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08049 (SFD)Building Address i-655 Vallejo Owner Robert D. Chaml Address 7911 Calle Madrid _ City Zip Tel. Contractor Address 9//' State Lic.I City _,V, n & Classif. P n /1-7 Lic. # Arch., Engr., ' Designer Address Tel. City ( Zip( State Lic. # 4 P.O. BOX 1504 C N o . 08049 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 922537 oLf-U9V-1 S� BUILDING: TYPE CONST. OCC: GRP. LICENSED COrrTRACTORIS DECLARATION eby affir at 1 am licensed�un�er provisions of Ch4ptpt 9 (commencing with Section of Divisi n of a Wsjge n fjSof�sion§ qodep2U my license is in full force and r (/ OWNER-BUILW 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 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 or improvement 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. ,aR. & P.C. for this te Date caner of .✓'/K . 't c3.�� 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 ce d o y th�epreof.ra�,p 3800, Labo ode.) Poli�c1' No. Company�C r6 �.Copy.is filed with the city. ❑ 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 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 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 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 A.P. Number 774-122-018 Legal Description Lot 7 Project Description Sinale Fmily lWall ing Sq. Ft.No. No. Dw. 1 Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ r stimated Valuation $94,984 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const.. A191, K"s Mech. 62 00 Electrical Plumbing' S.M.I. CQ Grading 2000 Driveway Enc. 20-00 Infrastructure w SiQ TOTAL sb • s� •�� REMARKS �c r Lii7�'-8'x "+bP4r+ k' tta i9Y'.r ..^':• :,�r,;v lb�t a 'II. 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 5/3Q/gOPermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS ' 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM c POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN. SQ FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP.7�/l r 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. SQ. FT. ® c BATH TUB SPARK ARRESTOR SQ. 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 ello-71,09 BINVftf UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 2 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. A, 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.7�/l r FRAMING FINAL INSP. ROOFIN Z Q GG J111V /o REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND ` 3 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL POMONA FIRST FEDERAL SAVINGS AND LOAN ASSOC'ATION W N. Indian Hill Blvd., Pomona, CA 91769 P O. Box 3069, Pomona, CA 91769 Attn: Construction Disbursement Dept. Loan No. Tract one lot involved, show Lot Nos.) (Description of labor, services, equipment or material furnished) (through date) (property a dress) Y) THIS VOUCHER MUST BE ACCOMPANIED BY PAYEE'S INVOICE. THE LABOR AND MATERIAL WAIVER AND RELEASE ON REVERSE MUST BE COMPLETED. For the purpose of inducing PFF to make payment of the above sum, the undersigned certifies that the above described labor, services, equipment, or material have been actually performed or delivered by the persons, firms or corporations named herein, and that they conform to the plans and specifications for the job submitted to PFF and that there is no agreement to accept any rebate or "kickback" of money, labor, services, equipment or material from any person or firm with respect to this Voucher. The undersigned also unconditionally requests PFF to pay this Voucher in full and holds PFF harmless in connection with such payment. (Telephone No.) (Date) A VOUCHER WILL NOT BE PAID IF THE WORK COVERED CONSTRUCTION INSPECTOR. California Penal Code Sections 484b and 484c provide that it is a crime to willfully submit false Vouchers and/or misuse construction loan funds. A Voucher may be mailed in or presented for payment in person during regular office hours. PFF must be notified one day prior to presenting a Voucher of $100,000.00 or more. The following Certification is a part of the Labor and Material Waiver and Release on the reverse side of this document. For the purpose of Inducing Pomona First Federal Savings and Loan Association to Issue a check in payment of the total amount shown on the face of the accompanying voucher ($ amount of voucher) the undersigned Payee represents and cer- tifies: (1) that the labor, services, equipment, or material, set forth below, have actually been furnished to the job site described below (or materials have been taken from Payee's stock If Indicated); (2) that unconditional payment for such labor, services, equipment, or material (Including any fringe benefit payrrents due pursuant to a collective bargaining agreement) has actually been made In full to the date Indicated on the accompanying voucher, or that If any of such amounts remain unpaid, the proceeds Of the accompanying voucher are being taken In trust for their payment; (3) that the listing below of laborers, material or equip- ment suppliers, and subcontractors Is a full and complete listing of all those who were employed (or delivered services, equip- ment, or material) for this job In connection with the work described below; and (4) that there are no straw or dummy persons, ncr Padded bills, Included, and that there are no rebates or "kickbacks" agreed to, or to be made to, any owner, general contracto-, sub -contractor, or employee thereof, or any person, in connection with the work described below, or the job premises described below. 231010-98 't 31�k`.i `.RaE�?y�f 1�n"«�ts ,4�'+ y, .s',,'r'.+-`i�'i?i4"7M'iRt".vn�r.'ti',;"''iA'.'ah�.rW'F.;'atc+,'!R►i�"�'^"'. COACHELLA VALLEY VVATER DISTRICT Ne ` J ii CASH RECEIPT DETAIL Received From: bar � �� � ,; 1:1(4+ P -d— ed) 31'a� Date: 1`'11 C�4I� bad. Or" Address: ,.dr(c�Cs a ) °�'_� 9 Account No.++_—�-^ Lot(s) 11 Service Address' "" �� 1 eco VUR[_ Tract G.A. Code `�•, � ,/ '�'' � fib �Meter(s) � $ d1oc ervlce'(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ Detector Check(s) ❑, MMeterSurcharge Q606anitation Capacity Charge _ U� ❑ W.S.B.F.C. ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee -Tract - Fee - ❑ Plan Check• Fees Water I Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt. ❑ Customer Deposit ❑ Other TOTAL $ \ ` \ \ 1 ic1 Remarks: e1 'P�gAl i ❑Copy to: Water Service Cash irlf, 3r.. { �a. 4vv`4: ;• ... Cashier Check Money Order Ay • �^'::, iy`' CV W D- 438 (11189 ) G 0= ikxk 10oo r 5 r � I t Pv � J _ L _ � � ' iS6►ILL• E'�'YPi'r''?`� �idl�, ' . � � o EµCI►L`�PTtJS _.�.; � � � �� 16 GUJ ® �� 8 ^r . Ik A� OF THF - 19.0 -an vmon i, This Certificate issued pursuant to the requirements of Section 306 of 'the Uniform Building, Code certifying that at the time of issuance_ this structiure was in _compliance with the ,various • . _.ordinances of,the City regulating building construction or use. • For the following: , , 'F�; _, s . �• 53 -655 -Vallejo, BUILDING ADDRESS use Classification ,SFD Bldg. Permit No. 8049 .. Group R3 "' Type' Construction VN Fire Zone Use Zone SR owner of Building -Robert Charnley address 411 Calle Familia �rZ.- city Carlsbad, CA ~ 92672 ' ,n By; Mark Harold Dote: Tune 1-7, 1991 ' Building. Official- POST IN -A CONSVICUOUB PLACE loll ^r . Ik A� OF THF - 19.0 -an vmon i, This Certificate issued pursuant to the requirements of Section 306 of 'the Uniform Building, Code certifying that at the time of issuance_ this structiure was in _compliance with the ,various • . _.ordinances of,the City regulating building construction or use. • For the following: , , 'F�; _, s . �• 53 -655 -Vallejo, BUILDING ADDRESS use Classification ,SFD Bldg. Permit No. 8049 .. Group R3 "' Type' Construction VN Fire Zone Use Zone SR owner of Building -Robert Charnley address 411 Calle Familia �rZ.- city Carlsbad, CA ~ 92672 ' ,n By; Mark Harold Dote: Tune 1-7, 1991 ' Building. Official- POST IN -A CONSVICUOUB PLACE