15124 (SOTB).r
( P.O. BOX 1504 N o . 15124
Building 78-495 CALLE TAMPICO -
Address 47-9104 Via Firenze LA QUINTA, CALIFORNIA 92253
Owner
Century Homes Communities
Mailing BUILDING: TYPE CONST: OCC: GRP.
Address 1.535 .South . t) Street A.P. Number
City Zip Tel.
San- Bernadino 912408 909-391.1-60 7
Contractor
Samee
Address
City` Zip Tel::
State Lic. City
& Classif.. Lic. If
'Arch., Engr., ;
''Designer
Address Tel.
,City Zip State '
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. • .
SIGNATURE - - DATE
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's License Law for the following,
reason: (Sec. 7031.5,Bust7ess and Professions Code: Any city, or county which requires a
Legal Description
Project Description Prlyaiajaaa't Dock Gatti tdaLkwav-
ea _ .
Sq. Ft. No: y
Size Stories
New ❑ Add ❑ Alter ❑
Estimated valuation %' . '. a
00
No. Dw.
Units
Repair -0. Demolition ❑
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 exemption. Any violarion of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penally of not more than rive hundred dollars ($500).
11. 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 Jo, an owner of property who
builds or improvesthereon 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 improve for the purpose of sale.)
PERMIT AMOUNT
-
Plan Chk. Dep.
"Plan Chk. Bal.
Const. 5 0
Mech.
Electrical
Plumbing
O'1, as owner of the property, am exclusively contracting with licensed contractors to con-
' slruct 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./or
such projects with a contractors) pcensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec: B. & P.C. for this reason
-
S.M.I. • ..31
Grading
Driveway Enc.
Date Owner
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 13 9. 40
CERTIFICATE OF EXEMPTION FROM _
• WORKERS' COMPENSATION INSURANCE
(This section need not be completed H 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 any Parson in any manner so as to become subject to the Workers' Compensation
Laws of California
REMARKS .0 qn — red to state -Private
. r qu
boat �yn� !��., �ay 7R
3 oat L.dia.P°.Ja jNo Pubic Access" with a
Public
L� g,, a R .
barricade in PT� dce to prohibit
Access.,
Date Owner
• NOTICE TO APPLICANT., B, 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.
ZONE: BY: '
'
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line .
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE _ISUNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
Side Street Setback from Center Line '
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
' Ttiis is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
FINAL DATE INSPECTOR
1 certify that 1 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.
Issued by:. Date ' t
...
Vdlldated by: i
Signature of applicant Date
.Mailing Address
Validation: R4 A\/ 1 r7. rn
•• .. i it n t J. I
City, State, Zip
-
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. S0. 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
ROUGH PLUMB.
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
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
BOND BEAM
SO. 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
FINAL INSP.
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 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 APPIEOUIP.
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
G(O/ T-�
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
T
May 1,- 1995.
Mr. Tom Hartung
Department of Building •& Safety.
CITY OF LA QUINTA ;
78=495 Calle Tampico
La Quinta,.- CA' 92253
Ref: Century 'Homes Communities
La Quinta, Boat Dock
Dear Mr..Hartung: ;
An issue has come up regarding construction of a boat°dock'at Lake
La Quinta.. The. question is whether the dock should be constructed
with handicap access per the disability act or not. We contend_
thatthe dock is a private dock, therefore not subject to public
handicap access.
The dock is built to code, sans the handicap access with addition
or a sign stating private dock and'a chain prohibiting::public' '
access.
My hope is that you concur with -my assessment -and we are able to.
close the issue.
Please contact me should you :have any questionsorrequire any
additional.information on this matter.'
Thank you. a
Very truly. yours,
CENTUR HOM
s
Dennis --Cu ingham
Project Director
DC:db
U\P\D\HARTUNGI.WK3
t
1535 South "D Street, Suite 200 • San Bernardino, CA 92408 .
(909) 381-6007 • FAX (909)381-0041
May 1,- 1995.
Mr. Tom Hartung
Department of Building •& Safety.
CITY OF LA QUINTA ;
78=495 Calle Tampico
La Quinta,.- CA' 92253
Ref: Century 'Homes Communities
La Quinta, Boat Dock
Dear Mr..Hartung: ;
An issue has come up regarding construction of a boat°dock'at Lake
La Quinta.. The. question is whether the dock should be constructed
with handicap access per the disability act or not. We contend_
thatthe dock is a private dock, therefore not subject to public
handicap access.
The dock is built to code, sans the handicap access with addition
or a sign stating private dock and'a chain prohibiting::public' '
access.
My hope is that you concur with -my assessment -and we are able to.
close the issue.
Please contact me should you :have any questionsorrequire any
additional.information on this matter.'
Thank you. a
Very truly. yours,
CENTUR HOM
s
Dennis --Cu ingham
Project Director
DC:db
U\P\D\HARTUNGI.WK3
t
1535 South "D Street, Suite 200 • San Bernardino, CA 92408 .
(909) 381-6007 • FAX (909)381-0041