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14994 (SFD)Buildin Address 44-'400 Camino Lavanda Owner Century Homes Communities P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mailing Address 1535 South "A3" Street, Ste. 200 City - Zip Tel. San Dernardin 4,. Ca .92408 (909)381-6007 Contractor Same State Lic. I City & Classif.. B,.314473 Lic. # 2120 Arch., Engr., Designer Frank Gonzales Assoc. Add 33sti Chapman Ave. Tel. Cit Zip State range, Ca,,:- -� • 92656 Lic. # n 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 foorce and t effect. i'..^!Y- ._ tea/ SIGNATURE..DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following i. reason: (Sec.. 7031.5,Buskiess and Professions Code: Any city or county which requires a permit to construct, alter, bmprove, demolish, or repair any structure, prior to 8s issuance also requires the applicant for such permit to rile a signed statement that he is licensed pursuant to I the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of j 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 rive 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 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 of sale.) O 1, 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) ()tensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. 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 O Copy is filed with the city- ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM f WORKERS' COMPENSATION INSURANCE (This section need not be completed g the -permit is for • one hundred dollars (E 100) valuation or less.) i - O-- 1 certify that in the performance of the work -for which this permit.is issued, 1 shall not employ any PPereon in any manner so as to -become subject to the Workers Compensation Laws obCalitor"vita> Dated'r G / Owner''' '-."r" -•� -�� _ NOTICE TO 'APPLICANT., g,,raRer making this CeriHlcateiof-Ekemption you should become subject to the Workers'`Conpensation provisions oftthe Labor Code, you must forthwith comply with such provi0ons or this permit shaft 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 certifythatI 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 urposes:Signature of applicant Date Mailing Address City, State, Zip No. 14994 BUILDING: TYPE CONST. VN OCC. GRP. R3 P. Number Legal Description Lot 23 Tract 25290 Phase 11B Project Description rvFfi Plat 2 Rancho -Ocotillo @ is Quinta Norte Sq. Ft. No. - Size 19€37 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ (Estimated Valuation $116,133.00 • PERMIT Plan Chk: Dep. PlanChk. Bal. Const. Mech. Electrical Plumbing r S.M.I. Grading Driveway Enc. Infrastructure Arts 1n Publi. TOTAL REMARKS AMOUNT 584.85 699.00 55.50 140.74 144.00 1.1.61 20.00 / .00 2,562.73 40.33 ZONE: BY: Minimum Setback Distances: Front Setback from Center Line, - Rear Setback from Rear Prop ee Side Street Setback from., ter Li P, Side Setback from Property Lin FINAL DATE INSP�E/CTOW 1 Issued by- Date t�y Per it -9 Validated by: `995` „/a' Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS �1 SLAB GRADE l 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. @ ROUGH WIRING DUCT WORK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. I SO. FT. HEATING (FINAL) DRAINAGE PIPING WALL SO. FT. GAS (FINAL) DRINKING FOUNTAIN SO. FT. a URINAL ESTIMATED CONSTRUCTION VALUATION $ SERVICE WATER PIPING NOTE: Not to be used as property tax valuation BOND BEAM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ -Plus-X$-=$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM VENTILATION 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/. c SEWAGE DISPOSAL SO.FT.GAR @ Y4c HOUSE SEWER MESH 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 �1 SLAB GRADE l \ J 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 APPJECIUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING _ / / /^ j fl REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING vl MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION l CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL