14995 (SFD)P.O.
Building 78-495 C
Address 44-445 Cs3::tino Ladanda LA QUINTA,
Owner Century Homes Co.amuuities
Mailing '
Address 1535 gauth °/D". Street, Ste. 200
. City - .Zip Tel. -
San- Bernardin . Ca 9240 (909) 351-6007
Contractor
Address
BOX 1504
ALLE TAMPICO
CALIFORNIA 92253
No. 14995
BUILDING: TYPE CONST:VN
: OCCGRP. �3
A.P. Number.
Legal Description Lot 24 Tract 25290 PHase 118
Project Description S.FD lsla R 4G
Rancho - Ocotillo @ La. Quin to 'Norte
City Zip Tel.:
State Lic. City
& Classif. -0,314473 Lic' # 2120' Sq. Ft. 2728-. No. No. Dw.
-Size --- Stories Units
Arch., Engr.;
Designer :.?`r �iOTs3�'s s New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑
Ad r ss
J36:..'1� .chapml, Ave.
Tel.
City ::. .'
Zip
State
Oranq& — . ---'
�: 032666
Lic. #
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencingL with Section
7000)
of Division 3 of the Business' and:Professions,C/odb, and my license is'in full force and
effectr'r�
SIGNATURE R-+' Y _ !' DATE
OWNER -BUILDER DECLARATION
- I hereby affirm that, l am exempt, om the Contractor's License Law for the following
Estimated Valuation4161,929.00
reason: (Sec. 7031.5,Business and Professions Code: Any. city or county , which requires a
'
_ permit to construct, alter,-fmprove, 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
I -
PERMIT -
AMOUNT
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
Any Section 7031.5 by 'any for
- Plan Chk. Dep.
.
for the alleged exemption. violation of applicant a permit
-subjects the applicant to a civil penalty of not more than rive hundred -dollars .($500).-
Plan. Chk. 631.
_
710. 8.51
O I, as owner of theproperty, 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.
056..50
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.
A n
provided .that such improvements are not intended or offered for sale. If, however, the building.00
-, or Improvement is sold within one year of completion, the owner -builder. will have the burden
Electrical`
'IA �O q -
t
• of proving that he did not build or inprove.for the purpose of sale.)
•
❑' I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
174.00 .
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
not to of who builds or improves thereon, and who contracts for -
S.M.I. -
16.19
.,.'does apply an owner property
' - such projects with a.contractor(s)'jicensed pursuant to the Contractor's License Law.) -
1
-
Grading20
30
❑ I am exempt under Sec ` B. & P.C. for this reason
Driveway Enc.
.06
Date Owner
Infrastructure
3,593.12
Arts in Public - Places
354.32,
WORKERS' COMPENSATION DECLARATION
• I hereby affirm that I have a certificate of consent to self -insure, ora certificate of -
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
- _ -
Policy No. Company '
❑ Copy is filed with the city, . ❑ Certified copy is hereby furnished.
TOTAL
5.745.2'6-
.745.i6-CERTIFICATE
CERTIFICATEOF EXEMPTION FROM
REMARKS
WORKERS'COMPENSATIONINSURANCE
(This section need 'not be completed ifthe•permit is,for.one hundred dollars ($100)•valuation
-
'
-
or less.) _ .,:a,».,........;
I certify that in the performance of thg work for which -this permit is Issued, I shall not...
employ any erson in, any manner so:as to become'subjectto'the Workers' piripedsation.
I T.,� of r I..,.�,��`
j NulluE TO APPLlGANT.''ff, after7making this. Certificate of+Ex6mption ,you .should become
subject • to the - Workers' Canpensadon provisionsof 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 pr6perly3illed 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
ZONE: BY:
Minimum Setback, Distances:
Front Setback from Center Line
Rear Setback from Rear/Papp. Line'
Side Street Setback fro entLine
Side Setback from P op rty Line—
FINAL DATE r•If±1 PEGTOR�
'
Issued by: i Dat__F��fmit
Validated by: y IQ,
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE 0
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
SEWER OR SE ROUGH WIRING
DRAINAGE PIPING
WALL SO. FT.
ROCK STORAGE
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
HEATING (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.0OOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER SERVICE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR p 3/ac
HOUSE SEWER
FIREPLACE
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 -1
1GROUND
PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 0
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 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 INS
FRAMING
FINAL INSP.
ROOFING
VENTILATION
/ � � ��
Ol
.A
REMARKS:
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING rff
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL