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12801 (SFD)1 ' 7 ( IiIJI��-'� •i ' 4 X 1504 _p,_ 78-1 50CALOLE ESTADO ` Building 7II-62€i Sallitcz Drive ' Address LA QUINTA, CALIFORNIA 92253 Owner Century Homes Co unities Mailing 1535 South 'D" Street, Ste. 200 City Zip Tel. San Bernardino I 'CA. 9240 (909)381-6007 Contractor Same Address City lZip I Tela State Lic. B 314473(city 2120 & Classif. Lic. # Arcn., tngr., Benjamin Aguilar & Assoc. Designer SdvMs Pa>ssero Avenue Ta7143 359-6066 Wiverside,-CK1 IZIp 92505 I Lion. # .. LICENSED CONTRACTOR'S DECLARATION— I hereby affirm that=I am licensed under provisions<of•Cliapter 9 (commencing with Section 0) Division 3'6f the Business and..Professions_Code,� my -lice -rise is in full force and ff00ect.of - �^ SIGNATURE-�-� - _✓"� DATE OWNE946ILDER 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 contractor(s) licensed pursuant to the Contractor's License Law.) O 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 mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) PolicI P : Company ElZopy 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.) 1 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 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. ALDING: TYPE CONST. OCC: GRP. P. Number (504-174-034 Legal Description Lot 17.9 Tract 23269 Project Description S_PD Plan 5X La Quinta Del Rey Phase 9A Sq. Ft. 2010 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation JP11 / �5 PERMIT r AMOUNT Plan Chk. Dep. :W. UU Plan Chk. Bal. -��• Const. Mech. _ 49. t1 Electrical 141.153 Plumbing • ou .S.M.I. • Grading etU. ou Driveway Enc. .00 Infrastructure z s bza • Ufa Arts in FUMIt Places 35.15 TOTAL • its 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 frora.Zroperty Line FINAL DATE Issued by: Validated by: Validation: as .. , 1111 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS Z; SLAB GRADE 3 YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. p ROCK STORAGE FOUND. REINF. GAS (ROUGH) O POWER OUTLET ROOF DRAINS GAR. SQ. FT:® REINF. STEEL GAS (FINAL) p TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® WATER HEATER SERVICE WALL SO. FT. DRINKING FOUNTAIN. WATER SYSTEM URINAL SQ. FT: ® LUMBER GR. FINAL INSP. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. 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 LAUNDRYTRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION CERT. OCC. 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 3 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWERROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) O METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) p TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. FRAMING571-MYV 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 Flhl �cF,yoF,�9tiSw I i � Ilii Ttttin II ln� il � I! ! This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildin P 4 9. it Code certifying that at the time of issuance this structure was in compliance with the various j ordinances of the City regulating building construction or use. For the following: BUILDING ADDRESS 78-620. Sanita Drive I I Use Classification Single Family Dwelling 12801 Bldg. Permit No. I I Group R3 Type Construction VN Fin Zone Use Zone SR i i i 11I Owner of Building Century Homes .o m»n i ti e+4 Address 1 535 Smith "n" Street, ste _ 2nn 1 i i City San Aprnardi nn CA 92411R! By'.Bruce Pelletier ! � r. I, Date; July 18, 1994 ' Buildin Official g PONT IN A CONN?ICUOUN PLACE NAN/NG _—_ S _