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14136 (SFD)P.O. BOX 1504 N o . 14136 Building 4.4-W Camino Lavanda 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Century Homes Communities Mailing BUILDING: TYPE CONST. VN OCC: GRP. R3 Address 1535 South "D" Street, Ste. 200 604-184-063 A.P. Number city zip Tel. Lot 14 Track 25290 Phase Z San Bernardino, CA 9240$ (909) 381--6007 Legal Description ContractorProject Description R PlanSame Rancho Ocotillo @ La Quinta Norte i ArtrfrASS City Tela State Lic. 0 314473 (City 2120 & Classif. Lic. # - Designer •Engr., . $enf alriin AC,juilar & Assoc. i Designer Passe-ro Avenue TJ'714) 359-6066 versifier CA Zip 9.2505 lint# c� 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 Professions Code, and -my license is in 1u11 force and effect SIGNATURE..+•-'- -�'..a."""'�T � DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt'from the Contractors 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 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). ❑ 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 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 contractor(s) licensed 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 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. CONSTRUCTION LENDING AGENCY 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.) Lender's Name Lender's Address 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. ,1 certify that I have read this application 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. Signature of applicant Date Mailing Address City, State, Zip ZONE: BY: Minimum Setback Distances: Sq. Ft. No. Size 1905 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Side Street Setback from Center Line Side Setback from Property Line ,,,�.. �� FINAL DATE INSPECTOR r (­ D Estimated Valuation $116,025.00 to Permit PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 584.85 Const. 699.00 Mech. 55.50 Electrical 140:74 Plumbing 144.00 S.M.I. 11.60 Grading 20.00 Driveway Enc. 00 Infrastructure 2,560.28 Arts .in Publl.a c Places 40.06 TOTAL 4,256.03 V 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 r (­ D Issued by:A to Permit Validated by: Validation: I 4- CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. S0. FT. DUCTWORK ROCKSTORAGE FOUND. REINF. ilk MOBILEHOME SVC. BAR SINK POR. S0. FT. ® REINF. STEEL GAS (FINAL)61( 6 TEMP. POLE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CARP. SO. FT. ® WATER SYSTEM GRADING Cu. yd. $ plus x$ WALL SO. Ff. LUMBER GR. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER 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, 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+/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FENCE FINAL 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 tl UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE L KJA Ad ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TA ROUGH WIRING DUCTWORK ROCKSTORAGE FOUND. REINF. ilk GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL)61( 6 TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING Cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. ah L63 a FRAMING 3 FINAL INSP. ROOFING /r / (/% V 01 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA ING /7?� MESH INSULATION/SOUND /C FINISH GRADING / FINAL INSPECTION �✓ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL ani (� 'tvt of Orr! 1'f L Crit of IlttI�itinta 1111t*lbthl� -'dlib �afvt�J 31ilitkit*1011 This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: . BUILDING ADDRESS 44-210 Camino Lavanda Use Classification Single Family Dwelling Bldg. Permit No. 14136 Group R3 Type Construction VN Fre Zone Use Zone SR Pelletier t % By, Qy Date: February 14, 1995 � -w Building Official POST IN A CONSPICUOUS PLACE Owner of Buildin9century Homes Communities Address 1535 South "D" St., Ste. 200 city San Bernardino, CA 92408 BY: