14639 (SFD)44
P.O. BOX 1504 No. 14639
Building. 78-495 CALL'E TAMPICO ----- --
Address 79"220 .Kara Court LA QUINTA, CALIFORNIA 92253 `'"'-~--•
Owner Century 'k%mes Communities
Mailing
BUILDING: TYPE CONST. 'OCC: GRP.
Address 1535 Seat "DOStreiat, Ste. �� A.P. Number
City :4 Zip- . ' ]Tel. _ " •
5 .1 :' c3 >�o'! :CA 9,24�.�3 $3 9}; 81-- fla? Legal Description t ,`'ta�(:1 2Sp;3a phase
Contractor yh„ AFD: . Plan 2X
Project Description'
Address Del- Rey' -at '.La'.;-QUinta- Norte
City Zip
State LIc144 c�
Cityi�'
& Classlf Lic. # Sq. Ft. No. No. Dw.
Size
Arch.,Engr., Units f 7 1' Storiess
Designers �E15..'z!r . 1i3;3OC. New ❑ Add ❑ y •" Alter ❑ Repair. .. 'Demolltlon:O
SS,aSSOV0 .Avenue Tex14) 353-'6.€ 66.
4.
CityZip State
52505 , Lic. #.
�*va LICENSED CONTRACTOR'S DECLARATION. "
r I her affirm that I am licensed under proyisions'of Chapter 9 (commencing will} Section
000) of Dlvision 3 of the:Business*and Professions Code and fhy,licceens^e isAn fullforce and '
SIGNATURE Wit+^"' ..i-:"...:,•s••`"' ..,4 - ,/ - DATE - -
" OWNER BUILDER DECLARATION ' Estimated Valuation.'
I hereby affirm that I am exempt from'the`contractor's License Law for the following 88 Ir 350.. 00
reason: (Sec: 7031.. S,Buslnesp and' Professions .Code; .Any city or county which requires 'a _
'permit. to construct, alter, ImpAdve, -demolish, or repair any structure, prior to its issuance. also .
requires the applicant for such -permit. to file a signed statement than he is licensed pursuant to- -, PERMIT .. AMOUNT. -
the provisions of the -Contiactor's._License 'Law, Chapter 9 (commencing -with. Section •7000)• of -
D..on 3 of th'e''Business and-Professions Code, or that. he is exempt therefrom, and -the basis- • '
for the elleged exemption.` Any— violation of Section,-. 7031.5 by 'any applicant for ,a permit Plan Chk. Dep. - -
subjects the applicant td a civil pehafty of not more than* five hundred'dollars ($500)... + - -
❑ I; as owner of the property,'or.my employees with wages as their sole compensation, will -Plan Chk. Bal., 499.47
do the work, and the structure,is not intended or.offered f6Csale: (Sec. 7044; Buisness and Const...., •,' 73 iv,-
Professions Code:, The Contractor's:. License Law does not,applyto an owner of property who e '
builds or improves thereon and who does such work himself or through his own employees, • Mech.' - - �1A d►
provided that such improvements are not Intended or offered for sale. If, however, the building 43.-0
or improvement is sold within.one year of completion,, ,the owner-builder will,have the burden Electrical.' ry
of proving.thathe did not build
improve for the purpose o/,sale.)- : 12 3 l . j.
0A,.as
owner of the property;•am exclusively contracting with licensed contractors, to con- . • Plumbing=• 38
- struct. the project. (Sec. .7044, Business and -Professions Code: The Contractor's License -Law -.00
does not apply to an owner of'property-who builds or improves thereon, and who contracts for - S•M.1• _�,
such projects with a-contractor(s) licensed pursuantR. to the Contractor's License Law.) - - .
O I am exempt under Sec. ` - B. 8• P.C. for this reason
Grading 20.'48
Driveway Enc. .004
.Date owner Infrastructure 1 ' 98 7.88
,,�," WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a. certificate of consent'to self-insure,: or certificate of
Workers Compensatlon Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.).
.'Policy o ...• '.Company
i; Copy is filed with the city, ❑ Certified copy is hereby:furnished:..
TOTAL 3 '4,`i . I
CERTIFICATE OF EXEMPTION. FROM "
WORKERS' COMPENSATION INSURANCE-'
_ REMARKS •-. '
(This section need not be.completed-If the permit is for one hundred dollars ($1.00)-valua0on - -
or less.)
- .. -
I certify that in the performance of thg work for which'this permit is issued, I sliall not
employ any erson in any manner so as to become subject to,the Workers' Compensation
Laws of California.
-...Elate . Owner, "
NOTICE TO APPLICANT: •n; after making,-this 'Certificate of Exemption.'yoWshould become ZONE: ` BY: - -
subject to the 'Workers'
Comp,
.provisions o/ :the :Labor Code; you. must forthwith Mlfllfl'1Um Setback Distances: -
comply with such provisions or this permit shall be'deemed revoked. - -
Front Setback. from Center Lin
Rear Setback from Rear Prop: Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSA TION COVERAGE IS UNLAWFUL, AND. Side Street Setba om Center 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 fro ope e
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND Q
ATTORNEY'S FEES.
This is a building permit-when properly filled out, signed and"validated, and is subject-to
FINAL DATE EC
expiration it work thereunder is suspended for 180 days:
I. certifythat1 have read this application and state that the-above information.is corcect Issued by: Dat efmlt
. 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 �A
mentioned property for Inspection purposes. " Vdlldated by: J
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. SO. FT.
WALL SO. FT.
$O. 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
A.C. UNIT
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
HEATING (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
ROUGH WIRING
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
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
SETBACK
GROUND PLUMBIN
I
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE I
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT •
WATER HEATE "
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus-x$_=$-
lusx$=$ROOFING
"
LUMBER GR.
FINAL INS..
FRAMING
INAL INSP.
ROOFING
hyj
IV
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �-
MESH
INSULATIONISOUNDrl
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL