14535 (AR)Building
' Address
Owner
4
P.O. BOX 1504
45-120 PeF3` rt }$ills t ourtEA QUINTA, CALIFORNIA 92253
No. 14535
Century Hoa ms communities
=BUILDING: TYPF CnNSRT nCC r;Rp .
Address 2535 South "D" Street, Ste. 200
A.P. Number
Cil't.y i Dernarciincl ipCA 92408 ITell,909j 381-60107 L 1 D on
l ' f'I.
ega escrp
Project Description -
Hone .doom on a Pian 4
Address
Zip I Tel.:
& Classif.. I Lic: #
Arch.; Engr., - Renizimin Aguilar Ss AS30C.
Designer
640(e0s Passes Avenue Te„ •714 } 359- 6066
Zip 92505 State
Lic. #
�9' J �L-I,CENSED CONTRACTOR'S DECLARATION,
)il affirm thi t,l am_licensed underbrovisions_q Cl1apter:91(comrimencing with Section
r
I hereby affirm that I am exemptRfom 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, after, Improve, demolish, or repair any structure, prior to. its issuance also
requires the applicant for such permit to Ole a signed statement that he is licensed pursuant to
the -provisions of the Contractors License Law, Chapter 9 (commencing with Section* 7000)- of
4:: Ofvislon 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 appllcant to a civil penalty of not more than Ove 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 Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that.he did not build or improve for the purpose of sale.)
O I, 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'Lfcense Law
does not apply to an • owner of property who builds or Improves thereon, and who contracts for
such•projects with a contractors) licensed pursuant to the Contractor's License Law.) -
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I here y affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's mpensatlon Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy o. Company
Copy is filed with the city, . ❑ Certified copy is -hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 thg work for which this permit is issued, I shall not
'employ any person in any manner so as to become subject to the Workers'. Compensation
Laws of California
Date Owner
NOTICE TO APPLICANT: 'O, after making this Certificate of Exemption you .should become
subject to the Workers' Compensation provisions of the' Labor Code, you -must forthwith
comply with such provisions or this permit shall be deemed revoked. '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND. CIVIL FINES UPTO ONE.
HUNDRED THOUSAND DOLLARS ($1.1X),000), IN ADDITION TO THE COST OF COMPENSATION, .
DAMAGES AS PROVIDED FOR IN SECTION 371)6 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 it work thereunder is suspended for 160 days.'
I certify,that 1 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.
Signature of applicant _ Date
Mailing Address
City, State, Zip
Sq. Ft. - No. No. Dw.
Size. Stories 'Units
New ❑ Add ❑ Alter ❑,' Repair ❑ Demolition, ❑
:stimated Valuation
y ESQ. 0Q
m
PERMIT
AMOUNT
Plan .Chk. Dep.
Plan Chk: Bal.
70.20
Const.
108.00,
Mech.
115.00
"Electrical
�,7 �j; 2-4—.1-2—
Plumbing
.00 ,
S.M.I.
.81
Grading
/A
Driveway Enc.
Infrastructure
TOTAL'�:"3'l'�
REMARKS
ZONE:
BY:
Minimum 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:
Date_,,Reimi
Validated by:
i
/A
JAIN
f By -.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SQ. FT. ® c
BATH TUB
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 114 c
SEWAGE DISPOSAL
SQ.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
FENCE FINAL
•1
INSPECTOR'S SIGNATURESIINITIALS
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 APP./EQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL