15094 (SFD)- .No.
P.O. BOX 1504 .. ,,; 15094
Building ��� Via Nice 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Hornes Conon ,i3.ties
BUILDING:' TYPE CONST: OCC.'GRP. R3.
Mailing
Address AO.'s s£9Uth VD8 Street 617-790-024
-024
A.P. Number
San Eakn rd.1no ICA 92408 T(969)381-6007 Legal Description..,%t>$ .24 Tract 26152 Phage I,A'
Contractor ..SM : Plan .2A .
Same ... Project Description 1
Address i-spianaker'-Cove.at LakeLa Qiiinx :a
City IZip. ..
State Lic.
City
& Ciassif.-: ' "$ 314473
Lic. # 2120
Arch.*; Engr.,' Frank Gonzales; , S.
' Designer
Bi:asOC� 3$&?'�
.1 y,3r'eds E:ast.'�:�''^-apiaan Ave.
T(714)532-68781
City
WaT3gEa4 ._� �.
Zip
92666-
State
Lic. #
' LICENSED CONTRACTOR'S DECLARATION •.
I hereby a flim that, jam licensed under provisions o .Chapter 9 (commencing with Section
7000)bf
• Division 3 -of the. Business and Professions Code,
• effect: -0- ..�-_ -y —,T: q--
and my'license'is i� full force and
stir - /. S, r—.
OWNER-BUILDER'DECLARATION
I hereby affirm that I am exempi`from the Contractor's License Law for the -following
` reason:, (Sec. 7031.5,Bustness 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 forsuch 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 rive 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 knprove for the purpose of sale.)
❑ 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 License Law
does not apply to anownerof property who builds or .Improves thereon, and who contracts for
such projects with a contractors) (tcensed pursuant to the Contractoi's License Law.)
O I am exempt under Sec B. & P.C. for this reason
Date Owner 1
WORKERS' COMPENSATION DECLARATION
I hereby affirm'that I have a certificate of consent to self -insure, or'a certificate ofd
Worker's Compensation Insurance, or a certified copy thereof. (Sec.,3800,.Labor Code.)
Policy No. Company
O Copy is filed with the city.. ❑ Certified copy. is hereby furnished. r
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need.not be completed N the permit Is for one hundred dollars. ($100) valuation
or less.)
I certify that In the performance of thF 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: ff, 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 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: . • . • y
I certify that I have read this appjicationtand state that,the aboveJnformation'is correct.
I'egree to comply with all,clty and courity ordinances -and state laws relating to building
construction, and hereby'' authorize'iepresentatives of this..city to enter the above-.
mentioned property for inspection"purposes-
Signature of applicant- '- � � ''r Date
Mailing Address /
City, State," Zip
Sq. Ft. No. No. Dw.
Size 1350 -.Stories Units
New ❑ Add'❑ Alter ❑ Repair ❑ -Demolition p
mated Valuation $11TA69.00
0
PERMIT AMOUNT
Plan, Chk. Dep.
a _
Plan Chk.'Bal.
`` 586...56
Const. -
742.50
Mech: r
55. so.
Electrical143.57
Plumbing'
138. 00
S.M.I.;
1-1.75
Grading
20.00
Driveway Enc.
00,
Infrastructure
2.643.04 .
Arts in
Public Places 43.67' .
TOTAL
4.344.5
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 Permit
--Validated by,: '
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. a $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) /Q
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
TEMP.
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
�jJ�, ///�,J�
//'v/[/�J/�'iw +'�6�� FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
REMARKS:
SO.FT.GAR ® 3yic
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE IPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBI/ 9_"UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWS R ST
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) /Q
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL y° �.
GAS (FINAL)
�,9
TEMP. POLE
TEMP.
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
�jJ�, ///�,J�
//'v/[/�J/�'iw +'�6�� FINAL INSP.
n
FRAMING , �X
FINAL INSP.
ROOFING
.
/
Al 0(/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION ,Q.aq
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL