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14645 (SFD)Building Address I 45-080 $ridg@tt P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 —1.1 Century Homes Co=aunities I Address 1535 South *D' Street, Ste. 200 City Zip Tel. San Bernardino CA 92408 1(909)381-6007 Contractor Same Address Zip .)tate LIC. B 314473 RALY 2i2G S Classif. Lic. # Desi Arcn.nergr 9 Benjamin Aguilar & Assoc. 010s Passero avenue T(714) 359-61366 City--- Zip State Riversides CAf 92505 Lic.# ' LICENSED CONTRACTOR'S DECLARATION I hereby -4.1 -firm that I am licensed'u der provisions-oYChapter 9 (commencing with Section 7000),pf"Division 3 of the Busttiess and Professions Code,.and my license, i n ful %force and..• SIGNATUR OWNER -BUILDER DECLARATION ` I hereby affirm that"! 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 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 five 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 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 inprove 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 contractor(s) #censed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I herbby affirm that I have a certificate of consent to self -insure, or a certificate of WorkV9 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) POIi No. Company 110 Copy is filed with the city. O 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 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: It, 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agreeto 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. Signature of applicant Date Mailing Address City, State, Zip No. 14645 LDING: TYPE CONST. VN OCC. GRP. P. Number R3 M Legal Description Lot 8 Tract 26188 Phase 1 Project Description $FII Plan Del Rey at La Quinta Norte Minimum Setback Distances: Front Setback from Center Line Sq. Ft. Size 1678 No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Setback from Property Line FINAL DATE INSPECTOR Issued by: L-- Date Permit Validated by: Validation: Estimated Valuation $105,247.00 \t PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 553.17 Const. 660.50 Mech. 49.00 Electrical 136.65 Plumbing 138.00 S.M.I. 10.52 Grading 20.00 Driveway Enc. 00 Infrastructure 2,368.06 Arts in Public Places 20.00 TOTAL 3,955.90 REMARKS t 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: L-- Date Permit Validated by: Validation: \t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES IST FL. SO. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. S0. FT. p FORMS SEWER ORS I ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. GROUT WATER HEATER WALL SQ. Ff. SERVICE DRINKING FOUNTAIN SO. FT. ® BOND BEAM URINAL ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 11-71 S FLOOR DRAIN MECHANICAL FEES ROOFING \ (� ���/ VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+A c SEWAGE DISPOSAL INSULATION/SOUND21 SO.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING FINAL INSPECTION 1 CERT. OCC. 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 GROUND PLUMBI41 UNDERGROUND A.C. UNIT COLL. AREA ' SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ORS I ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. \ GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. 11-71 S FRAMING FINAL INSP. ROOFING \ (� ���/ VENTILATION ©[n � l` /f J� U REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING t% MESH INSULATION/SOUND21 FINISH GRADING FINAL INSPECTION 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL