14631 (SFD)P.O. BOX 1504 No. .14631
Address 79"•245 Kara court LA OU NTA, CALIFORNIA 92253'
Owner
tentur
Fxomes Communities
Mailing BUILDING: .TYPE CONST. OCC: GRP. " -
Address535 • ea uth, "DO -Street, Ste. -200
A.P. Number
City Zip Tel. 14t 29 Tract 26188 Phase :I
Sari. Bernziidii1.-CA 92400. (90,9) 3.93-:-d007 Legal Description
Contractor- SFn' Plate 4
S3ffi . Project.Description '
Address .... ...
Del, Otey At 14.Qua:»ta' ,Norte
City
.State
Zip
_
..
LIc . -3'
& Classlf 4'73
City
Lic: # �
Sq: Ft. No No.. Dw.
Size 1567 Stories Units
Arch Engr:,
Designer�njn aa,
4.
New ❑ Add ❑ Alter ❑ Repair'❑ .. 'Demolition EI
d r s .:ls
' kaserb
•Te
Tel ('714.' 359p6066
RCity YsV,:_,
3..9s<e�"'s'S d4,,,, C,
Zip
,52505... '
State
Lic: #
,
-:LICENSED CONTRACTOR'S_ DECLARATION,
I hereby affirm that I am licensed under provisions of. Chapter 9 (commencing with Section
7000) of Division 3 of�the Business.and;Professions:Code and, my license is inJ611 force and
..
;r iOJ DATE'
OWNEFV661LDER DECLARATION :
I hereby affgm that: I qrn a empt from the Contractor's License Law for, the, following'
• , reason:, (Sec.' 7031:5,Business' and; Professions. Codec Any. city, or county which- requires a
permit to constroct;,.afer, Improve, demolish, or repair any .structure,� prior-to•its issuance'also
'requires the applicant-lor such permit to..11lea 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. h6,is exempt therefrom,- and the basis -
for the alleged exemption. 'Any violation of -Section 7031.5 by 'any .applicant for a permit'.
subjects tie applicant to a civil penalty of not mord than rive hundred:dollars ($500):..x- -
❑ 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
.provided that such'improveinents 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.
. of proving that,he did not build or Improve for.the purpose of sale.) ..
Estimated Valuation, aA'7 M3.'00
-W 9-?
- - - -
- '` PERMIT '' AMOUNT
-� ,
.. Plan Chk.. Dep- - Z.50. 00. -
-
Plan Chk. Bal. 286.3.3
COr1Sti 1 •3
- •5
t.1, .
., Mech. • . _ -55-50,-
+ Ci
'Electrical 1'�W' -
•
Plumbing.+,� .
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
" struct-the project. (Sec; 7044, Business andProfessions 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) ticensed pursuant to.the Contractor's. License Law.)
❑ 1 am exempt under Sec: B.'& P:C. for this reason
- S. M.I: - 9 .. i.
_ -
Grading 2G .� :••..
Driveway Enc.
Date Owner
Infrastructure .. ,
2,184M"
WORKERS' COMPENSATION DECLARATION
I he by affirm that I have a certificate of consent to self -insure, or a certificate. of
Worg&Compensation Insurance, or a certified copy :thereof. (Sec. 3800, Labor Code.)
PpJ�cy No: Company '
O Copy Wfiled with the city, ❑ Certified.copy•is hereby furnished.
TOTAL 3023.00 1 3, 473.00''
' CERTIFICATE OF EXEMPTION FROM
• WORKERS'COMPENSATIONINSURANCE
REMARKS
• • -
(This section need..not be completed if the permit is. for one rhundred dollars. ($100):•valuatlon
' or less.) .. .... .
I certify that in•the performance of the work for which this permit is issued, I'shall not
employ any pperson'in any manner so as'to become subject to the Workers' Compensation,,
Laws of California ` '.
Date . :Owner
NOTICE TO APPLICANT. U, -after,. making this, Certificate .,of, Exemption ,you 'should,-, become •.
subject to the. Workers' Compensagon provisions of -the Labor Code, you must. forthwith -
comply with such provisions or this permit Shall be deemed revoked. - •
ZONE: "' 'BYr
'Minimum Setback Distances:. `
'
Front Setback from Center•Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANDS
SHALL SUBJECT AN EMPLOYER TOL CRIMINAL PENALTIES AND CIVIL FINES ".UP' -TO .ONE
Side Street Setback from enter Line '
- - '
HUNDRED THOUSAND DOLLARS ($100;000), IN ADDITION -TO THE COST OF�COMPENSATION;
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND'
Side Setback from -PTOpe I
•
. ATTORNEY'S FEES.
This is a-buildirig'permit when properly filled out, signed and validated, and is'subject to .
expiration if work thereunder is suspended for 180 days.
FINAL DATE INSP
. - I certify that I have read this applicatfomand 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.inspeclion purposes.
-Issued°by: Date �rmit
R j
Validated by:
Signature of applicant. Date
,. Mailing Address
9L`
Validation: i1
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SQ. FT. ® $
UNITS
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN,
SO. FT. ®
URINAL
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
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,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
1AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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
SETBACK
SLAB GRADE
FORMS
FOUND. REINF. l
REINF. STEEL \
GROUT
BOND BEAM
LUMBER GR.
FRAMING
ROOFING,
VENTILATION .
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING KIq E
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
GARDEN WALL FINAL
PLUMBING ELECTRICAL HEATING & AIR.COND. SOLAR
GROUND PLUMBING UNDERGROUND A.C: UNIT COLL. AREA
ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK
SEWER OR SE ROUGH WIRING DUCT WORK ROCKSTORAGE
GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP.
(19Wv U7
GAS (FINAL) TEMP. POLE
WATER HEATER r SERVICE FINAL INSP.
WATER SYSTEM
GRADING
FINAL INS!j cu. yd.
FINAL INSP. $ plus x$ =$
REMARKS:
V
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NSPECTOR'S SIGNATURES11NITIALS