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12792 (SFD)TW�t 4 4 a" Building 78-655 Sanita Drive Address Owner Century Homes Ca unities Address City San $i Contractor Same Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 1535 South "D" Street, Ste. 200 Zip Tel. Lot 168 Tract 23269 Phase 7A rnardifo, CA 9208 (909) 3816007 Legal Description Project Description S" Plan 5X La Quanta Del. Rey No. BUILDING: TYPE CONST. OCC: GRP. A.P. Number 604-174-003 12792 Zip ate Lic. Gity &tCla sif. B 314473 I Lic. # 2120 Arch., Engr., Designer Benjamin Aguilar a Assoc. WOPasses Avenue Te(714)359-6061 Cit Zip State CR CA 92505 Lic. # LICENSED CONTRACTOR'S DECLARATION`, hereby affirm that'( am licensed under provisions of Chapter 9 -(commencing with Section �p7000) of..Division�3 of the Business apd.Profe''9sions Code .and.myiicense is in full force and QEeffecl. SIGNATURE- DATE OWN ER-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, 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 thathe 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.) ❑ 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 contractors) 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.) PolicyA'd, Company ❑ 0py 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 thg 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 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 Sq. Ft. 2010 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ f stimated Valuation $114048.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 2e "" `'"' Const. —.05 • h A Mech. ' Electrical "".63— "'Plumbing Plumbing ' vv S. M.I. A Grading ' v Driveway Enc. 0. Jnfrastructure� 4i q A TOTAL t r i. r 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 DA1 Issued by:_ Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS c '" p ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ STORAGE TANK FORMS SEWER 0W6Et7Z= rK MOBILEHOME SVC. BAR SINK POR. SQ. FT. p FOUND. REINF. \1 GAS (ROUGH) METER LOOP POWER OUTLET DRAINS GAR. SQ. FT. ® GAS (FINAL) / IROOF DRAINAGE PIPING CAR P. SQ. FT. ® SERVICE FINAL INSP. WALL SQ. FT. ® BOND BEAM DRINKING FOUNTAIN FINAL INSP. GRADING cu. yd. $ plus x$ URINAL SQ. FT. ® 7 6 R MING �% ESTIMATED CONSTRUCTION VALUATION $ �r � ' MI i(A/S 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 FIREPLACE 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. SQ. FT. ® c BATH TUB 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 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 )I UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE Z ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 0W6Et7Z= rK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. \1 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) / TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ _$ LU BE GR. 7 6 R MING �% ROOFING �r � ' MI i(A/S REMARKS: ` VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING (� MESH INSULATION/SOU N D FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL j. A, OF `' i i I� I j �� 9 --- , �; ;tit. �s b Cit W F, This Certificate issued pursuant to the requirements of Section 306 of the UniformBuifilding! 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 -!- -:78655.Sanita;Dr'ive,. Single Family Dwelling Use Clossificotion Bldg. Permit No. 12792 4 Group RI Type Construction VN Fire zone Use Zoni SR Owner of Building Century Homes Cammunitip-'-q A*ddress. 1 S1 E; Sniii-h "n" strie'et t go City Rt--rnArti inn Q24QR Byl Rriiop- PP I I tai- i P -r Date; July 15, 1994 Building Official P69* IN: k 000'i"C66" PLACI