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12793 (SFD)
T 0 144 Wyl Q9114a P.O. BOX 1504 Building 78-$45 Sanita Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Century Ramos Communities mailing Address 1535 South "DO Street, Ste. 200 City Zip Tel. San Rernardinc, CA 92408 (909) 381--6+ 07 Contractor Same Address Zip State Lic. B 314473 (City 2120 & Classif. Lic. # DesArch.ergr Benjamin Aguilar & Assoc. 9 9 r 1 Passero Avenue Te(714) 359-606 CityZip State Riverside, CA 92505 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that.l am Iicensedvnder-provisiofis�of'Chapter 9 (commencing with Section 47000) of Division 3-6f the,Busliiess'and PrOfedsioris.Code, and my.license`is'in full force and effect. %, 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, 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). ❑ 1, 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 orimprovement 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 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 Worke/.D'y 'mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) PolicCompany 0 s filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it 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 stale 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. 12T93 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 604-174-004 Legal Description L®t 169 Tract 23269 Phase 7A Project Description SFD Plan 4X La Quinta Dei Rey Sq. Ft. No. No. Dw. Size 1818 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102,819.00 PERMIT AMOUNT Plan Chk. Dep. 2.50.00 Plan Chk. Bal. 304.49 Const. 650.00 Mech. 55.50 — Electrical 135.45 Plumbing 168.00 .S.M.I. 10.28 Grading 20.00 Driveway Enc. 00 Infrastructure 2,313.43 -ts in Public Places 25.00 TOTAL 3,932.15 3e682.15 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 Progefty ' to FINAL DATE I Issued by:— Validated by: Validation: 03 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. p $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SO. FT. FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GROUT POWER OUTLET ROOF DRAINS GAR. SO. FT. ® BOND BEAM WATER SYSTEM FINAL INSP. tj FINAL INSP. GRADING cu. yd. $ plus x$ =$ DRAINAGE PIPING CAR P. SO. FT. ® ROOFING �U WALL SO. FT. DRINKING FOUNTAIN. 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 'M SIGN WASHER(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 FENCE FINAL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GARDEN WALL FINAL SO.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 PLUMBIN 71 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �j FORMS ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK SEWER K OUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. tj FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. Jr FRAMING ROOFING �U © /�% �1{4� (/— "(�// > llll���' / REMARKS: VENTILATIONIL FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING rL T MESH INSULATION/SOUND �� y FINISH GRADING FINAL INSPECTION CERT. OCC. . FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL M ��; � I �I Dill IT OF THE Cott uf. InQU"rota fet� t to t1a W, tb*n� dub" Ad This Certificatelstued 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 buildingxonstruction or use. For the following: BUILDING, -ADDRESS Sanita Drive.. Single Family D"lling 12.793 Use ClassificoI!ion Bldg. Parmit'No. Group R3 Type Construction VN Flre Zoea it Use Zone SR Owner of Building Century, Homes Conungni t- iP'-RAddress 1 SIE; South "1111 Street, 'Si -p- 200i City San Rprnardinn- ra Q9AOR By. Brm-p- Pelletier pt--,ipr. Date; July 15, 1994 Building Official PM INA OO 4iUOUW PLAtt