15089 (SFD)ai4rr-
w
Building 78-495 CALLE TAMPICO
Address 47-930 Via Firenze LA QUINTA, CALIFORNIA 92253
Owner Cent ?Ir� -Iio,, CgMMI3ai'► "i.AeS
BUILDING: TYPE CONST: WN •' OCC: GRP.
Mailing: p'3
Address 1535 South "DO Street 61 `� 90 -fe11
A.P. Number
City Zip Tel. Lot 11 TrA,�t 26152 Phase 14
San $eraardin f CA 924:05 (909) 381-6601 Legal Description
Contractor Project Description SFp Plan 4
Addrcr
ess 'Spinnaker Cove -at Lake La Quina s
Tel.:
State Lic. I City I
Designer
& Classif.. ` �3 314473 Lic. # 2120 • Sq. Ft. No. No. Dw.
Size 2457 Stories Units
Arch., erW..,' Frank Gonxca.lea $r- Associates
Ads
.4-st. Chuan Ave. Tel(714) 532.687
CityState
_Orange, -CA Tf
p 92666 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'Pfofessions Code and my licenseis�lfulLfofce and
effecter
...•�-.zmy.+«,'"•,te'i°"''' "" ,.,w-^ .�M �✓'` it 4
SIGNATURE" -<"'..+- / ! DATE
OW NEWBUIL-DEWI7ECLARATION
I hereby affirm that I am'exer p_t=fro'm the Contractor's License Law for the fallowing
reason: (Sec. 7031.5,Business" &Td 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 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 violation of Section 7031.5 by 'any applicant for 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 or 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 improve for the purpose of sale.) . .
O 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) licensed pursuant to the, Contractor's License Law.)
❑ 1 am exempt under Sec. • B. & P.C.-for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby affirm that 1 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
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE.
(This section need not ;be completed if the permit is for one hundred dollars (8100) valuation
or less.) '
I certify that in the performance of the 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: If, 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. - -
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 ($100,000), 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. -
1 certify that I have read this applieation,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`" =` ' •
- ..
SI nature of a licant : •"T" / r
9 app Date
- , Mailing.Address
City, State, Zip
New ❑
Add ❑ Alter ❑ Repair ❑
.. r
Estimated Valuati
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech. + `
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
5f763..00
Infrastructure
Arts in Publ n'PlaE
TOTAL
AMOUNT
•Qin "
3,279 -.67 -
REMARKS 279'.67 -
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. -Line
Side Street Setback from Center'Line
Side Setback from Property Line
.FINAL DATE INSPECTOR
Issued by: Date Permit
:. Validated by: -
.Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW r.ES y
1ST FL. SO. FT. @ $
2ND FL. SO. FT. @'
POR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT. @
WALL SO. FT. @
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
I ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS �!
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) a6 METER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REINF. STEEL 3O 9'
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.
SO. FT. @ c
BATH TUB
FRAMING� J/
ry
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1+/e 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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK. f/
`
GROUND PLUMBIj
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
S
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS �!
EWER RS
ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF. �S
GAS (ROUGH) a6 METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL 3O 9'
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE I
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING� J/
ry
FINAL INSP.
ROOFING
Q/6 alAw
����
19/1/f � �/ L
REMARKS:
VENTILATION I
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL