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10176 (SFD)}` 1 Building Address 78_825 Sanita Dr Dissociates, L.P. 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 1535 S. "!)- St #200 City Zip Tel. San Bernardino1 92448 714/381--6007 Contractor Century Homes Communities same as above Zip State Lic. Gity & Classif. 314473 B1 I Lic. a 2120 Arch., Engr., Designer Franck Gonzales 6c Assoc. Address Tel. 1336 E. Chapman Ave. 714/532-6878 CityZip State Orange 92666 Lic. ff C 016343 LICENSED CONTRACTOR'S DECLARATION I hereto ffi 0 that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofj'jDilvi 3 of the Business and Professions Code, and my license is in full force -and ,':effect. 11 L OWNER -BUILDER DECLARATION I hereby affirm that I 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, 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). ❑ 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. 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 lhg 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 o/ 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. (Seca 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 if work thereunder is suspended for 180 days. I 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 No. 10176 LDING: TYPE CONST. OCC: GRP.; P. Number Description Lot 85 Project Description Phase 2 Plan. 2CF: Sq. Ft -No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit cues not include block wall or pool Estimated Valuation 72,496 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 197.56 Const. 518.0 4 Mech. 49.00 Electrical 115.77 ,Plumbing 144.00 S.M.I. 7.30 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1631.16 TOTAL -2952.79 2702.79 REMARKS. g. O)[yy uy� .... 5!V_1 y -i: �'L�_1 �, Z�f E V4" t 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: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST 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 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) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 ® 1 Vic SEWAGE DISPOSAL SO.FT.GAR ® Vbc HOUSE SEWER REMARKS GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 APPJEOUIP. 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 F114AL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIFINMALS GARDEN WALL FINAL Phase 2, Plan.2CR, Lot 85 CITY.OF u ou1NTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-224;00ECTIONS 24-HOUR NOTICE F Owr»r CTB Associates *PP Contrador Century HomesX)jE1F=unitjP5 Perm R Number 1017 6 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-825 Sanita Drive Permit does not include block wall or pool TYPE OF INSPECTION 9A7 INSP. FOUNDATION & SETBACK 7 Z MAIN•GROUND SYSTEM GROUND PLUMBING L ALL JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST 6S 9y HEATING &VENT - A/C 1 FIREPLACE IT ❑ 4' ❑ 8' ING 1 PRE -ROOF COVER NO WC DRYWALL INTERIOR] EXTERIOR LATH POOL PRE PLASTER POOL FENCE 8 GATE 'SEWER SEPTIC TANK ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TEMP POWER 4188 L ABOVE HAS B 4 - ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING III ug _Q31aft .. MMMREE5?1� Tit of 'Ila(Quinta �SafCt�lluftbiu�anb �ik�if iRli 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 ADDkESS 78-825 Sanita Drive Use Classification SFD Bldg. Permit No. 10176 Group R3 Type Conste . uction VN Fire Zone use zone R1 0 . wner of Building CTB, Associates;_ L.P. Address 1535 S. "D" St #200 city San- Bernardino, CA 92408i8y; . Mark Harold 61_� x Building Date; 6/24/92 POST IN A CON04000US PLACE