14840 (SFD)4
P.O. BOX 1504 No. 14840
Building78-495 CALLE TAMPICO M
Address 45--095 Ram"lewood Ct. LA QUINTA, CALIFORNIA 92253
Owner Inco Homers
VN
MailingBUILDING: TYPE CONST.' OCC: GRP.`3.
r
Address 250 E. Rin.con Ste. 202
A.P. Number
City Zip Tel. Lot 13 Tract 23995-1
. Coronl,ra, CA .91719 (909) 736-0700 Legal Description '
Contractor Project Description' SFD Plan 4
Address Reunion at L .Qi;inta
City Zip Tel.:
State Lic. City
& Classif. b 523968 Lic. # 3318
-Arch:, Engr:,
'Designer C•s
.A.
;A,,�Iesgast De La Guerra 1%5) 962-4515
.City Z 93101 Lic.Stat# t12850
SaYata cZ
' �rbe�7z
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. �� ,;.. .... �_�„�,.. �7
YYSIIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business 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 peril to file a signed statement that he is licensed pursuant to
the provisions or 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: rhe 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.)
❑ 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) licensed pursuant to the Contractor's License Law.)
❑ 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.)
Polic o. Company
Copy is filed with the city; ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE-
(This section need not be completed if the peril Is for one hundred dollars ($100) valuation
or less.) '
I certify that in the performance of thg 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 Owner
NOTICE TO APPLICANT: tt, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith • Minimum Setback Distances: l
comply with such provisions or this permit shall be deemed revoked. - -
Front Setback from Center Line
Rear Setback from Rea rop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. Side Street SetbBCk f C ter Line
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, . Side Setback from r rty Lin
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 FINAL DATE I ECaTOR
expiration it work thereunder is suspended far 180 days. N
I certify that I have read this application and state that the above information is correct.Issued by:' Date q'T Permit
I agree to comply with all city and county ordinances -and state laws relating to building r . •
construction, and hereby authorize representatives. -of this city to enter the above- 7
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation: \�
City, State, Zip _N7
• e
Sq. Ft. 2008
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
9 .6 $12@' r r M 00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
594.6a
Const.
73.3.00
Mech.
; 55.59
Electrical
145.90
Plumbing
138.00
S.M.I.
12.09
Grading
20.00 _
Driveway Enc.
.00
Infrastructure
2,720.5-2.
Arts' in -Pub i
-Places 52.2€
TOTAL
4,451.94
REMARKS
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT: tt, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith • Minimum Setback Distances: l
comply with such provisions or this permit shall be deemed revoked. - -
Front Setback from Center Line
Rear Setback from Rea rop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. Side Street SetbBCk f C ter Line
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, . Side Setback from r rty Lin
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 FINAL DATE I ECaTOR
expiration it work thereunder is suspended far 180 days. N
I certify that I have read this application and state that the above information is correct.Issued by:' Date q'T Permit
I agree to comply with all city and county ordinances -and state laws relating to building r . •
construction, and hereby authorize representatives. -of this city to enter the above- 7
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation: \�
City, State, Zip _N7
• e
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
2ND FL. SQ. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
DRAINAGE PIPING
WALL SQ. FT.
`DUCT WORK
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
METER LOOP
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
GAS (FINAL)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRYTRAY
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
IAMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
REMARKS:
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
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 _00ELECTRICALHEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMB
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
f
ROUGH PLUMB.
BONDING
.HEATING (ROUGH)
STORAGE TANK
FORMS ili,
SEWER F& A
ROUGH WIRING
`DUCT WORK
ROCK STORAGE
FOUND. REINF
GAS (ROU H) ?�
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER V
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. /
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR
FRAMING
ROOFING 1,S
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUN
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL