14627 (SFD)TAtyl .
uul�cv:
P.O. BOX 1504
No. 14627
Building,
• Address �iCl� QUINTA, CALIFORNIA 92253 '
Owner
Ceptury koros Communities
Mailing BUILDING: TYPE CONST. OCC: GRP.'
Address1535...Soiith pia" St=et .9 ,ate.. 200 A.P. Number
City JZip , : Tel..'
'San Bernardi no.. CA -9240e ':-909.) 3.81-6007 Legal Description %ot 25 Tract 261RA Phages 1
Contractor^° Project Description 1s:. Ark 23Z
Add Del Ray.-at.La-Quinta Norte
City.
Zip
Tel::
State Lic.
& Classlf.. R. 314473`
City
Lic. #- 21.2ti: ' ° '
Sq. Ftp ,, "No.- No. Dw.
Size 147:0.- • Stories Units
Arch., Engr,; ,.
Designer. < , - . Rei � �• & �� ���
New ❑ Add. 0: Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
54.x• Psst..e�aue
(714 359-06.6
City: .'
Rivegtifl.�' CA
Zip
92505
State
Lic. # .
LICENSED CONTRACTOR'S DECLARATION
I hereby affi at I am licensed under'p owsions:of°C apter 9 (commencing with Section
7000) of Division 3 of,the Business and'P,roof�ess'0 Code, and my liicynse is full force and -
-
DATE-
' d ' OWNER -BUILDER DECLARATION
I hereby, affirm that tam exempt from the,Contractors License Law for the following
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
..: the, provisions of the' Contractor's Un- cense Law, Chapter'9. (commencing with Sectio7000) of , -
Division 3of •the Business and Professions Code, 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
subjects the applicant to a civil•penalty, of not more than rive hundred dollars ($500).. - '
❑,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 that such improvements are.not Intended or offered for sale. If, however, the building
. or Improve.t,is said.within-one year of completion, 'the ,•owner -builder will havethe burden
of proving that he did not build or improve for the purpose of sale.) . - ,
Estimated Valuation - �g yAp 4.�
W S 3 747 a W0
_ -
..PERMIT :. AMOUNT
. • -
-
.Plan Chk. Dep:. - - - -
.
Plan Chk. Bal. 499.47.
'Const.. ' -
McCh- 4.9 •"10. "
- -7�. -
_Electrical : - - j,23 Q'
PlumbinA38.00- .
O'I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and.Prolessions Code: The Contractor's License- Law
- does not apply toan'owner of property who builds or improves -thereon,•and who contracts for- -
such projects with'a contractor(s) jfcensed pursuantto the Contractor's License Law.)
❑ I am exempt under Sec - B. & P.C. for this reason '
S.M.L. - - 5t
- 17 .0n
Grading - 201.00 .
Driveway Enc. 4,00
Date Owner,'
Infrastructure 1,987.88
WORKERS' COMPENSATION DECLARATION
I hereby a_ jfjrrn that I have a certificate of consent to self -insure, or a certificate of-
Worker's Compensation insurance, ora certified copy :thereof. (Sec.,3800, Labor Code.)-
Polia o. Company
•.O Copy Is filed wlth.the city, ❑ Certified copy is hereby furnished.
TOTAL :' 3,416'.68 ;
CERTIFICATE OF EXEMPTION FROM
WORKERS: COMPENSATION' INSURANCE
- (This section need not be completed If the•permii is for one hundred dollars ($100) valuation
or 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 to the Workers, Compensation
Laws of California
REMARKS
-
`Date Owner :
. NOTICE TO APPLICANT:; If, after making this: Certificate, of Exemption you. should become.
subject to the: Workers', Compensation., provisions or me Labor ,Code;' you must forthwith .
comply with such provisions or this permit shall be deemed•revoked.- - ..
ZONE: BYS
_Minimum Setback Distances: - - -.
Front Setback from Center Line -
Rear Setback from Rear Prop. Line
-. WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL;'AND-..
SHALL SUBJECT AN EMPLOYER TO CRIMINAL -PENALTIES AND CIVIL•FINES UP_TO'ONE:
Side,Street Setback from Center Line
HUNDRED THOUSAND DOLLARS,($100,00(3); IN ADDITION TO THE,COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION. 3706 OF THE LABOR CODE; INTEREST, AND -
Side Setback from. Property Li
ATTORNEY'S FEES. .
This is a buildjnb permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 160 days.
FINAL: DATE INSPECTO
a
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
consWction, and hereby authorize representatives .of. this city to -enter the:above-.
'mentioned property for Inspection purposes
Issued by: Date Per. I
Validated by:
Signature of applicant Date
Mailing Address
tValidatiorl: ��
City, State, Zip
.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
\
DRINKING FOUNTAIN.
SQ. FT. ®
HEATING (FINAL)
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
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY "
AIR HANDLING UNIT CFM
FINAL INSP.
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c.
SEWAGE DISPOSAL
SO.FT.GAR ® 3/.0
HOUSE SEWER
SPARK ARRESTOR -
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 a ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE C,
f
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
\
/
GAS(ROUGH)1
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.'
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEAT
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
'
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING S
FINAL INSP.
ROOFINGJ,
Q / L_ ✓
�- U
�3
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR -
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUN ,
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL'
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL