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14528 (AR)x 1 .4 P.O. BOX 1504 Building 45-270 Desert -Fox Ar. 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 Owner Century HomeI4Coimmunities Mailing Address 1535 South *DO Street, Ste. 200 CityZip Tel. Sada SE: nardin , CA 92448. (909)381-600 Contractor •.�sr�IIiE3 .. - Address Zip State Lic. S 314473 I City & Classif. Lic. # BUILDING: -TYPE CONST No. 14528 OCC. GRP.: A.P. Number Legal Description Project Description Bonus , R•oom Plan 5T 2120 sq: Ft. 288 No. No. Dw. Size Stories Units - Arch.; $en amin Aguilar & Assoc. Designerer- • 3 New ❑ Add ❑ . Alter ❑. '• Repair ❑ Demolition ❑ "A."SeY .Passers Avenue Tet714)359-6066 City .- Zip State Rivers id ��92505 Li &.1 LICENSEDNTRACTO,ECLARATION �reb y affirm that I am sed undei prov�ns,of'CFapter 9 (commencing with Section 7of Division 3 o2hemu`siness and - fessiong-Code, and my license is in full force and e. GNAT R �" DATE OWNEWBUILDER DECLARATION . � I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: .(Sec. 7031.5,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 rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing ' with Section . 7000) of D1viS7oh 3 of 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). ❑ 1, 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 improvement is sold within one year of completion, the owner -builder will have the burden of proving that.he didnot build oramprove for the purpose of sale.) 0 1, as owner of the property, am exclusively contracting with licensed contractors to con- 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) (lcensed pursuant to the Contractor's License Law.) O 1 am exempt under Sec. B. & P.C. for this reason I Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. •3800, Labor Code.) Policy No. Company Copy is filed.with the city. ❑.Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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 shall not employ any person in any manner so as to become subject to the Workers' Copensation laws of Californim a. Date __Owner NOTICE TO APPLICANT: -d, after making this Certificate of Exemptlon'you should become subject to the Workers' Compensation provisions or the Labor Code, you 'must -forthwith comply with such provisions or this permit shall be deemed revoked. Estimated Valuation $.9,716.00 PERMIT . AMOUNT Plan Chk. Dep. Plan Chk. Bal. h Const. • " Mech.48 p r • v Electrical • ��, Plumbing S.M.L. Grading Driveway Enc. Infrastructure . h WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 ATTORNEY'S FEES. This is a building permit 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 to enter the above.. mentioned property for inspection purposes. e Signature of applicant Date Mailing • Address City, State, Zip TOTAL ZONE: BY: -Mirijmum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by Validated Validatior CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING Y ARD SPKLR SYSTEM 2ND FL. SO. FT. p FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO. FT. ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE KITCHEN 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 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 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. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL