Loading...
15091 (SFD)4.4 P.O.. BOX 1504 No.: 15 Q91. Building 78-495 CALLE TAMPICO Address 47-870- Firenze LA QUINTA, CALIFORNIA 92253 . owner Cen'3tury •ome3 Cc.`�ti.32t ities i Mailing BUILDING: TYPE CONST v OCC: GRP. Address -,1535' SS9uth `ftDn '$tZleet A.P. Number 617-!-T90-;-013 ' City zip Tel. - _ �� 13 :13C , 2615 - Ph 1B szia, 8er; age n©', .CA 92 8. :909$ 39.1'46.e3®7 Legal Description Contractor_'.+9�Ar 0 an' 4 5€91?e: Project' Description Y i Address . -: :.. ... ' pirinake'r, Cave 4;t ,..r4ak.e La Quire e ' City Zip Tel:` 4 ;'a .State LIc , ', City &Classlf .- 3:173` Lic.#.1t3 Sq.Ft No No. Dw Arch.",Engr •; :. • _ size ' Stories Units Designer � � �inalas Fs: •As ACie�o: • ' ' New ❑ Add ❑ r -.w .:Alter ❑ Repair ❑ Dernohtlon t] f R E 21 USSPait3� :Cbaptt�a:r� Asea. T�t�34j53Z- 878 'City Zip 92 6 State { ✓yam " ,•p ICENSED CONTRACTOR'S DECLARATION If hereby , affirfthat I am licensed under pro4lsions of Chapter 9 (commencing with Section v r s 7000) of.Divislon 3 of the Business and.ProfessionsCr de, and my license isfih full,force,and" : N s'Y effect,/" • x r •..xao-a'-rm� _ 'y;.."'a'°" ..,.�'^1 w..:.�.: �.cA' -j., �''�' f . -f - i --. - - +-$1GNATURE•a"-.. Y' ✓- /".�..a""_ - '.✓ .J0 DATE - '• "• • ` '�-OWNER-BUILDER DECLARATION '. `"' � ' " • • a Y y�•: a Estimated Valuation ';�r� • �,� , thereby affirrn.that I ar exempt from the Contractors License Law for the following• �^ o .,reason: (Sec. 7031:5,Buslnsss and. Professions*Code::•Any city. or .county which requires+a'. permit to construct, atter, dmprove, demolish, or repair -.any structure,. -prior .to its issuance' also - - '- t.•,requires•the epplicant.:for such permit to lila.a. signed,statemenh that he is`11censed pursuant to PERMIT ;;,.";the. provisions. of the Contractor's ,License law, Chapter. 9- (commencing with Section .7000) of - - Division 3 o/ the'Susiness 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 •. Plan Chk:•Depr" - - ' i? •s-ubjebts the applicant lo.a cMi penalty of not more than rive hundred dollars ($500). . • - - -0 I, as owner. 'f the property, or myemployees.with wages as their sole.compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044;'Buisness and CpnSt. ,• ,. ��� o♦�, . '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, h ' - provided that such improvements are not intended or.offered for. sale.' If, ,.however,. the,.Mac bulfding . ' ' ` ''•' ',� � , ,, r, -. 3 . "� � •'' or Improvement is sold 'within , one year of'completion,- the -owner-builder will, have - the burden ¢ + ! ' 72. 0,6'- 4si of proving that. he did not build or improve for the`purpose of sale.) . - E1eCtrIC31 ., r ,. �'+ + - b V 93 }O'I, as owner.of'the property, am exclusively contracting with licensed. contractors to con- Plumbing struct 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 . -- S•M.1. -16' `s A b *� -.such projects with a contractors) licensed pursuant to the Contractor's License Law.) .�. �.. Gradin �O I amexempl under -Sec. B. & P.C. for this reason g Driveway Enc. Date A OwnerInfrastructure 3 fyry2', • 6M, Arts in b1 d. P'.�.t�eed 352.9�- i WORKERS' COMPENSATION DECLARATION C } - I hereby affirm that,4 have a certificate of consent -to self -insure, or"a•ceAificate of- -}'_' Worker's Compensation insurance, or a certified copy thereof_ (Sec: •3800;:Labor Code.) a Policy No. ' > Company ❑ Copyas filed with the city, ❑.Certified copy is hereby furnished. I ,TOTAL, w CERTIFICATE OF EXEMPTION FROM '"' " : WORKERst comPENSATION INSURANCE REMARKS (This section need he completed if the 'permit is for -one hundred- dollars ($100) : valuation , ^ .� . _ t' .. ..� . - - � � �• . �"� .� ' M , ' or less.)' . I certify that in the performance of thg work for.which this permit. is issued, I shall not : , employ anyperson in -any manner>so as to become subject to the Workers' Compensation _ , •,La Laws of California t ,. r NOTICE'TO APPLICANT. after making this Certificate, of you .'should become- '' ZONE: subject:to the.. Workers' Compensation provisions .of the Labor ;Code .you must forthwith MIr1lrnUm Setback Distances - ' comply with such provisions or this permit shall be deemed revoked - - - - -� r FrontiSetback from'Center Line.' j 4ac Rear Setback frorn Rear Prop. Line ' < WARNING: FAILURE TO'SECURE WORKERS' COMPENSATION COVERAGEISUNLAWFUL; AND .:.";04M�.+, M m� Side StreetSetback from,Center 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 E . a Side Setback;,f[om•P,roperty "line DAMAGES AS PROVIDED -FOR IN SECTION.3706.OF THE LABOR.'CODE, INTEREST AND p7 ATTORNEY'S FEES - . . ' •,.. Yx'-,fid r;`''" .Y �M c 1 FINALDATE '_ INSPECTOR This is a building pertn)t when property filled out; signed and validated .and is subtect•to s { expiration if work thereunder is suspended for 180 days. I•certify that I -have read this application and state that -the above.informetion ms comecl +s' Issued b *' Date Permits r ±t+ • I agree to comply with all city and county ordinances and state'laws relating to,building y s` K construction, and herebyfauthorize'representatives-•of` this,<cmt'y'to ehteruthe ove ab , mentioned property for mspecbof purposes r' v qfx',Validated by ? Signature p nature of a h� .r -a- 'r .- Xs z n s te� r `f r Daa � Mailing Address'� 71• w t. --" ; .4 Valldatlgn w� s ' City, State Zip rvF ' �rr' L •�4� �s �'.. � � sy +��•3'vr^�Y 4 r -. i �+Y R+f" „t... ui.4r' �• CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. p BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED • / LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 I ELECTRICAL HEATING & AIR COND. ' SOLAR SETBACK f QS / GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB.�4 BONDING 'HEATING (ROUGH) STORAGE TANK FORMS % 9J EWE OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /o �J /�� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL hsC3liS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. RADING cu. yd. r$— plus x$ _$ LUMBER GR. FRAMING - ROOFING 1`7 � � %� �J� l • / REMARKS: VENTILATION 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