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14858 (SFD)P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 45-080 Ramble6i'$Jod .fit • LA QUINTA, CALIFORNIA 92253 Owner No. .14858 IIt Mailing BUILDING: TYPE CONST. KN OCC: GRP. R3 Address 250 E. Pdnc. on Sips. 202 A.P. Number City Zip Tel. y IiCI� �rti0�399�'"•� C©: ona CA Contractor .Saws Address Zip 91719 {999)736-0700 Legal Description Project Description SFD Plait 3X Reunion at Ila Quinta State Lic. City & Classif. B 52.3963 Lic. # 3318. Arch., Engr., .Designer 22 3fe a,4 `s..3 Guerra CityCity Zip State Santa Barbara, CA 93101 Lic. # C.12850 LICENSED CONTRACTOR'S DECLARATION . d hereby affirm that I am licensed under Provisions -of Chapter (commencing with Section 7800) of Division 3 of the Business and Professions Code, and my license is in. full force and effect. /V-. 95 SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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, alter, improve, demolish, or repair any structure, 'prior to its issuance also requires the applicant for such permit to file a signed statement thatheis 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 penahy 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, Suisness 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 bufld)or-Lnprove for the purpose of sale.) ❑ 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 contractors) 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�ompensation Insurance, or a.certiffed copy thereof..(Sec. 3800, Labor Code.) Policy�lo. Company &Copy is filed with the city. O Certified copy is hereby furnished. ,r `Y CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE, (This section need not be completed it the permit 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: ff, after 'making' this Certificate, of Exemption you should become subject to the Workers' Compensation -provisions of 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 ADDITIONJOI 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!or lnspection purposes. Signature of applicant Date Meiling Address City, State, Zip i Sq. Ft. 1696 No. No. Dw. Size • Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation , $103,500.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure -Arts in- Public TOTAL REMARKS AMOUNT 550.89 6.`3 50 62. 00 . 134.50 3138.00_ x0.35 20.00 .Do. 2,323.7.5 20.00 ZONE: BY: Minimum Setback Distances: - Front Setback from Cent e e Rear Setback from Rear Side Street.Setback fr enter Li Side Setback from rty Lin FINAL DATE PECAW y Perrtg Issued by: Date 9S Validated by: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW%3 FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. p STORAGE TANK FORMS SEWER O S MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE FOUND. REINF. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CARP. SO. FT. ® ^ (/ TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN. SO. FT. ® 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 WASHER(AUTO)(DISH) APPLIANCE DRYER 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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® I'A c SEWAGE DISPOSAL SO.FT.GAR ® 3/<c HOUSE SEWER INSULATIONISOUND 5 ,/ 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 PLUMBINQA JR 111A UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER O S I� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUG ) 3 ETER 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 L , VENTILATION J REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHINGi7� MESH INSULATIONISOUND 5 ,/ FINISH GRADING FINAL INSPECTION \,( CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL