Setback Distances: Front Setback from Center Liffe Rear Setback from Rear'r0. LiA Side Street Setback frog ente-Me Side Setback from P pert Linea FINAL DATE I%PECTO��' Issued Validat, Validat City Zip Tel State Lic. City & Classif. S 314473 Lic. # 2120 Sq- Ft. No. No. Dw. Size 3907 Stories Units Arch., Engr., " �Snk Gonzales ASSOC.Alter Designer New ❑ Add ❑ ❑ Repair ❑ Demolition ❑ AddxSj6 .moi. :Spun Ave*, Tel. City�.�" Zip State (gang: ,.,:Ca � •' 92666 Lic. # T 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. �• ..^ .'�'`_.-�"✓' --�, '-•,,,,; �. � �+'' } SIGNATURE- %, ------ DATE OWNER -BUILDER DECLARATION -I'hereby afflim that I am exempt from the Contractor's License Law for the following Estimated Valuation $x.16,133.00 .reason: (Sec. 703 1.5, Business • and Professions Code: Any . clty 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 rile signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of ' • aWsion 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). Plan Chk. BBI. 6 E�1� 4 . © a 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 Const. 699.00 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. s0 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 - • - 140.74 of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 144.00 struel 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 - S.M.I. - 1 11.61 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 20.00 O I am exempt under Sec B. & P.C. for this reason Driveway Enc. 400 Date Owner Infrastructure 2,562.73 Arts in Public Places 45.33 WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of i Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor. Code.) Policy No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM r 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 pertormance 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' ' "7 _:> Owner - NOTICE TO APPLICANT: ' ll,-affer making this Certificate o of Exemption you should become subject to the Workers' Compensation provisions or'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 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 TOTAL 4,258.76 REMARKS ZONE: BY' Minimum Setback Distances: Front Setback from Center Liffe Rear Setback from Rear'r0. LiA Side Street Setback frog ente-Me Side Setback from P pert Linea FINAL DATE I%PECTO��' Issued Validat, Validat CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINiU FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE I YARD SPKLR SYSTEM 2ND FL. SO. FT. p HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. S0. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. HEATING (FINAL) DRAINAGE PIPING WALL SO. 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 FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 4�LATHING LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+A c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE II 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 GOND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE I ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 4 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING ROOFING 4�LATHING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR f GAR. FIREWALL MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL