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11375 (SIGN)414 P.O. BOX 1504 L N o . 11375 Building 46150 WASH114CTON LA QUINTACCALIFORNIA92253 Address Owner i ARCO PRODUCTS (;\w - Mailing BUILDING: TYPE CONST. OCC: GRP. Address 17315 STUDEBAKER A.P. Number Cityp Tel. r-9070. CERRITOS 714 8$7-0711 Legal Description Contractor Project Description SICN PERMIT G.T.B. COMPANY Address _ FOR AM PI+i 8645 ARGENT, ST.E. A City Zip Tel.: SANTEE 192071 State Lic. City & Classif. A B C10 433894 Lic. # 2589 Sq. Ft. No. No. Dw. Arch., Engc, Size Stories Units Designer PHILIP GRAHAM COMBS, ARCH. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 3642UNIVERSITY AVE 714-686-3520 CityZi State RIVERSIDE 2501 Lic.# C19, 333 LICENSED CONTRACTOWS DECLARATION I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,-andmy license is in full force and effect. SIGNATURE DATE OWNER-BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following 7 reason: (Sec.. 703.1.5,Business and Professions Code: Any cify or county which requires a 500 permit to construct, after, improve, dernolish, or repair any structure, prior to its issuance also AMOUNT requires the applicant for such permit to tie a sgnd statement that he Is licensed pursuant to PERMIT the provisions of the Contractor's License taw, Chapter 9. (commencing with Section 7000) of Division 3 of the Business and Professions code, or tinct. hes exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars (S500). ❑ I, as owner of the property, or my employees with.wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended-or offered for safe. fSec. 7044, Buisness and Const. $99.00. 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 himseff or through his own employees, Mech. . provided that such improvement are not intended or offered for sale. ff, however, the building or improvement is sold within one year of conpetion, the owrrer-budder' will have the burden Electrical of proving that he did not build or xnprove for the purpose of sale.) ., O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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.irproves thereon, and who. contracts for. S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. R & P-C_ for this reason Grading Driveway Enc. Date � - `�Owner �. t /Y-------.- Infrastructure 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. TOTAL � � � • � J CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the peed is for one hundred dollars (5100) valuation " orless.) �!t �C. 'r . f �L."S cr �+',: , iV I certify that in the performance of thg work for which this permit is issued, I shall not 5Tf`r •�-� •€''�S tea• i' ��.�� " �L7 employ any person in any manner so as to become subject to the Workers" Compensation Laws of California- Date aliforniaDate Owner NOTICE TO APPLICANT: ft, after mafurg this Certificate of Exemption you should become ZONE: BY: subject ' to the. Workers' Compensation provsiafs of the Labor Cade• you must forthwith - comply with such provisions or this peed shall be deaceO revoked. . Minimum Setback Distances: ' Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, ChdCode.), Side Setback from Property Line Lender's Name .Lender's Address FINAL DATE INSPECTOR This is a building permit when properly 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. PLUMBING FEES t 1ST FL. SO. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. BONDING 7 2ND`FG. SO. FT. @ FORMS YARD SPKLR SYSTEM POR. ` SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO, FT. @ POWER OUTLET ROOF DRAINS CAR P. SD. FT. @ OTHER APPJEOUIP. DRAINAGE PIPING WALL SO. FT. @ TEMP. POLE DRINKING FOUNTAIN. SO FT @ GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP_ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM 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 LAUNDRY TRAY AIR HANDLING UNIT CFM 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 LATHING SO.FT.GAR @ 3/ac HOUSE SEWER MESH GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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