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15335 (SFD)Building Address 47-199 Vi.a Nice Owner ";P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Mailing I- Address 1535 SOU »h O Street CityZip Tel. San, Bernaa�no _ 92400 909-381-6007 Contractor same as above Address Zip I Tel.: State Lic. City & Classif.. 'B 314473 LiC. # 2120 Arch., Engr., ,f Designerprank Gonzales and ASSOC. - Address I Tel. SS ti D t7 a�� X132+ City �,. Zip State Orange 92566 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am'licensed under provisions of Chapter 9 (comme`ncing with Section 7e7000)' Division 3' of the Business and Professions Code, and mylicense iiss,in full force and ✓' '✓':.,,.r°'.....-.-..--'•��',.!%' fed-•• i.�w'�% '.`7{'`. .SIGNATURE f' DATE OWNER-BUILDEWDECLARATION ' I hereby affirm that.f am 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, atter, 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 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 exemption. Any violation of Section 7031.5 by 'any applicant_ for a permit subjects the applicant 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 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 or property who builds or improves thereon and who does such work himself or through his own employees, provided that such irriprovements 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 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 contractors) pcensed pursuant to the Contractor's License Law.) . O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION s 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 riot be completed i1 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 pperson in any manner so'as to become subject to the Workers' Compensation Laws of California. Date _ Owner NOTICE TO APPLICANT. N, 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 UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 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 180 days.-- I ays: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. t Signature of applicant Date Mailing Address City, State, Zip No. 15335 BUILDING: TYPE CONST. V -N OCC: GRPL3 A.P. Number 617-790-031 Legal Description Lot 31 Tract 26152 Project Descriptionlilan 4C -LX Customo- (from $lar. 4GL) REMARKS J1n_n1i-.TAP__nt,%1 n4r'mit to 1>px'ttx`'d' X51 dB ., t(icat:� e�harr�r;�� swcnitssx'a; fn±�-.�ie�ra ZONE: BY: Minimum Setback Distances: Front Setback fro�M e teY�Line Rear Setback fro ar Prop. Line Side Street Se from -(.e' ee ine Side Setback rom Pr9perty L'4e FINAL Issued Validat Validat Sq. Ft. No:. Size. 489 Stories No. Dw. Units Newer Add ❑ Alter. ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk:' Dep.' Plan Chk. Bal 82.64 Const. 105.00 Mech. Electrical 1s x.84 Plumbing .13.02 S.M.I. 2.96 Grading Driveway Enc. Infrastructure 627.00 Artsk in . nblit PlAces 73.99 TOTAL 928.39 REMARKS J1n_n1i-.TAP__nt,%1 n4r'mit to 1>px'ttx`'d' X51 dB ., t(icat:� e�harr�r;�� swcnitssx'a; fn±�-.�ie�ra ZONE: BY: Minimum Setback Distances: Front Setback fro�M e teY�Line Rear Setback fro ar Prop. Line Side Street Se from -(.e' ee ine Side Setback rom Pr9perty L'4e FINAL Issued Validat Validat CONSTRUCTION ESTIMATE NO. ELECTRICALc ES NO. PLUMBING; FEES 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. • BONDING 2ND FL. SQ. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SQ. FT. p MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. REINF. STEEL ` 9� DRAINAGE PIPING WALL SD. FT. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM • FINAL INSP. FINAL INSP. /�� V WATER PIPING NOTE: Not to be used as property tax valuation LUMBER GR. FLOOR DRAIN MECHANICAL FEES � �S % i;(/�" v/ •�j/� cc WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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 IPOLE, 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. SO. FT. RESID ® 1'A c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE EPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. • BONDING HEATING (ROUGH) STORAGE TANK FORMS EWE R S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)'0 36 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL ` 9� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM • FINAL INSP. FINAL INSP. /�� V GRADING cu. yd. $ plus x$ _ $ LUMBER GR. FRAMINGi3 `J ROOFING �� f � �S % i;(/�" v/ •�j/� cc REMARKS: VENTILATION / lz 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