Loading...
15207 (PAT)P.O. BOX 1504 Building ��� �� F1�'a2: +` 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 Owner Century. RomeS C©n�"acl3t; hies Mailing 1Address 535 Sl7uth "Do Street Vii=' h Bernardino ZI�A 92403 T1009) 383.-6007 Contractor• Address MID I Tel.: State Lic. City & Classif.: 8 .3.14473 Lic. # 2120 Arch., fngr.; Designer .. .'Pta AI. .. C+`inza1e8 . &c . ssociates 51 sEaat.Chapman Ave. TC�14i532-6878 City Zip State Cis ;,� --s 92665 Lic. # Orang- LICENSED;CONTRACTOR'S DECLARATION ' I hereby, affirm that I am licensed under nmuiginn, nf a h,,.fo, o 1..,.­nctn'th s -t• of, the Business and Pi No. 1521 BUILDING: TYPE CONST..V-N OCC: GRP. R3 A.P. Number 6172790-015 Legal Description Lot 15 Tract 26152 Project Description 54' '.SCS. ft. • Deck ..Spinnaker Cove at Lake La Qui nta Sq. Ft. No. No. Dw. Size• Stories' Units New ❑ Add ❑- " Alter ❑ Repair•❑ Demolition0 V wi . e. is in ull force and DATE OWNER -BUILDER DECLARATION I hereby affirm that I am- exempt from the Contractor's License Law for the following Et' tdVl t' reason: (Sec. 703.1.5,Busb7ess and Professions Code: Any city.or county which requires a permit to construct, after, 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) or Division 3 of the Business and Professions Code• or that. he is exempt therefrom, and the basis lot the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty or not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will r 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 enprove 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 an owner of propertywhobuilds or improves thereon, and who contracts for such projects with a contractor(s) #censed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. &.P.C. for this reason . Date Owner 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 ori. _Company 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 thp. 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: ti, after making this Certificate or Exemption you should become subject to the Workers' Compensation provisions or 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 ($1(X);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 180 days. 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. Signature of applicant Date Mailing Address City, State, Zip s Ira e a ua ion 718.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing U. S.M.I. ..U7 Grading Driveway Enc. Infrastructure TOTAL tT .s✓+cc.r•r ... ZONE: BY: ' Minimum Setback bistances: Front Setback from Ce" nte L�ine� ' Rear Setback from'Re /PropNLine Side Street Setbrom er Line Side Set backA m Prroperty Ian' FINAL DATE �/� INSPECT, O �� v Issued by: Date \ \ Per'�rnit Validated by: s !/ Validation: STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FES 1ST FL. SO. FT. @ $ UNITS HEATING (ROUGH) 2ND FL. SQ. FT. @ FORMS YARD SPKLR SYSTEM POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. S0. FT. @ OTHER APPJEQUIP. DRAINAGE PIPING WALL SQ. 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 LAUNDRYTRAY 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. SQ. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL LATHING SQ.FT.GAR @ 3/ac HOUSE SEWER MESH 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —plus—x$— lusx$ROOFING 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 SIGNATURESHNITIALS GARDEN WALL FINAL