14630 (SFD)Building '
Address . , 79"215 Kara Court
Owner Gentitry Homes CCi'Y1mun tles ,
Mailing r'
Address X1535 Sottth ODD: S feet, StA
CityZip Tel.
Sags Bernardino CA 924,08 (109)l
Contractor'
Soffit~
Address
t
P.O. BOX 1504
78-495 CALLE TAMPICO' .
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP. R3
200
A.P. Number
92N6007 Legal Description Lot,
28 Tract 26188 Phase .'I
Project Description - -SPI) Plein
-Del -Rey at, La' Qdinta Worte
City Zip Tel.:
State Lic.'`' '3 314473 City 2120
& Classif..•: Lic. #
Arch Engr.,Yi
• : Designer
.>d
d*5 Psssw o v r:<tte . Ti17-14359-6666
ity�'. , .. ro Zip State
iTer4id i C> 925815 Lic. #
r _� LICENSED CONTRACTOR'S DECLARATION.
- 1 hereby affirm that I am licensed.under. Drovisions of.Chaoter 9tcommencinn with•Rer•.tinn
Sq. Ft. No. No. Dw.
Size. • .1+400. •' Stories Units.
New ❑ Add ❑ Alter ❑ Repair ❑
~ SIGNATURE- ^,— �.wr.. s' .f'" 1 DATE r .
OWNER -BUILDER DECLARATION
r' Estimated Valuation8�64� SQ
I hereby affirm that .I am -exempt from the Contractors License Law' fotahe following ..
reason: (Sec. `7031.5,Busiiiess-.and'Professions Code:.Any city, or county which requires a
permit to construct, alter,. improve,- damoltsh,• or repair any structure,prior. to its issuance. also
• requires the applicanClor such.permit to file .a.signed.statement that he Is licensed pursuant to
visions of the Contractor's License Law, Chapter..9 (commencing with•:Se6tion.7000) of
=
' 3 of the &iciness and Professions Code, or .that: he is exempt therefrom, :and the basis
for the' aIle . exemption. Any violation -of Section 7031.5 by 'any applicant for a permit
' 'subjects the applicant to. a civil pehahy of not more than five hundred dollars ($500). .•
O 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.
Code: The Contractor's License Law does hot 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•
of proving that he did.not bulkl.or knprove for the purpose of sale.) .. _
PERMIT--
.Plan .Chk. Dep'.
. .
Plan Chk. Bal. .
Const.
Mech.'
'
' `Electrical
Plumbing
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
• struct the project: (Sec. 7044, Business and:Ptofessions Code: The Contractor's Ucense.Law
S. M. 1.
does not apply to an owner of property who builds or improves thereon, and who contracts for
•, such projects'wlth'a contractor(s) licensed pursuant to the Contractor's License Law.) '
=O 1 am exempt under Seca' B: & P.C. for this reason
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION -
' I hereby affirm that' I have a certificate of consent to self -insure; or. a certificate'of
Laws of California
' Worker' mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) ,
Poli No: Company
" Copy.is.filed withahe city: • ❑.Certified copy is -hereby furnished.
NOTICE TO APPLICANT: •ti, after making this Certificate .of Exemption you, should become
'to
TOTAL
BY:
-Demohtlon b
AMOUNT
499.90'
.590.00 .
' 49.A0
12.5i2G .
1316 a 09
2€000 ..
.8�
. i 990.49
CERTIFICATE OF EXEMPTION FROM '
REMARKS-,.
WORKERS' COMPENSATION INSURANCE
.
'(This section -need not be completed N.the permit is for, one •hundred dollars ($100) valuation
' or less.)- ...
-
I certity.that in the performance of thg 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: •ti, after making this Certificate .of Exemption you, should become
'to
ZONE:
BY:
subject 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 1
Rear Setback from Rear P :Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
Side Street Setback fro n Line
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 Pr Line
DAMAGES AS PROVIDED. FOR AN SECTION .3706 OF THE LABOR CODE,'INTEREST, AND,
ATTORNEY'S FEES.
a
This is a building pemiit when property filled out, signed and validated; and is subject.to
FINAL DATE
I ECTOFi.
expiration it work thereunder is suspended for 180 days.
4{��
..
1 certify,that'I have read this application and state that the above information is correct:
I agree to comply all
ISSUed by:
,Q
Dat ehm v
with city and county ordinances and state laws relating to building •
construction, and hereby authorize' representatives this
d'O
,of 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. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
SEWER OR S I
DRAINAGE PIPING
WALL SO. FT.
DUCTWORK-
DRINKING FOUNTAIN.
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
ROOFING
VENTILATION
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 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 PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
n.
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S I
ROUGH WIRING
DUCTWORK-
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATE
SERVICE
FINAL INSP.
BOND BEAM i
WATER SYSTEM
GRADING
cu.
$ plus x$
_$
LUMBER GR./ I
_
FINAL INSP.yd.
FRAMING S
FINAL INSP.
ROOFING
VENTILATION
)
/
O J� 40v f �j1�
( — j
S 3 Q ��
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING I L
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION j M
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL