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12790 (SFD)• QUM L P.O. BOX 1504 No. 12794 Building 78-x675 Sanita Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 century Homes communities Mailing Address 1535 South ODO Street Ste. 200 City Zip Tel. San Bernardi , CA 9240J (909)382-6047 Contractor ress Ci Zip I Tel. State Lic. City & Classif. B 314473 Lic. # 2120 Arch., Engr., Designer Benjamin in Aguilar &,. k-ssoc. Address Tel. 5459 Passero Avenue (714) 359-606 City Zip State River—Side, CAI 92505 Lic. #- LICENSED CONTRACTOR'S -DECLARATION I hereby affirm�ttiat I am licensed under proAi$ii)hs cm of Cha�teF9•(commeng with Section . 00),of Division 3 of_the Business.and°Profess.God67and my license is in full force and OWNER-9UILDER 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, 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). O 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.) O 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.) O 1 am exempt under Sec. B. & P.C. for this reason 3 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:ol, Company OLCopy 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. Dale 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 if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. 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. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST. OCC. GRP. A.P. Number 604-174--001 Legal Description Lot 166 Tract 23269 Phase 7A Project Description SFD Plan 5X La Quanta Dei Rey Sq. Ft. 2010 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter O Repair ❑ Demolition ❑ Estimated Valuation $114,058.00 PERMIT AMOUNT Plan Chk. Dep. `r Plan Chk. Bal. 328.44 Const. 692.00 Mech. 49.00 Electrical 141,.63., - Plumbing 144.00 S.M.I. 1.1.50 Grading 20.00 Driveway Enc. .00 Infrastructure 2t528.06 Arts in Public Places TOTAL 4,1.99.78 3,949.78 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 DAl Issued by:_ Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES COLL. AREA SLAB GRADE r HEATING (ROUGH) STORAGE TANK � 1ST FL. SQ. FT. ® $ UNITS ROCK STORAGE FOUND. REINF. 1 GAS (ROUGH) METER LOOP YARD SPKLR SYSTEM 2ND FL. SO. FT. REINF. STEELMV GAS (FINAL) TEMP. POLE 4 MOBILEHOME SVC. BAR SINK POR. SO. FT. ® FINAL INSP. BOND BEAM POWER OUTLET ROOF DRAINS GAR. SO. FT. p LUMBER GR. FINAL INSP. 7j FRAMING (7 FINAL INSP. DRAINAGE PIPING CARP. SQ. FT. ® REMARKS: WALL SQ. FT. ® DRINKING FOUNTAIN VENTILATION URINAL SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN - MECHANICAL FEES 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB INSPECTOR'S SIGNATURESIINITIALS SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUM �� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR ROUGH WIRING If DUCT WORK ROCK STORAGE FOUND. REINF. 1 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEELMV GAS (FINAL) TEMP. POLE 4 GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 7j FRAMING (7 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 SIGNATURESIINITIALS GARDEN WALL FINAL I _�`MIN >�{i''I I I — i •-. ///r � -- .IIIIIh� �I I i I IRK W OF lot h1s t U4 In a ,Oaf U tif'i".�cat*t'�ll-i-"s'sued pursuant to the requirements of Section 306 of the::, This Certificates 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 �6,78-675 Sanita Diive_ Use CIfts0iodtion -Single Family Dwelling j t No.12790` Bldg. N Mi Group R3 Type Construction VN Fire Z On" 0 use zone SR Owner of Building' Century Homes Communities Address 16-S Smith 'IT)" SfrPP-i-, Si- gn 2nn City Rernardinn- rA Q94nR Ala Building Official 11 POST 11f -E'A 011 By: Rrllr-p PP I 101 i P-7 Date; July 15, 1994 PICUOUS PLAU