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12799 (SFD)44 • • �0" .. 1. -h P.O. BOX 1504 N o . 12799 Building 78-600 Santa Drive 78-105 CALLE ESTADO Aririracc LA QUINTA, CALIFORNIA 92253 Owner Century Homes Communities Mail BUILDING: TYPE CONST. OCC. GRP. Address 1,535 South "D` Street, Ste. 200 604-174-012 CiyA.P. Number Stan a 3errtardin€m'zi CA 92448 T 4909) 381-6007 Legal Description of 177 Tract 23269 Phage 7A Contractor Project Description SFD Plan 5X Same Address La Quinta Del Rey Zip State Lic.314473 City 212p & Classif. Lic. # Des rgr eBenjamin Aguilar & Assoc. 9 W:r;ss Passero Avenue '1710359-6066 Cit Zip State Ri�versidd, 92585 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby -affirm that I am licensed under provisio�f'-Chaptef 9 (commencing with Section 7000) of ivisi . of the•Biisiness`and Professlbns Code;land'my license is in full force and OWNER"BUILDER DECLARATION 1 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). ❑ I, as owner of the properly, 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Dale 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 d Company Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE (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= affirm that there is a construction lending agency for the performance of the work for..vlhich 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 sof this city to enter the above.. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip 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: Sq- Ft. 2010 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ $114,058.00 Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 254.00 Plan Chk. Bal. 326.44 Const. 692.00 Mech. _ 49.00 Electrical 141.63 . Plumbing 144.00 .S.M.I. 11.50 Grading 20.00 Driveway Enc. .OQ. Infrastructure 2.5-2-8. 06 A_r_t n P= o Places 35.15 TOTAL ♦ 99.7>d 3, 9 . if 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 1ST FL. SO. FT. ® $ UNITS SLAB GRADE f !` ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. STORAGE TANK FORMS SEWER MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® FOUND. REINF. GAS (ROUGH) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS REINF. STEEL GAS (FINAL)L DRAINAGE PIPING CAR P. SO. FT. GROUT WALL SO. FT. SERVICE DRINKING FOUNTAIN BOND BEAM URINAL SO. FT. ® GRADING cu. yd. $ plus x$ =$ ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. v WATER PIPING NOTE: Not to be used as property tax valuation / L/ ROOFING L 4 VENTILATION 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 MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION CERT. OCC. S 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 n ELECTRICAL - HEATING & AIR COND. SOLAR r �rtv SETBACK GROUND PLUMBING 9 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL)L TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. v FRAMING FINAL INSP. / L/ ROOFING L 4 VENTILATION Q /` (J ✓ I �12-71,P REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND 4 FINISH GRADING FINAL INSPECTION CERT. OCC. S FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL iii A -Z Cott .rid �� ut�� utl t t Mon 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 78-600--Sanita Drive Use Classification Single Family. Dwelling Bldg. Permit No. 12799 Group R3 Type Construction VN Fir* Zone Use Zone SR Owner of Buildingrg-ni-iiry Hnmp--, rnnrmijnji-j,---, Address 1531; Snitith "0" Si-ri-ip-j-P St -p- 2QQ — I CRY q;;n Rtny-nartlinn, rA 9?AnA Bruce Pelletier Datmiuly 18, 1994 Building Official PON in A wimew-mUuuu PLACE