14641 (SFD)Building
Address
maning
Address
City
San B
Contractor
City
No. 1464.
P.O. BOX 1504 -
78-495 CALLE TAMPICO.
19"240. Kara Court LA QUINTA, CALIFORNIA 92253
Century Homes 'omunittes
BUILDING-- TYPE CONST: OCC:•GRP. R }
i535 5our�n ".D," .Street, Ste -200
A.P. Number
ft< zp Tel. Lot 39 bract 261€ 8 Phase i
erna 41no CA -92409, (909) 331-6007 Legal Description
.. Project Description � IFD PlAh 3
State Lic.B 3i'447 City 2120
& Classif.. ; Lic. #.
Arch Enge.,
'Designer'.,-Aenic3� in AE�t�i�Le"�.r.: 1 Assoc.-
:t 3 !P0 "sscrq' .Av4'Itue T1710,359-60 66
Dei. Rey at .La Quinta Harte
Sq. Ft. - No, .
Size . • 1400 • .:.-,-.stones
New 0 Add. 0 Alter 0
State -
92505 Lic. # '
rRACT.OR'S DECLARATION
' prov Bions of Chapter9 (commencing with Section
i0!? j -ons Code', and -my licensed`s in full force and
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
-reason;. (Seca .703,1.5,Business and Professions.; Code:, Any., city or county which; requires a
permit. to construct,'alter, 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 .
the provisions of the Contractor's License law; Chapter 9 (commencing. with 'Section 7000) o/
Division 3 o/ the Business and Prolessioris Code; or thaChe•is exempt therefrom,. and the basis
for the alleged- exemption. Any violation of Section 7031.5 by 'any applicant /or a permit
subjects the applicant to a civil penaltkW not more than rive hundred dollars ($500).-
0.1, as'ownw of the.property, or my employees with,wages as their sole compensation, .will '
do the work, and the structure is not intended or offered for. sale. (Sec: 7044, Buisness and .
Professions Code:. The"Contractor's License law boes.not apply.to an owner of property who
builds'or Improves thereon and who does• such workhimself or through his own, employees,' .
. provided, thatsuch improvements are not Intended or offered.foi:safe. I/ however' the building'
No. Dw.'
Units
Repair ❑ Demolition.;0
Estimated Valuation .48.8 r 466.06
PERMIT
Plari C•hk.. Dep.
Plan Chk. Bal.. .
Const.
Mech.
AMOUNT-.
- or Improvement is sold within.one year of completion; the owner -builder will have the burden
-" of proving that he,did not build or &nprove for the purpose of sale.) ..
Electrical ' '
17.5. •'
2.6'
Plumbing..3$
'
❑'1, as owner -of the'property, am exclusively, contracting with I icensed. contractors to con- ',
struct the•'project. -(Sec:, 7044; Business and.Professions Code:: The Contractor's License Law
does not app/y'to *an owner of property who builds or improves. thereon, -and who contracts. for...
- such projects with'a c6ntractor(s).0censedpursuant to the Contractor's License. Law.)
. O I•am exempt under Sec.' B. 8 P.C: for this reason
..
S.M.I.
Grading
�� Qin •
Driveway,Enc.
• ,:
' Date owner
Infrastructure>0.49
'.
WORKERS' COMPENSATION DECLARATION
%I liweby affiml that I have a certificate of consent to. self -insure, or a•ce.rtificate of
Worker s ebmpensatidn Insurance, or a certified cor copy thereof. (Sec. 3800, LabCode.)
�
- - •
\
Poljcy4 Company
.. 16 Co is filed with the city...0 Certified co
PY' copy is hereby furnished.
1'
TOTAL2�
.
CERTIFICATE OF EXEMPTION FROM"
WORKERS' COMPENSATION INSURANCE -
"REMARKS
'
(This section -need not be completed if the permit Is: for one -hundred dollars ($100) valuation;
'. � or less.) .. ..
• I certify that in the performance of the work for which this -permit is issued, I shalFnot
employ any' parson 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
subject''to the Workers' Compensation ' piovlslons of 'the Labor Code, - you must forthwith`.
comply with such provisions or this permit shelf be deemed revoked.
:
- ZONE: - - BY: '
-
Minimum Setback 'Dlstances: - -. '• '
Front Setback from Center Line
'
Rear Setback from. Rear Prop. Line
WARNING: FAILURE:TOSECURE•WORKERS'.COMPENSATIONCOVERAGE ISUNLAWFUL,'AND: '
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,.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR"CODE, INTEREST: AND
Side Street Setback from rLine
Side Setback from Prop Ine
' ATTORNEY'S FEES. ".
This"is aBuilding peirtiit when properly'filled out; signed and validated, -and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this, application and 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. 4o enter• the, above
mentioned property for inspection purposes::
FINAL DATE
Issued by
Validated by:
INSP a
,
Date ' It
]
CTy 0 '
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
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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED.
FINAL INSP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
IKITCHEN 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
' Ste/ fJ
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 cSEWAGE
DISPOSAL
SO.FT.GAR ® 3/acPELECT.FEE
HOUSE SEWER
FIRE ZONE ROOFING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
.TOTAL FEES
MICRO FEE
MECH.FEE IPL.CK.FEE
JCONST.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING f ELECTRICAL HEATING & AIR COND. SOLAR
'R'A1
SETBACK
GROUND PLUMB
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.
GAS (ROUGH)
l n f
W
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE ;
FINAL INSP.
BOND BEAM
WATER SYSTEM
r
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP /
FRAMING
FINAL INSP. `.
ROOFINGREMARKS:
f `
�jr Q�o
N
C-' ✓7"
' Ste/ fJ
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL [[.
LATHING
_
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESlINITIALS
GARDEN WALL FINAL