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12800 (SFD)f P.O. BOX 1504 . Building 78-610 Sanity Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Century Homes Communities ,address 1535 South "D" Street,, Ste. 'U0 City Zip Tel. San Bernardin , CA 92408 (909) 381-600 Contractor Same Address ty jZip State Lic.g 314473 (city 2120 & Classif. Lic. # Arch., Engr., Benjamin Aguilar & ASSOC. Designer � Aa4eS��assero Avenue Tel`714 11 359-604 City Zip State Riverside, CA. 92505 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,l am licensed under provisions of•Chapter 9 (commencing with Section 7900) of Division.3 of the Business and Professions Code, and.my licensel-s in full force and SIGNATURE DATE OWNEWI3UILDER DECLARATION I hereby affirm that I am exempl..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 o1 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 (5500). ❑ 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 or 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 or 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.) PolicyN Company Opis 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 (5100) 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 or Exemption you should become subject to the Workers' Compensation provisions or 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 604-174-013 Legal Description Lot 178 Tract 23269 Phase 7A Project Description SFD Plan U La Quinta Del Frey Sq. Ft. No. Size 1818 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102,819.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 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 2v313.43 Arts 3n Publi daces 25.00 TOTAL 3,932.15 3,6.82.15 REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line FINAL DAT Issued by:_ Validated b Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEE- - . 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING P1 HEATING (ROUGH) YARD SPKLR SYSTEM 2ND FL. SO. FT. SEWER 9R 6EP ROUGH WIRING DUCT WORK ROCK STORAGE MOBILEHOME SVC. BAR SINK POR. SO. FT. ® HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL POWER OUTLET ROOF DRAINS GAR. SO. FT. ® GROUT WATER HEATER SERVICE DRAINAGE PIPING CAR P. SO. FT. p BOND BEAM WATER SYSTEM WALL SO. FT. ® GRADING cu. yd. $ plus -x$-=$ DRINKING FOUNTAIN LUMBER GR. FINAL INSP URINAL SO. FT. ® ROOFING VENTILATION kj /� / __ �/ [� I1 V 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 WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED SPARK ARRESTOR LAUNDRYTRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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 FINISH GRADING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.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 PLUMBIN 1 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3VA ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER 9R 6EP ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. /�/\ GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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 FRAMING �7 / , e FINAL INSP. �Y ROOFING VENTILATION kj /� / __ �/ [� I1 V �- REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING Gl MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL,FINAL :;�/.!' 1 �: �� i �►111 � ;, � . ; � �i��i� �r �-°=moo ;. r uta to stn � � JDtRIUMM., 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 ADDRESS 78-610 Sanita Drive Use Classification Single Family Dwelling Bldg. Permit No. 12800 Group R3 Type Construction SIN Fire Zone Use Zone SR Owner of BuildingCenturyHomes CommunitiesCommunities Address 1 S'4S Ro h "n" S _r1 h _ , Ste- 200200 r .ME.T.111MR-11 91 Bruce Pelletier y Dote: July 18, 1994 ng Official POST IN A OObe'►ICU,OUs PIACt