14632 (SFD)P.O. BOX 1504 No. 14632
AddrresBuildins 7§-155..para Court LA QU NTA, CALIFORNIA 92253
Owner Cdntury Eames eomm rt ties _
BUILDING: TYPE CONST. - OCC: GRP. P3
Mailing
Address 1535 Soul. . OD"" . Streetr .:Sten. 200 A. .
P. Number
City zip Tel. Loi . ;30 Tract 26168. Phase 1
.tau Bti?rIT3;rdi�i�i, CA 92408 1.909) 38,1-6007 Legal Description
Contractor- .. • - SPD "Pl4iin 2X
�® ... ' , Project Description .
Address. Dei a�$... � 'Q $jl.3lt3 -No to .
Zip Tel.:'
State Lid City f�
l�
Sq. Ft. No No. Dw.
#
& Classif Lic.
..ArchEngr.; $ Size. •• 178 - Stories Units
Designer . 7:? = 4u lar Assoc.' : New ❑ Add O Alter ❑. .Repair ❑ Demolition p
SPasserd Avenue _. T�1714)
359-6066------------
1 -
City•, Zip. State
,-
LICENSED CONTRACTOR'S DECLARATION
I hereby affl mthat I;ari i licensed under- ns,Co
provisions of�Chapter 9.(commencing with Section
of Division 3 of:the Business and PPofeessio`de,,andmy'l
,.icense is in full force and
effec00)
SIGNATURE' �>•,e+'+�„+""' ::lam'": -„n- DATE
. " owNEraBuLDER DECLARATION
Estimated Valuation488050400
`�° I hereby affirm that l am%ezempt front'the Contractor's License'Law for the following
.. ,
reason: (sec.
7031.5,8usiness and'.Professions '.Code:. Any city or county which requires a .
permit to construct. after, improve, demolish, or repair any .structure, prior to its,'Issuance also. ' 'AMOUNT
requires. the applicant for.sum
ch -permit to file a, signed state
thathe is. licensed pursuant. to PERMIT'
_ • the provlslons of the Contractor's, license Law, Chapter. 9. (commencing: with Section 7000). of " -
Owsion 3 of thb, business ind Professions Code, or that. he'is -exempt therefrom,and the basis - r
for the alleged exemptbn.-"Any violation o/' Section 7031.5. by. 'any applicant Jor a. permit Plan Chk. Dep. - - - -
subjects the applicant to a'civil penalty of nofmore than We hundred dollars ($500). • • Bal. -
6
Plan Chk.,
❑ I, as. owner of the property, oCmy employees with uJages as their sole compensation,.will . '.7,
4
' do the work, and the structure is not intended or offered for sale. (Seca 7044, Buisness and CiOr1St.�� Ql,�
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, ' 49i.00 t! A/� //��
provided: that such improvements .are not Intended. or .'offered for sale. If, however, the building M@Cfl.- - - Y 7i. 00
or improvement is sold within one year of. completion;. the- owner -builder will have the burden:.. t
... of proving that he.did not bulld.orimprove for the. purpose ol:sale.). - -. ' `EIBCtrICBI ' - 123.49
O'I, as owner of the property,'am.exclusively contracting with licensed contractors to con- Plumbing �J63
• struct the project. ;(Sec., 7044; 'Business' and Professions Code:, The Contractor's License Law . - - •
00
does noI apply to an owner of property• who• builds or improves. thereon,• and. whocontractsfor S.M.I.
-such projects with'a contractors) pcensed putsuantao the Contractor's License Law.) ,
❑,lam exempt under Sec B. &, P.C. for Grading 20.00— this reason
Driveway Enc. *'M .
Date ownerInfrastructure 1, 997.8 , -
f WORKERS' COMPENSATION DECLARATION -
I'hereby (firm that 1 -have "a certificate of consent to'.self-insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
iVCPolicy; o. Company _ .
opy is filed.with the city. O Certified copy is hereby. furnished: ... -
TOTAL 3,416.68
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE' '• - '
(This section need not be compieted H the: permit is� for - one -hundred dollars.. ($100) . valuation: -
or less.) •...: - _
I certify that in the performance of.thg work for which this permit is issued; I. shall not,
employ any peon in any manner so -as to.become subjecttWthe.Workers"Compensation
Laws of Cal ifrs
ornia
Date 6wner:
NOTICETO APPLICANT:: N, after making this; Certificate of Exemption' you; should' become : .ZONE: - ' ' BY: -
•' subject . to , the Workers' Compensatlon provisions of - the' Labor Code, . you must forth me
Comply with such provisions or this Permit shall be deemed revoked. M iriimum Setback Distances:'
Front Setback from.Center-Line
-
Rear
Setback from Rean:Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGEISUNLAWFUL, AND - $IdeStfeet,SetbaCk nterLine
SHALL SUBJECT AN EMPLOYER TO CRIMINAL' PENALTIES AND CIVIL FINES UP.TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, .. Side Setback from, erty'LI
DAMAGES AS PROVIDED FOR. IN SECTION.37o6 OF THE LABOR:COOE, INTEREST, AND.'
ATTORNEYS FEES.
This is'a"building permit when propedy.filled out signed and validated, and is subject to" FINAL DATE ECT a
expiration if work thereunder is suspended for 180 days •.
I certify that I -have read this application and .state that the above a Information is -correct Issued by. at .p�4 ermit
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 abovel:
mentioned property for inspection p7.90
urposes.. Vdlldated by: �.
Signature of applicant Dater
Mailing.Address Validation:_
".City, State,, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) p
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. ®c
BATH TUB
FRAMING 6
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Yac
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 JLECTRICAL HEATING & AIR COND. SOLAR
n
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. -L 7
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ORS fROUGH
WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) p
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 6
ROOFING
' Ip
® K h / ry' S
a
t, -j
D
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING r
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL