14633 (SFD)P.O. BOX 1504 No. .3.463
Address .79,:-1:85 Kara Court LA QUINTA, CALIFORNIA 92253
Owner CL'!1'11tury time's C ommian ties.
" BUILDING: TYPE CONST: OCC..GRP. R3 .
Mailing
• Address ' 1-535 • South %' S reetr. Sty:. 200
A.P.Number
City Zip Tel. - Lut. 31 Tract 26,188 Phase 1.
San Berzrardino CA. "9.2403
11-1 09, 3��-6007 Legal Description
Contractor SFD Pldn 3
Project Description
Sial
Vel Rey- at La Qu' nta Norte
Address
City' Zip Tel.'
. State Llc. - City
$ 3�3 224 Sq. Ft. " No No. Dw.',
& ate Li f. City # . '
Arch., Engr:, Size..1400. ". Stories Units
Designer .. : •amity Agnl .aa AssocNew ❑ Add ❑' : Alter ElRepair ElDemolition'0
4.reos Pa rs i"i31T171e Te, 359-506 .
Cit .Zip Stlate
x'9250,5 Lic-#
LICENSED, CONTRACTOR'S DECLARATION
I hereby affum�t6t I am licensed under provisions of'Chapter 9 (commencing with Section
47usi
.000) of Division 3 of the.Bngss.and`Professions Code, and my license is in fulbforce"and- .
effect
SIGNATURE /:_:.,.r<"`" Sro"• "' A� DATE -
_ OWNER=BUILDER DECLARATION
IChereby afhrm that' 6 arim:ezempt from the Contractors License Law: forthe following • Estimated, Valuation $88A60. 00.. '.
'-reason% (Sec. '7031.5,Business and. Professions Code: Any..cfty, or county which requires a. -
permit to construct, after, Improye,� demoftsh, 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 - t PERMIT - - - '- AMOUNT '
the provlslons o/ the -Contractors License law, `Chapter 9 (commencing 'with Section 7000)'0/
Di'v(sfon 9. 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).:
❑ 1„as owner of the property, or my employees,with wages as,their sole compensation, will Plan Chk. Bal. 4919.90,:,
do the work,.and the structure is not intended or offered for. sale. (Sec. 7044, Buisness.arid COr1St.� {'� •” '
Professions.Code: The, Contractor's License. Law doesnotapply. to an owner •o/..property who
builds or improves thereon and. .who does such work •himselfor through his own employees, Mech' 49
or
-
•. provided that, h. improvements .are. not intended or offered for, sale. Ir, : however; the building `
or Improvement;is sold. within one year of completion, the owner -builder will have•the burden '1 _
of proving. that he.did not build or improve for the purpose of sale.) Electrical i •• .,
❑ I, as owner of.the property, am.exclusively contracting with licensed contractors to con- Plumbing"
struct, the project. (Sec. 7044, Business. and Professions Code: -The-Contractor's.License Law ' * 0
does not apply to -an owner of property'who builds or Improves thereon; and who contracts for-S.M•I, - - - $ g
`- such projects "with'a contractors) licensed pursuant to the Contractor's License, Law.) - _. ..
- ❑ I am.exempt under, Sec- B. tf P:C. for this reason
Grading 2d -00,
Driveway Enc. o 0'0.
Date owner Infrastructure 1' 090,,:49:
WORKERS' COMPENSATION DECLARATION .
:1 hereti affum4hat'l.haie a certificate of consent to-self-insure,'or:a certificate of 1
Workers Compensation Insurance, ora certified copy thereof. (Sec: 3800, Labor Code.)' = -
Policy o.' Company
v Copy is filed with the.city.. ❑ Certified copy is hereby furnished.
TOTAL 3421.44
CERTIFICATE OF EXEMPTION FROM REMARKS
• WORKERS' COMPENSATION INSURANCE
(This section need :not be completed ff the permit is for one hundred dollars ,($100). valuation.. -
I certify that in the performance of the work for which this permit.is issued, Lshall not,
employ any person in any mannerso'as'to become subject to the Workers' Compensation '
Laws of California
Date Owner
NOTICE TO APPLICANT: ll, alter, making this ,CertlBcate '"of' Exemption .you; should , become • ZON Ec - • ` BY: '
subject 'to the -Workers' Compensation provisions of the _Labor Code, you must -forthwith MinimulTl Setback • comply with such'provisions or. this permit shall be deemed revoked. - '
Front Setback from Center.Line
Rear.Setback from Rear,Prop:-
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE ISUNLAWFUL: -AND
. . SldeStreet'SetbatkfromCen ne
SHALL SUBJECT AN EMPLOYER TO. CRIMINAL PENALTIES •AND•CIVIL FINES. UP TO ONE 3:
•• .HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setback from Property '
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; -INTEREST, AND
• ATTORNEY'S FEES. '
This is a building permit when properly'filled out, signed and -validated, and is subject.to : FINAL DATE INSPECT
expiration if work thereunder is suspended for 180 days.
1. car that I have readthis application and state that
-the'above,informaiion is correct. Issued by: " Date r r ermit O
-I agree to comply with all city'and county ordinances, and state laws relating. to building `Jr
construction, and hereby. authorize representatives -of. this. city -.to- enter, the " above-.,
mentioned property for inspection purposes Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip ` '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT, ®
MOBILEHOME SVC.
BAR SINK
GAR. SO, FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
ROUGH. WIRING
DRAINAGE PIPING
WALL SO. FT.
FOUND. REINF.
DRINKING FOUNTAIN.
SO. FT. ®
METER LOOP
URINAL
ESTIMATED CONSTRUCTION VALUATION $
.REINF. STEEL
WATER PIPING
NOTE: Not to be used as property tax valuation
TEMP. POLE
FLOOR DRAIN
MECHANICAL FEES
GROUT
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
BOND BEAM
GARBAGE DISPOSAL
FURNACE UNIT WALL • FLOOR SUSPENDED
FINAL INSP. \�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LUMBER GR.
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
FIRE ZONE ROOFING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SPARK ARRESTOR
SO.FT.GAR ® 3/sc
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 PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. 3
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT
ROUGH. WIRING
DUCT,WORK.
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
.REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL (INSP.
FINAL INSP. \�
GRADING _ •
cu. yd.
$ plus x$
_$
LUMBER GR.
-FRAMING
ROOFING u
O ��) (/
d S
D
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIO NATURESIINITIALS
GARDEN WALL FINAL