14847 (SFD)P.O. BOX 1504 N o . 14847,
78-495 CALLE TAMPICO - `
Address 18---020 Sunbrtpok Lane LA QUINTA, CALIFORNIA 92253 +
Owner
Inco Homes
VN BUILDING: -TYPE CONST. OCC: GRP.3
' Mailing. _ . ' :. -
Address 250 E. Rincon Ste. 202
A.P. Number
City Zip Tel. Lot 2,1 Tract 23995-�1
C®r+� ;, C 9 .71.9 (909) 736-0 i0 Legal Description
Contractor `SFU "Plaza 3
$ntrac . Project Description
cake
Address f : ReUnion at La.-Quin
City ... - Zip' Tel.:
State Lic. City
& Classif.,-.g 52396c`3 Lic. # -3319 Sq. Ft.' 1695' No: No. Dw.
Size Stories - Units r -
Designer •S-A- New ❑ Add.❑ • Alter ❑• Repair ❑ -Demolition ❑ .
�� s sEas' t De Li Guetra T(40s) 962'4575
r�;Gity� Zip State
Santa 134rebara- f iEA 9.31€31 Lic. # C12850
. LICENSED.CONTRACTOR'S DECLARATION
hhereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
000) of Division 3 oobtthd Business and Professions Code, and my license is in f ,force and i
SIGNATURE. �" - DATE -
OWNER-BUILDER DECLARATION Estimated VfllUatlOntt f�R din0
I hereby affirm that l am exempt from the.Contractor's License Law for the following i.�:J",d 86.0
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 /or such permit to Rte a signed statement 'that he-Is licensed pursuant -to PERMIT _ - ' AMOUNT
the provisions o/ the Contractor's License Law, Chapter.9 (commencing with Section 7000) of -
- Division 3 of the Business and Prolessloins 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 oPnot more than five hundred dollars ($500). Plan ChkBal
❑ I, as owner of the prop. . 542.d5& erty, or my employees with wages as their.sole compensation, will. AA
do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Bulsness and Const. fiyt3.�.�3�i ..•
Professions Code: The Contractor's: License Law does not apply, to an owner of property. who ,
builds or improves thereon and who does such r work himself or through his own employees, Mech`
provided that such Improvements are not intended or offered /or sale: . If, however, the building 9
or improvement is'sold within one year o/ completion, the owner-builder will have the burden •Electrical `� -•` 83a. a &2
o/ proving that he did not build or bnprove for the purpose of sale:) - • . _.
0'1, as owner of the property, am exclusively contracting with licensed contractors to con• Plumbing 138.00
struct,the project. (Sec. 7044, Business and-Professions Code: The Contractor's License Law
does not apply to an, owner of property who builds. or improves thereon, and who contracts for . :S:M.L� - - .'Q'�-�3.• -
such projects wtth'a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason Grading
Driveway Enc. €3Q
Date 1 Owner Infrastructure 2,25 Al
Arts in Publ Le Place$ 20.00%
WORKERS' COMPENSATION DECLARATION j
I hereby(firm that I have a certificate of consent to self-insure, or a certificate of F
Worker's.0 mpensation Insurance, or a certified copy. thereof. (Sec: 3800, Labor Code.)-
Policy Company
opy is filed with the city.. •• ❑ Certified copy is hereby furnished.
TOTAL. 3,023.24
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE.
(This section need not be completed i/ the permit is for.one hundred dollars ($100). valuation
.
or less.) _
I certify that in the performance of th0 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
comply with such provisions or this permit shall be deemed revoked., - _ Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear P ine
WARNING: FAILURE TO SECURE.WORKERS'.COMPENSATION COVERAGE IS UNLAWFUL; AND Side Street Setback fr me ire
SHALL SUBJECT AN EMPLOYER TO.CRIMINAL PENALTIES. AND CIVIL. FINES UP. TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN'ADDITION.TO TME COST OF COMPENSATION, Side Setback from, P y Lin
DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, 'INTEREST. AND
ATTORNEYS FEES. FINAL DATE PEC,P
This is a building permit when properly filled out, signed and validated, and is subject to n '
expiration it 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 CTy ,t
' 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.:
i' Jn0
mentioned property for ins_ pection purposes. Validated by: V'
'Signature of applicant Date
Mailing Address Validation: r '
City, State, Zip
j -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SQ. FT. p
SLAB GRADE
YARD SPKLR SYSTEM
ROUGH PLUMB.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
STORAGE TANK
FORMS
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DUCT WORK
ROCK STORAGE
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (ROUG �) }
METER LOOP
WALL SQ. Ff.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SQ. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
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
ROOFING
VENTILATION
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 ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
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
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
�r
FOUND. REINF. V
GAS (ROUG �) }
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
INSP.
FINAL INSP.
RADING
Ile cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FRAMING4�-j 71FINAL
ROOFING
VENTILATION
�
%
9
(� /f 61
/
� ��
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL 7 !��'✓`
LATHING !/ /
MESH
INSULATIONISOUND Z
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL