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14946 (SFD)Tit, P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 47-845 Via Pirenze LA QUINTA, CALIFORNIA 92253 No. 14946' Owner Century Homes Covw=ities Mailing BUILDING: TYPE CONST.' VN OCC: GRP. R3 Address 1535 South'"Eli" Street 617--79©-003 A.P. Number CitSan Bernerdiro ZICA 92408 T {903) 351-6007 Legal Description Is�t' 3 Triact 26152 ContractorProject Description SrD Plan2 Same Spinnaker Cove - at Lake La Quinta Address . 2 Infrastructure ' 3 • d City' Zip Tel.: WORKERS' COMPENSATION DECLARATION State Lic. A & Classif. -B,314473.-- City Lic. # 2120 Sq. Ft. Size ��rJQ No.' No. Dw. Stories Units Arch., Engr:, Frank.Gonzales 4 AsSo'C:iatp_5 Designer New ❑ Add Alter ❑ Repair ❑ Demolition ❑ Id -Ms Ea1� C *SBI Ave. 532-6878 _ JFdo'py is filed.with the city, ❑ Certified copy is hereby furnished. City Orange, CA ----I) Zip 92666 State Lio. " CERTIFICATE OF EXEMPTION FROM REMARKS LICENSED CONTRACTOR'S, CL'ARATION . I hereby aff rf m that I amilicensed under, provisions.of Chapten9{commencing with. Sectional 7000) of DiMsGn 33oof',t_heBuBus�inees"fidrPrrroof�Wo .-e/ode, and my. tic " 1 1 full and effect. • WORKERS' COMPENSATION INSURANCE (This section need'not be completed if the permit is for one hundred dollars ($100) valuation GN TUgES/`OF fff 'DATE OWfifiR-BUILDERDECLARATION I hereby affirm that I 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, 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) of Division 3 of the Business andProfessions 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 rove hundred dollars ($500). ❑ 1, 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 I 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.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con• strucl 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 contractor(s) jicensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Estimated. Valuation $117r,269.00 - PERMIT ' AMOUNT Plan Chk. Dep. , - - Plan Chk. Bal. -, 586.56 'Const. 7Q-2.50 . Mech. • -S Q Electrical 9 A,9 �'f - d 14 3 •. ! Plumbing 138.00 S. M.I. : 11. 7 5 Grading20 •_00 Driveway Enc. X00 RearSetback frWReo .Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATION, COVERAGE IS UNLAWFUL, AND -14 A ' Date owner Infrastructure ' 3 • d Arts in Puh13- Places 43.67 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-irisure, or a certificate of Worker's.Censation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy Nq. Company _ JFdo'py is filed.with the city, ❑ Certified copy is hereby furnished. TOTAL 4,344659 " CERTIFICATE OF EXEMPTION FROM REMARKS • 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 tho work for which this permit is issued, 1 shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE.' OTICE TO APPLICANT: It, after making this Certificate of Exemption you should become . 'to ZONE: - BY: subject the Workers' Compensation provisions of the labor Code,- you must forthwith . comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line RearSetback frWReo .Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATION, COVERAGE IS UNLAWFUL, AND Side Street Seten r Line 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, Side Setback fry DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. This'1s a building permit when properly filled out,.signed•and validated, and is subject to if thereunder is for days. FINAL DATE n INSPG'xR expiration work suspended 180 I carfify.that I have read this �Permit application and state that the•above information is correct. I Issued by: Date agree to comply with all city and county ordinances and state laws relating to building • construction, hereby a and authorize representatives -of. this city to enter the above-. mentioned property for inspection purposes. - Validated by: Signature of applicant _ Date tJ d Mailing Address Validation:. City, State, Zip . j• r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINu FEES 1ST FL. SQ. FT. @ $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) yJ /d DRINKING FOUNTAIN SO. FT. @ HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING CU. yd. $ —Plus—x$—=$ LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 FIRE ZONE ROOFING SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK �// GROUND PLUM UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS"�� SEW OR� ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 4 �y� yw [9 GAS (ROUGH) yJ /d METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL f GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ —Plus—x$—=$ LUMBER GR. FINAL INSP. FRAMING x�A-5 FINAL ROOFING lfl� L`INN'�SP. AA 5/ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ��� ��� MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION lJ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL