14090 (SFD)jl I
TA'it44
P.O. BOX 1504 No. 14090
Building 78-105 CALLE ESTADO
Address 44-065 Ocotillo Drive LA QUINTA, CALIFORNIA 92253
Owner Century Homes Communities
BUILDING: TYPE CONST. VN OCC: GRP.. R3
Mailin
Address 1535 South *D" Street, Ste. 200
City Zip Tel.
San Bernardizxc, Ca 4240 (9139) 381-6007'
Contractor
Same
Address
Zip
State Lic.
Phase I
Norte
City
& Classif. B
314473
Lic. # 2120
Arch., Engr.,
Designer
Frank Gonzales Assoc.
Als(i .
E
Chapman Ave.
Tel.
CityZip
State
Orange,
Cia
' 92666
Lic. #
Estimated Valuation $13211,5$1.0.0
/,
PERMIT
AMOUNT
Plan Chk. Dep. 250.08
LICENSED CONTRACTOR'S_DECL"ARATIPW10'
I hereby affirm that lam licensed under provisions of Chapter 9 commencing With S
7000) of Division 3
o the Business and. Professions Cod my license -is irofull for(
effect. ._"
,,and
_.... � f i :.�- � *__11 >• _ .0
OWN ER�UILD ECLARATION
I hereby affirm that 1 am exempt�rr m the Contractor's License Law for the following
reason: (Sec. 7031.5,Business andProfessions 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 or 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
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
orimprovement is sold within one year of completion, the owner -builder will have the burden
or proving that he did not build or improve 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No.Company
❑ Copy is filed with the city. 0 Certified copy is hereby furnished.
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
employany person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: It, 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.
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 if work thereunder is suspended for 180 days.
I certify Ihat 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
A.P. Number 604-180-032
Legal Description Lot 87 Tract 24517
Project Description SFD Plan 3K
Rancho Ocotillo Iia Quin.ta
Phase I
Norte
Sq. Ft. No. No. Dw.
Size 2216 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
Demolition ❑
f
Estimated Valuation $13211,5$1.0.0
PERMIT
AMOUNT
Plan Chk. Dep. 250.08
Plan Chk. Bal.
377.50
Const.
755.00
Mech.
55.50
Electrical
151.18
Plumbing
144.00
S.M.I.
13`.25
Grading
20.00
Driveway Enc.
.00
Infrastructure
2, 930.54
AXtS n Public Places
81.20
4,528.17
TOTAL 407U.17
47-4B:+;0
REMARKS
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: �� ate Permit
Validated by:—"
r./'�
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
a
2ND FL. SQ. FT.
POR. SQ. FT. p
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SO. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROCK STORAGE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS(ROUGH)^
LAUNDRYTRAY
AIR HANDLING UNIT CFM
OTHER APPJEQUIP.
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FRAMINGS
SQ.FT.GAR ® 3/ac
HOUSE SEWER
1 [/^ LA -1
1
'0'
'
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 IO ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEAelz
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWERROUGH
WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH)^
TER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)TEMP.
POLE
GROUT
WATER HEATER f
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL I1NSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMINGS
ROOFING jr /'
�e'/
1 [/^ LA -1
1
'0'
'
'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA1h, i ING Cf
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION l
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL