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15337 (SFD)i w P.O. BOX 1504 Building 78-495.CALLETAMPICO Address 41-970 Via Nice LA QUINTA, CALIFORNIA 92253 Owner CeT tuzjf Homes Communities Address 153 South "D" Street City Zip Tel. San -Bernardino 9Z {315 4449; 381-6- 007 Contractor ress State-Ljc. I City „• & Classif:B 3144?3 ' Lic. # 212v . Arch., Engr:,- Designer Frank Gcanzaies & Associates AddressTel: 1336. East Chapman. sive. (714) 532-6879 City' Zip State Orange, CA, $2666 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under Provisions—of Chapte�pqcommencing W6, Sectionr 7000) of Division 3 of the Business and Professions Cdde,.and my license is inifI force and effect. OWNER -BUILDER DECLARATION I hereby'affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness 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 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 Cade, 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 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-bullder will have . the burden of proving that he did not bulld or improve for the purpose of sale.) r ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-, strucl the project. (Sec. 7044, Business and .Professions Coder The Contractor's License Law does notapply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) (!caned pursuant to the Contractor's License Law.) ❑ 6 am exempt under Sec. B. & P.C. for this reason Date Owner i WORKERS' COMPENSATION DECLARATION l , Ihereby 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�Nor'"h Company O'Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 the work for which this permit is issued, I shall not employ anyperson In any manner so as to become subject to the Workers' Compensation Laws of California. Dale 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 pemrtt 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 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 160 days: .. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and,county ordinances and state laws relating to titiilding 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 No. 15337 BUILDING: TYPE CONST. VR OCC: GRP. R3 A.P. Number 617-"790-025 Legal Description Lot 25 Tract 26152 Prase 2A Project Description SFX) Man 413 S>ainnalker *Cove at Lake iia- Quinta REMARKS 1A f• ZONE: BY: Minimum Setback Distances: Front Setback from Center -Line Rear Setback from Rear��' 7p. L Ae Side Street Setback,�o Center the Side Setback frOm roperty Line�� FINAL DA Issued by Validated Validatior Sq. Ft. 274 1 Size No. No. Dw. Stories Units New ❑ Add ❑. Alter ❑ Repair ❑ Demolition ❑ rI , Estimated Valuationi�ll r�� • {i' - -PERMIT , u AMOUNT Plan Chk' Dep. Plan'Chk..f3aL Const. Mech. ElectricalN i 04 Plumbing�`._43i� S.M.I. Grading 2n, 6p Driveway Enc. 00 Infrastructure 93626 X65 12. A i. 4 TOTAL % I ASA21. -2 REMARKS 1A f• ZONE: BY: Minimum Setback Distances: Front Setback from Center -Line Rear Setback from Rear��' 7p. L Ae Side Street Setback,�o Center the Side Setback frOm roperty Line�� FINAL DA Issued by Validated Validatior CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CARP. SQ. FT. WALL SD. FT. SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS - MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) METER LOOP GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM 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 t FINAL INSP. �A J /' SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL REMARKS: SO.FT.GAR ® 3/sc HOUSE SEWER VENTILATION 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 PLUMBIN / UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER R ROUGH WIRING DUCTWORK ROCKSTORAGE 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. g plus -x$-=$ LUMBER GR. t FINAL INSP. �A J /' FRAMING FINAL INSP. - ROOFING .yam ///� „ A� p� /� Q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION it 9 9S CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREWINITIALS GARDEN WALL FINAL