14628 (SFD)•
.414
P.O. BOX 1504 No . .14628
Building78-495 CALLE TAMPICO
Address ° 79-135'Kara Court LA QUINTA, CALIFORNIA 92253
' Owner Centary -macs Communities
BUILDING: TYPE -CONST. a, OCC: GRP. R3 '
Mailing
Address 1 3:5 • uth "D". Street Ste. 200
A.P. Number
City
Zip
San.Sernraxdinol
]Tel-
Llai 92408
(909)381-4007
Legal Description
Contractor
Project Description
LcSt" 26 Tract Puede I
Same
Address
:SPD Plate 5C
Del Otey d t
�.a Qi� � T31 r3 Norte
City
,
State Lic. 34473��
City.
Cit
& Classif. -
#
Sq. Ft
':No No. Dw.
4
Size 1678
Stories Units
Arch., Engr.; , .
i E'i,g 13in Agi�1,�.la 6 "Assoc '•
Designer «
New ❑ Add
.. '. •Alter O Repair O ...' Demolition :❑ ::
cL P'eY3G
AW,,rU:r"""
Tt'724) 39�^6066
'
Rivers '
Zip
9'250.5
StateCity
Lin. #
, . LICENSEDCONTRACTOR'S'DCCLARATION'..
1,hereby affirm ce
that I am linsed,underprms ovisioof Chapter 9 (commencing with Section .
7000) of Division 3 of the Business and Professions. code, and my Ilcense i ' in full force and
.effect r�'� ,,"' "'`�:. a � ,ee r
-
$1GNATURE,Y+'"`- .. �• - DATE
..
71
X ,,x,�..OWNER-BUILDER DECLARATION'
' I hereby affirm that'L am exempt from the Contractor's License- Law for the. following
,.
Estimated Valuation
-$105--,,'24-7.00
-
reason:. (Sec., .7031.5,Business- 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
.. •-
-
requires the applicant for such permit to file a signed statement that he is. licensed. pursuant to
PERMIT -
- AMOUNT
- the provisions of the. Contractor's License Law, Chapter 9.(commencing with. Section 7000), of
_ -
,
,¢
,Division 3 of the Business and Professions Cade; 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. '
:1
subjects the applicant to a civil penaW of not more than, five hundred dollars (S500). - ..' . •.
❑ I,.as owner of the.pro erty, or my employees with wages as their sole coinpensation,.will ,Plan
-
Chk. Bal.
553.17do
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
I
Const.
�tccc tt d1
- -V.. J��'
builds or improves' thereon sand 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,
'r..:
M@Cil.'. ,�'i•
- �A -
§r9 a �� •
or improvement is sold ,within one year of completion, the owner-bullder will have the burden
of proving that he did not,build or improve for the. purpose of sale.) ... , .:
Electrical �-
+y!� r� 65 C
13 6 5
s .6
O'I; as owner of the property, am exclusively contracting.with licensed contractors to con- .
Plumbinga�
v,
. struct the project: (Sec. 7044,. Business and -Professions 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) pcensed.pursuant to the Contractor's 0fcense,Law.)• -
-S,M,I;
10 • 52
O I am exempt under Sec. -B. 8 P.C. for this reason
Grading
20.06
Driveway Enc.
;00
' Date Owner
Infrastructure
2o368.06.
Arts in -Public Places2� ' 00'
WORKERS' COMPENSATION DECLARATION
. I her 6y;aIIirm Eliot I have a certificate of consent to self -Insure,' or a certificate of
Worker Compensation in.or a certified copy thereof. (Sec. 3800, Labor. Code.)
j
PQtic No.: .Company,. ..
._.
_ .
-.4 Copy Is filed with the city.. ❑ Certified copy is hereby furnished.
TOTAL
1,955.90
. CERTIFICATE OF EXEMPTION FROM
• •• WORKERS' COMPENSATION INSURANCE
REMARKS
- , (This' section need not be completed ff .the permit is for one hundred dollars: (8.100) valuation
- -
.,(This'.
less.) -.,
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any PPerson in any manner so as -to become subject 4o.the Workers' Compensation
Laws of Callfornia
Date" Owner , ' . "•
.. NOTICE: TO APPLICANT:. B, .after malting this .Certificate,'of Exemption you'. should become
-the
ZONE:-
-• BY: •-
- subject to Workers" Compensatiod. provisions .of. the Labor code, you mustforthwith;
comply with such provisions or this permit shall be deemed revoked.
re-
-Minimum Setback Distances: -
•
Front Setback from Center Line
Rear Setback from. Rear Prop. -Line .
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL, AND, '
SI de Street Setback from 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 from Propertyl '
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF•THE LABOR CODE., INTEREST.' AND :..
:•
ATTORNEY'S FEES.
This is a building'kemi)t khen'Oroperly filled out, signed and validated, and is subject to ...
,FINAL DATE
INSPEC
expiration if work thereunder is suspended for180 days. : • : ,
•I certifythat,l_have_read this application and state that the above information•is'correct.- :
'Issued by:
Date • PQrmit
I agree to comply with•all city and county ordinances and state laws:relating to building
construction, and hereby' authorize representatives ..of, Ahis city . to. enter above-.:
AR
-the .
mentioned property for inspection purposes..
Validated by:
Signature of applicant Date
Y 9c
J
Mailing Address
'Validation:
City, State, Zip .
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU 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
CARP. SO. FT. @
SEWER OR
DRAINAGE PIPING
WALL SO. FT. @
DUCT WORK
DRINKING FOUNTAIN.
SO. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
METER LOOP
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11A 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 /J ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBI
UNDERGROUND
A.C. UNIT.
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 1
1
GAS (ROUGH)
�
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus, x$
=$
LUMBER GR.
'FINAL INSP. 7
FRAMING /S
FINAL INSP.
ROOFING L
w
I
2
REMARKS:"
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND 0#1
FINISH GRADING
FINAL INSPECTION b
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL