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12805 (SFD)Building Address Owner Mailing Address City San Ste Contractor Address TAh �414 �rive P.O. BOX 1504 78-970 La Palma 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 . 1 Century Hones Colmiunities 1535 South ODD Sheet, Ste.. 200 Zip Tel. inardi-no. Cry, 92405 (909),381-6007 Zip I Tel. State Lic. ,R 314473 (City 2120 & Classif. Lic. # Arch., Engr., � Designer Benjamin Aguilar lar & ASSOC. �'10S Y Passero Avenue Tet -714; 359-6066 City Zip State V®rsdy"`C:A g2Ser}5 Lic:# I hereby affirm that -tam licensed under provisions.of Chapter 9 (commencing•witti Section D00) of DivisionN3 of the Business-and'Professiorie ode; and my.license is in full force and OWNER -BUILDER DECLARATION -1--hereby affirm that I am exerript'(rom 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 (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 of 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 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 t Date i Owner WORKERS' COMPENSATION DECLARATION 1 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 N ,. - • Company ❑ =opy is filed with ttie°city. ❑ Certified copy is hereby furnished. e CERTIFICATE OF EXEMPTION FROM k' 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 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 Ihereby 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 per 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. 12845 11LDING: TYPE CONST. OCC: GRP. P. Number 004«-161-007 Lot.72 Tract 23269 Phase 7A gal Description Project Description La Quinta FD SPlan 3X Del Rehr Sq. Ft. 1606 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $93,171.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 268.13 Const. 612.50 Mech. _ 49.00 Electrical 127.75 Plumbing 144.00 S.M.I. 9.40 Grading 20.00 Driveway Eno, .00 Infrastructure 2,058.10 TOTAL 3.538, 88 3.288.88 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. SQ. FT. ® $ UNITS UNDERGROUND ^ COLL, AREA YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® ROUGH PLUMB. MOBILEHOME SVC. BAR SINK POR. SD. FT. ® FORMS GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SQ. FT. @ DUCT WORK DRAINAGE PIPING -WALL SQ. FT. @' DRINKING FOUNTAIN. SQ. FT: @ URINAL ESTIMATED CONSTRUCTION VALUATION $ OTHER APPJEQUIP. WATER PIPING NOTE:.Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES - TEMP. POLE WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER WATER HEATER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY 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. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER VENTILATION 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 `4 UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING �7 FINAL INSP. ROOFING'^ // ✓ (s/l` �— L/ �j' U ' // REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 1LATHING O� MESH INSULATIONISOUND 5 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL yi..-�_.-._. _... .:. iC'� .L.•-�..: •6-..,. .: �. ., .i.-:. d„__..... 'M��iw._ a-. r4-wL.�.�_-.�,�-...,., _ _. .._ _�.,.. .. ... F.L_ IFN of Tit�r Df 14a Quinta IIU*tb*n� rind �s��et�r �ibi�inn 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 78-970 LA PALMA DRIVE Use Classification Single Family Dwelling Bldg. Permit No. 12805 Group R3 Type Construction Fire Zone Use Zone SR Owner of Building Century Homes Communitieglddress 1531, Snuth "n" Street' StP_ 200 ci��yyyyyy,,,,,��,��r� San Bernardino, CA 92408 By. Bruce Pelleti Pr Dote: July 8, 1994 Building Official POST IN A oaNf:?iCUOU! ►LACI