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Home My WebLink About4867 (RPL)-048 7 P.O. BOX 1504 'Building 78-105 CALLE ESTADO -77-163 Mazatlan Address QUINT,A,CALIFORNIA _92253' State Lic. & Classif.. Arch.; Engr., Designer Address Tel. 564-6244 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Santa Rosa Cove_ Legal Description SPA Project Description 378318 City Lic. #S4 'Ft. No. No. Dw. L__1Size Stories Units Zip State L• 44 New 0 Add 0 Alter 0 Repair 0 Demolition 0 REMARKS -Mailing fc' • -Address LICENSED CONTRACTOR'S DECLARATIONt I hereby affirm that I am licensed under pr6visions of Chapibr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and millicense is in full forcebnd effect. V1% City La Quint zip T Contractor ., 11 1 narrile.- tbnstructior Address OWNER -BUILDER DECLARATION d, I hereby affirm that I am exempt from the Contractors License Law for the following reason: (sec. 7031.5,gusiness and Professions Code: Any city or county which requires a permit to. construct, atter, 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 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 five hundred dollars ($500). 0 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 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-buflder will have the burden of proving that he did not build or improve for the purpose of sale.) 0 1, 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 contract ' or(s) licensed pursuant to the Contractor's License Law.) 0 1 am I exempt under Sec.B. & P.C. for this reason 0Bwt 154-0 City 7p P IA 92 253 State Lic. & Classif.. Arch.; Engr., Designer Address Tel. 564-6244 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Santa Rosa Cove_ Legal Description SPA Project Description 378318 City Lic. #S4 'Ft. No. No. Dw. L__1Size Stories Units Zip State L• 44 New 0 Add 0 Alter 0 Repair 0 Demolition 0 r CERTIFICATE OF EXEMPTION FROM - REMARKS • LICENSED CONTRACTOR'S DECLARATIONt I hereby affirm that I am licensed under pr6visions of Chapibr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and millicense is in full forcebnd effect. V1% or less.) I certify, that in the performance of thp work for which this permit Is issued, I shall not .1 l,f DATE OWNER -BUILDER DECLARATION d, I hereby affirm that I am exempt from the Contractors License Law for the following reason: (sec. 7031.5,gusiness and Professions Code: Any city or county which requires a permit to. construct, atter, 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 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 five hundred dollars ($500). 0 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 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-buflder will have the burden of proving that he did not build or improve for the purpose of sale.) 0 1, 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 contract ' or(s) licensed pursuant to the Contractor's License Law.) 0 1 am I exempt under Sec.B. & P.C. for this reason Estimated Valuation $6,000 PERMIT AMOUNT Plan Chk. Dep. .$40 62 Plan Chk. Bal. Const. 62*'50 Mech. 20 • 00 Electrical 16 00 Plumbing 14.00 S. M. 1. 50 Grading Rear Setback from Rear Prop. Line Driveway Enc. DateOwnerInfrastructure I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) WORKERS' COMPENSATION DECLARATION. lehereby affirm that I have a certificate of consent to, self -insure; or a certificate of Workrs Compensation Insurance, or a certified copy therebf.' (Sec. 3800, Labor Code.) Policy No. `Company q5copy is filed with the city. 0 Certified copy is hereby furnishi;d. Side Setback from Property Line Lender's 4 Name, Lender's Address FINAL PATE, TOTAL I zz> 'Znc:'PCA r CERTIFICATE OF EXEMPTION FROM - REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($106) valuation Q or less.) I certify, that in the performance of thp 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'ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: comply with such provisions or this permit shall be deemed revoked. Minimum Front Setback from Center Line., Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's 4 Name, Lender's Address FINAL PATE, to This is'a-building permit whe-n'p perly filled out, signed and validated, and is subject to ---..;-INSPECTOR expiration it work thereunder is suspended for 180 days. I certify that I have read this application and -state that the above information is correct. , Issued by: -Date Permit .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 inspection purposes. by: Yalida.ted Signatureofapplicant' Date - • Mailing Address Validation:- • City, State, Zip. WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, JC , 0- GOLDENROD - ASSESSOR'S OFFICE HARD COPY _FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING fI.ES IST FL SO FT y S UNITS SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. a FORMS SEWER OR SEPTIC TANK POR SO FTar MOBILEHOME SVC. BAR SINK GARSO. FT. f(t POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP.IEOUIP. DRAINAGE PIPING CAR P. I SO FT. g TEMP. POLE WALL SO. FT. (d GROUT DRINKING FOUNTAIN SO. FT. a FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation -$ FLOOR DRAIN MECHANICAL FEES FRAMING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER REMARKS: GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 g 1Y. c SEWAGE DISPOSAL MESH SO.FT.GAR JVc HOUSE SEWER INSULATIONISOUND 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 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.IEOUIP. REINF. STEEL Vt 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 INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL