13113 (SFD)4
P.O. BOX 1504 N o . 13113
Buildin78-105Addrress 79-840 Tangelo LA QUINTACCAL FORNIA 92253
Owner
J.M. Peters Co., Inc. BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 3y01 Jamboree Road, #200 A.P. Number 769-590--011
City Zip .• Tel. Lot 11 Tract 24990-3 Phase 1
Newport Beach, C.A 92560' (714) 854-2500 Legal Description
Contractor Project Description BPD Plan 4
Same
Address -
City Zip Tel.
State Lic. City
& Classif. B 310868 Lic. # 1503 Sq. Ft. No. No. Dw.
Arch., Engr.,
Size 3710 Stories Units
Designer Berkus Group New ❑ Add ❑ Alter ❑ Repair ❑ Demoliticn ❑
2borate Park +714) 261--8262
Address Tel. Tel' Permit does not include any block walls
Corporate
City Zip State or pool.
Irvine, CA 92714 Lic. # C 6889
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of D 171tion-3 of the Busine s and Wes CYodJa, and my license is in �fuulll force and
_ ,effect. "E...i '`.J► Y '�*�"'"" ►"' +x? -43
SIGNATl1RE DATE
OWNER -BUILDER DECLARATION Estimated Valuation is
I hereby affirm that I am exempt from the Contractor's License Law for the following $288t273.0
reason: (Sec. 7031.5,Business and Professions Code: Any city or coun!y 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 PERMIT AMOUNT
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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 11058.10 i1 C 58O 7 0A
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. J 0.1
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 1,301-00
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, Mech. ) �,�;� ��
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 Electrical / t ,� g7
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- Plumbing 204. 00
struct the project. (Sec. 7044, Business and Professions Code: The Conrractor's License Law l; �: 90
6v. �A^
does not apply to an owner of property who builds or improves thereon, and who contracts for .S.M.I. '
such projects with a contractors) licensed pursuant to the Contractor's License Law.) i .
Grading %� 20 OQ
❑ 1 am exempt under Sec. B. & P.C. for this reason z '
Driveway Enc. � �- -0-
Date-Owner
.(j..Date Owner Infrastructure 61000.00
7irts in Public Places 470.68
WORKERS' COMPENSATION DECLARATION
Ihereby 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
,,,,, jVCopy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 9,340.15
CERTIFICATE OF EXEMPTION FROM REMARKS 9i 3 %�•
WORKERS'COMPENSATIONINSURANCE
(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, 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:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by: e•
Signature of applicant Date
Mailing Address Validation',
City, State, Zip '6y
'J
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
%B GRADE G L
r (�
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC. TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT.,p
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT: @
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ FT ®
FINAL INSP.
FRAMING
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
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRY TRAY
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.
SQ. FT. ®.c _
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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 PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
%B GRADE G L
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC. TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
^
FOUND. REINF / /GJ .
/ ` !
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
OFING �:—
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CEAN. OCC.
FENCE FINAL
s
INSPECTOR'S SIGNATURES/INITIALS
_r.`y.
GARDEN WALL FINAL
3
a
CITY OF LA WINTA
- Ia hTMENT OF PLANNING & DEVELOPMENT
�' BUILDING DIVISION
564-2246
OUR NOTICE FOR INSPECTIONS
Owner J. M. Peters Co., Inc.
Contractor Same
Permit Number 13113
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE 'SPACES
JOB ADDRESS 79-840 Tangelo PA#i 4b
SFD Permit does not include any block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB ,-
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
�1-1, I Ot
DON T_ POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP -
GROUT O 4' O 8'
FRAMING -
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR C (:
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER S /,o Aq 19 3
HEATING • WC I I
Hnt,NF NIIMRFRR T T% --
J-08 CUMPLLIED I/ It
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO�-
TURN ONUTILITIES OR OCCUPY BUILDING = �'
y'1 - .
4188