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08207 (SFD)'art ' e 4 P.O. BOX 1504 No. 08207 Building 78-105 51-345 Calle Pal LA QUINTAC GririrPcc CALIFORNIA 92253. Owner R$f* Wessman Mailing BUILDING: TYPE CONST. OCC: GRP. Address 5800 Calle Fortuna A.P. Number 769-141-069 i City Zip Tel. LA (blinta 92253 554-5540 , Legal Description Project Description , Single family Dwelling Contractor t4 -gm- an Ents=lseslOmer Same City Zip Tela State-Lic: City & Classif., 1Q Lic. # Sq. Ft.os Size 24- No. No. Dw. Stories Units Arch.; Engr,, ' Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. WIrS NOT I W UDE 91 OCK MAI 1 62 City - Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyY,affirm tflatA am licensed under provisions of Chapter 9 (commencing with Section 7000),o!,Dtvislon.3;of the Bupige`ss and Professions Code, and my license is in full force and effect,�:,�- !GNAtURE�"-�'L�"sd"YDATE 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 file 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 live hundred dollars ($500). ❑ I,.as owner of the property, or my employees with.wages as their sole compensation, will Estimated Valuation �'��246 PERMIT AMOUNT Plan Chk.'Dep. --So no Plan Chk. Bal. 30n Const. do the work; and the structure is not intended or offeredfor sale. (Sec. 7044, Buisness and Code: The Contractor's License Law does not. apply to an owner of property who Mech. (� 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.) Electrical Q Plumbing 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) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason S.M.I. Grading Driveway Enc. Date Owner Infrastructure 4 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. TOTAL 4756.33 1 453€.33 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the 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: If, alter 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I cer Illy 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 REMARKS iP!R,-4PiVVy Vo ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 7/2190 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING 1ST FL. SO. FT. ® $ UNITS A.C. UNIT 2ND FL. SO. FT. SLAB GRADE YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. SEWER OR SEPTIC TANK/.((.g DRAINAGE PIPING WALL SO. FT. DUCT WORK DRINKING FOUNTAIN, SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation REINF. STEEL a G FLOOR DRAIN MECHANICAL FEES TEMP. POLE WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER 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 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/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE JPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR FEES'` SETBACK GROUND PLUMBING 7� C L NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK/.((.g ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL a G GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP AIC FRAMING l0(��(O QQ ( (, FINAL INSP. 3�1 �/L 1111 ROOFING ( G..LJ Oi (llll L�� /Ai (d /�,y (� Zv REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL Lj THING MESH INSULATION/SOUND,/D �t� Q FINISH GRADING FINAL INSPECTION l ° l CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL a REVISIONS BY POOL'& SPA SPECS. POOL SIZE 16'-6" x 29'-0" POOL S.A. 400 SQ. FT. POOL PER. 77 LF. DEPTHS 3'- 6" TO 7'-0" POOL PUMP VS 3050 HEATER 250,000 BTU FILTERCCP320 LIGHTS 1-400 WATT CONTROLLER ; EASY TOUCH' 4 SPA SIZE SPA PER, SPA S.A. SPA DEPTH JETS JET PUMP DECK AREA Y V lad w r `ury I'Y /0, c ✓ paid o C Q Q ooN 1 Q DATE: 04 % 06 11 SCALE: )/8" DRAWN BY: LWF JOB: SWAN RESIDENCE SHEET OF SHEETS