14993 (SFD)P.O. BOX 1504 N o . 14993
Building 78-495 CALLE TAMPICO
Address 44-450 Camino Lavanda LA OUINTA, CALIFORNIA 92253
Century Homes Conmuni.ties
Address 1.535 Sduth "D" Street, Ste. 200
City ZipTel.
. San Bernardir o, Ca 92401 {90911383--600
Contractor
Same'
IAUUFU55
State Lic. City
& Classif. g •314473 Lic. # 2120
Arch., Engr.,
Designer Frank, Gonzales Assoc.
e
�
Add TJ6 $.. Chapma n. Ave. Tel.
CityZip State
Orange, Ca . 92665 1Lic.#
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under'provisions of,Chapter 9 (commencing with Sectiontr
7001) of Division 3 of the Business4fid Professions Code, and my license is4ri full force and
effect. e� .r,/ ..�..��.%i!. /"`� .r J! �'+. 1
DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
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
,.requires the applicant for such permit to rile 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
bunds 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 or sale.)
O 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 of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) Qcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. a B. & P.C. for this reason
Date Owner
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.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed U,the permit.is'for one hundred dollars,($100) valuation
or less.) j
I certify that in the performance of.thp 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 o1 California_."".......... y "-
Date�� OwnerJ-�
NOTICE TO APPLICANT: -8, after making this Certificateol,Exemption you should. become""
subject to the Workers' Compensation provisions of"the-Labor Code,,.you ust 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 ($10),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
BUILDING: TYPE CONST.- VN OCC. GRP. R3 ,
A.P. Number
Legal Description Lot 22 Tract 25290 Phase 1X}3
SFD
Project Description Plan 3R
R,iincho Ocotillo La Quints Norte
Sq. Ft.
Size .2216
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$132,481..00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
621 .50
Const.
755.00
Mech.
55.50
Electrical
15-1.18
Plumbing
134.00
S.M.I.
13.25
Grading
20.01
Driveway Enc.
.100
Infrastructure
2,930.54
Arts in Public Places 81.20
TOTAL
4 , 77 S . 17
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line '%
1 Al
Rear Setback from Rear Prop��
Side Street Setback from Ce t the
Side Setback from Pro Line
FINAL DATE INSP CTOR
Issued by
Validated
Validatior
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
(
FINAL INSP.
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.
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 ® 3/.c
HOUSE SEWER
SPARK ARRESTOR
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
1
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
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
f,f
au
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.//JJ
(
FINAL INSP.
FRAMING 1l
FINAL INSP.
ROOFING
l
o( � `
Fy(
/ /j��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 6 124
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL