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14567 (SFD)P.O. BOX 1504. No. 1456-T Building 78-495 CALLE TAMPICO Address 79-31J Desert Stream 'Dr. LA OUINTA, CALIFORNIA 92253 Owner Century Homes Communities . " YN Mailing BUILDING: TYPE_CONST. OCC. GRP. R3 Address 3..535 South .who tV 'S$2eeSte.- 200 A.P. Number City Zip A Tel. y ' .y �A r�ract 239.35-5 Phase 3A San Bernardino., CA..924408 &.909$ 381-•6007 Legal Description Contractor .. Plan 5X Project Description The. Classi0s:.at.Topes Address .. . State Lic. R, 314473 City 2120 & ClassiY.:' Lic. # Sq: Ft. 2Qa No. Size - Stories - Arch.; Engr:, .. Benjamin ar AAssoc.. i 'Desig13enner - A � �.filA- New ❑ Add''D, Alter ❑ 2819a Passero Avenue '610.359--6066 Cily Zip State Riverside, CA 92505 " Lica# LICENSED CONTRACTOR'SDECLARATION I hereby affirm that I am licensed under provisions of•Chapter'9 (commencing with Section 7000) effectof Divisio _ f.the us' ess.and Pro essions.Code, and my'license is in I III rce nd No. Dw. Units Repair ❑ Demolition ❑ AMOUNT 709. 4{ 9 . 14.3. ?44.. 11. 20. 2r6S3. 0 Yc%PW CERTIFICATE OF EXEMPTION FROM REMARKS. SIGNATURE f DATE f'OWNER•BUILDER DECLARATION I hereby affirm, that I am exempt'from the Contractor's License Law for the following Estimated. Valuatjon;.-_ : aL % i .reason: (Sec:.703.1.5,Susfness.and- Professions - Code:.Any•city or county which requires a' completed •d permit one. dollars ($100) valuation . . or less.) ... .. I certify that in the performance of the work for which this permit is issued, -I shall not I .. . PERMIT .. permit , to construct, after, .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 - Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis - for the alleged exempt/on.. Any violation of Section. 7031.5 by any applicant for a permit ' .. .. Plan Chk: Dbp. - subjects theapplicant to a civil penalty of not more than five hundred dollars ($500).• ❑ I, as owner of the property, or my employees with wages as their sole.compensation, will - Plan Chk. Bal. Const: ' ' 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 ol"property who .Meeh:. builds or.imp-roves 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 : Electrical. 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:) . -. - Plumbing- .. ❑ I, as owner of the property, am exclusively contracting with -licensed contractors to con- I 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 pro%ecIs wftA'a contractors) licensed pursuant to the Contractor's License Law.) :: - • .. 17 1 am exempt under Sec. B. & P.C. for this reason - $•M.l, - - Grading Driveway Enc. Date -OwnerInfrastructure 'y ' .. FSr •1n "1511c Rear Setback from Rear Prop. Line 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.) ' Polic No. Company Side Street Setback from Center Line' ' SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE (Copy is filed with the city, ❑ Certified copy is hereby furnished. TOTAL AMOUNT 709. 4{ 9 . 14.3. ?44.. 11. 20. 2r6S3. 0 Yc%PW CERTIFICATE OF EXEMPTION FROM REMARKS. f J y-1 WORKERS' COMPENSATION INSURANCE (This section need not be the is for hundred - 4c t \ .; �j completed •d permit one. dollars ($100) valuation . . or less.) ... .. I certify that in the performance of the work for which this permit is issued, -I shall not •�il1i •r 11 ✓ ;f r it A Z? % - employ any person in any manner'so as to become subject to the Workers' Compensation.. Laws of California • ( t� ' Date Owner ' NOTICE TO APPLICANT: If, after making this Certificate of Exemption you' -should become ZONE: BY: - subject. to the Workers' Compensation -provisions of the Labor Code, you . must forthwith ' - - Minimum Setbackbjstances: - `' comply with such provisions or this permit shall be deemed revoked. t I Front Setback from Center Line I Rear Setback from Rear Prop. Line WARNING:.FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS -UNLAWFUL, AND Side 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 Property Line p DAMAGES AS PROVIDED FOR IN SECTION- 3706 OF. THE -LABOR CODE, INTEREST, AND ' ATTORNEY'S FEES. . ' '• - FINAL DATE - INSPECTOR This is a building permit"when property. filled out; signed and .validated; and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this application and state, that the'above information is correct. Issued by: _' Date Permit- 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. L1 BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. DUCT WORK ROCK STORAGE FOUND. REINF. MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REINF. STEEL GAS (FINAL)W GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GROUT WATER HEATER SERVICE DRAINAGE PIPING CAR P. I SO. FT. ® BOND BEAM WATER SYSTEM tj FINAL INSP. 1i FINAL INSP. WALL SO. FT. ® =$ DRINKING FOUNTAIN SO. FT. ® ROOFING� URINAL ESTIMATED CONSTRUCTION VALUATION $ REMARKS: 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 SPARK ARRESTOR LAUNDRY TRAY AIR HANDLING UNIT CFM GAR. FIREWALL T � LATHING a 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 ® I'A c SEWAGE DISPOSAL FENCE FINAL SO.FT.GAR Q V4c HOUSE SEWER INSPECTOR'S SIONATURESlINITIALS 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 IACTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. L1 BONDING HEATING (ROUGH) STORAGE TANK FORMS ROUGH WIRING SEWER ORoto U1 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL)W TEMP. POLE 74 1 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM tj FINAL INSP. 1i FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING� 777 �f ✓ 7 ///► x J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL T � LATHING a MESH INSULATION/SOUND S� FINISH GRADING FINAL INSPECTION 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESlINITIALS GARDEN WALL FINAL