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15090 (SFD)44 P.O. BOX 1504 N o . 15090 Building 78-495 CALLE TAMPICO. Address 47-'900 Via Firenze LA OUINTA, CALIFORNIA 92253 Owner Century Homes Cornn bitiev Mailing' Address 1535 South nUl" ' Street City - Zip ITel.. Sari Bernardino: CA 92408 1(909)381-6007 Contractor .8 ac e Address ity IZIP I Tel.: State Lic. City & Classif.. ';} 3,14473-: Lic. # 2120 Arch., Engr., Frahk Gonzales & ' -Designer ,AbSoCiates . = 13 ds Past. Chapman Ave. T11710 532-6878 CityZip 895.60 State 0ra.n Rerr..C�1 l92666 Lic.# ,LICENSED CONTRACTOR'S DECLARATION I heteby affirm thatI am licensed under provisions of Chapter 9 (commencing with Section 7000)rof Division°3 of the Business and,P.rofessions Codejland my license is in full force and effects Y _. '.. A A. ^` OWNER•BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for the following reason: (Sec.-7031,5,Business and Professions Code: Any city or county which requires a - permit to construct, alter, Improve, demolish, or repair any structure, prior•to Its issuance also requires the applicant for such permit to ,fife 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 .tor 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 prope.4y 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 sate.,lf, 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- 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 such projects with a contractors) rlcensed 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 No. Company O 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 thg work for which this permit is issued, I siall not employ any person in any manner so as to become subject to.the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: M, 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. - r BUILDING: -TYPE CONST. OCC: GRP. R3 A.P. Number 6177 790- 012 Legal Description Lot. 1.2 Tract 26152 Phase 1B s Project Description SFD. plan 4CL -Spinnaker Cave gat Lake La guInta . Sq. Ft. No. . Size 3036. Stories New ❑ Add ❑ Alter ❑ r No. Dw. Units Repair 'Demolition:❑ 3timated Valuation ..$172,969.00 PERMIT AMOUNT Plan Chk. Dep.' . Plan Chk. Bal. --742.82 Const: ' 895.60 Mech. a 89.50 _ Electrical '178.04' Plumbing 168. 00, S.M.I. 17.30 Grading 20.00 Driveway Enc. .00 Infrastructure 3,891.81 TOTAL. 6 i9�aa REMARKS 7, ZONE: BY: Minimum Setback Distances:., Front Setback from Center Line -.... Rear Setback from Rear Prop. Line' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,'AND Side Street Setback 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, - Side Setback from Property Line DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. FINAL DATE INSPECTOR - 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. 1 certify that I have read this'. application and state that the above information is correct. Issued by: Date Permit I agree to comply with all,city and county ordinances and state lawsjelating to building construction, and hereby9authorize, representatives' -of this aty:.to enter the above-. mentioned property for nspection purpose ,- " � j jJ ��' Validated by: Signature of applicant .�`:. - . "=J.� " Date f ? j Mailing Address .« P Validation: City, iState,,Zip=" �._ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINv FEES IST FL. SQ. FT. @ $ UNITS SLAB GRADE 9 2ND FL. SQ. FT. @ BONDING YARD SPKLR SYSTEM POR. SO. FT. @ MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CAR P. S0. FT. @' <05AS` (ROUGH) ��1�� li� 7 DRAINAGE PIPING WALL SQ. FT. @ OTHER APPJEQUIP. DRINKING FOUNTAIN SQ. 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 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FRAMING Q/ n Ja GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED /S� �//� �S CJ W LAUNDRY TRAY 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 SPARK ARRESTOR SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1 % c SEWAGE DISPOSAL LATHING S SQ.FT.GAR @ 3/ic 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 ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 5 GROUND PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 9 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS , 9� EWER R S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �1 d� <05AS` (ROUGH) ��1�� li� 7 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL 3� 9i GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. G7 FRAMING Q/ n Ja FINAL INSP. ROOFING �✓�� /S� �//� �S CJ W �l REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING S MESH INSULATIONISOUND 9� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESIINITIALS GARDEN WALL FINAL