14608 (TT)4`14
t!'�GGv
7.
P.O. BOX 1504 ' N o .'�r
Building 78-495 CALLE TAMPICO y
Address of K. OUINTA, CALIFORNIA 92253
Ov9iter CE'.A'ittLry Homes Communities
Mailing BUILDING: TYPE CONST: : OCCGRP. • '
Address 3535 s6lith "Do. Streot, Ste. 200
A.P: Number d. r Z 0— 0
City Zip. Tel. Tract. 26152
n �3ern' 44th �. CA 9208 (g0-�� 381~ 0.0.7 Legal Description'
Contractor ' '�e1tip'i3:�rcry Sales Trailor
.. Project Description
awe
Vintage IIpmes ,-at Spinnaker Coxae .. t
.Address...
Larne La Quints
City
Zip
Tel.: ._..
.state Lic B'.314473
City 2120,.'..'.
4 A.
& Classif: i .
Lic. #Sq.
Ft_ No. " No. Dw.
'
Size.- Stories --Units
,.-Arch.;•Engr.; 56rx zdid A i��,lak & Ataw:�`�s
Designer •: -
New ❑,;- ' Add ❑ Alter ❑ '' :' Repair ❑ Demolition ❑
A.irasyt�ta>C AvenueTe�714)
359-'6066
e _
_.:1.
.. ..i
- ... .... .. a .. .. _ •..,.• ,
Cit
• - givers. O
Zi
p. 92505-
State
Lic: .
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$,, ,
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? LICENSED CONTRACTOR'S DECLARATION . ,
I hereby affirm that I am licensed under Chapter 9 4
provisions of (commencing withSection-
7000) of Division.3 of the Business and Professions -Code, and -my license is in full force and
k
effect. 1,_
,• •. `. ��.�_
SIGNATURE DATE :
OWNER•BUILDERDECLARATION
,
Estimated Valuation,.. F '
I hereby affirm that I am exempt from the Contractor's License Law. for. the. following
�� '
.reason: (Sec. 7031.5,Buslness,,and • Professions. Code; -Any, pity or - county! which. requires a -
- - •L'
- I
- PERMIT •' - AMOUNT - '
permit to construct, after, Improve, demolish, or -repair any structure, prior to its. issuance• also.
the applicant for, such permit to file a signed statement that he Is. licensed: pursuant to
'"'regdlres
,1he',provrsions of the Contractor's License,Law, Chapter 9_ (commencing with Section 7000), of
'Divisiod "i of the* Business and Professions Code, or that. he !s exempt therefrom, and the basis. ••
-
'Dep.: ', '
for -the alleged exemption. Any, violation of Section 7031.5. by 'any applicant forr a permit
.:.Plan Chk. •
' • subjects the appfidant to a civil penalty of not more than five hundred'dollars.($500): •• . '
- - -
Plan Chk. 1381.
❑ I, as owner of the property,.or my,employees with wages as their sole compensation,.will •.
Const.,
-
• 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
Mech. - - t
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
Electrical - ^• •' `` -
or Improvement is sold within one year of -completion, the owner -builder. will have the burden
-. of proving that he did not build or bnprove for the purpose of sale.)
Plumbing' - - q- -
O -I, as owner of the property, am exclusively contracting with licensed contractors to con-
' struet the project: (Sec. 7044, Business -and •Professions Code: •The Contractor's. License 'Law
_ ... ••
S.M.I.. - - •. '. .•
does, not apply to an owner of property,who builds or Improves thereon, and'who contracts for..
-.•sLcli•projects with a contractors) [rcensed pursuant to the Contractor's License Law.) ^-
Grading
O I am*exempt under Sec. B. & P.C. for this reason
Driveway Enc. -
=;Date Owner
Infrastructure
-200.00
WORKERS' COMPENSATION DECLARATION
-1 hereby affirm that I have a certificate of'oonsent 'to self -insure, or'a certificate of'.
Worker's Compensation Insurance, or a certified, copy thereof. (Sec, 3800, Labor Code.)
- " - •. '-,;x'�
' Policy No. Company f,,
. .
O' Copy.Is filed with the city.'. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM.
REMARKS
• WORKERS' COMPENSATION, INSU RANCE'. oS •'.
-
(This section need'not be completed, ff. the permit is for -one hundred,dollars ($100) valuation•
or less.)
I certify that In the performance of the work'for which this permit is issued, d shall not
+
employ any person in any manner so as to becorr e'subject to the Workers' Compensation _
Laws of California
'Date Owner ' • - '
NOTICE TO APPLICANT: If;. after making, this Certificate of Exemption, you - should become
'
ZONE- BY:
.- subject to (tie Workers' Compensation provisions of. the . -Labor Code;- you mus!. forthwith-
comply with such provisions orthis permit shalrbedeemed revoked. -
-
-'MinimumSetblckDistances:.
Front Setback from Center Line
_ ...
Rear Setback fromRear Prop:. Line '
WARNING: FAILURE.TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND .
'Side'St�eet 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 3706 OF THE LABOR CODE, INTEREST, AND •
.
ATTORNEY'S FEES.
i INSPECTOR
-- This is a building permit when properly;filled out, signed and validated, and is subject to.:
expiration if work thereunderAs suspended for 180 days.
FINAL DATE
f ���
I certify that I have read this application and state that the above information is correct.
Issued b Date �'� Perr6it�_
y_
1 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 inspectfon.pu poses.
Vel ldated by:
of applicant Date -
uSignature
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. I $
UNITS
SLAB GRADE
2ND FL. SO. FT. p
BONDING
YARD SPKLR SYSTEM •
POR. SO. FT. p
MOBILEHOME SVC.
BAR SINK
I
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. p
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. p
OTHER APP./EQUIP.
DRINKING FOUNTAIN
I
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
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE I DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR I SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT I CFM
KITCHEN SINK
ABSORPTION SYSTEM I B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HPI
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED I GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U. I
SO. FT. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U. I
SO. FT. RESID p 11/4 c
SEWAGE DISPOSAL
I
SO.FT.GAR p 3/4c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE I
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE I PLUMBING ELECTRICAL HEATING B 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 APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus -x$_=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL