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12817 (SFD)P.O. BOX 1504 N o . 1281 Building 78--570 Estelo Co=t 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Century Homes Comunities Mailing BUILDING: TYPE CONST.' OCC. GRP. - Address 1535 South "D" Street, Ste. 200504-174-€124 A.P. Number City. Zip Tel. Lot 385 Tract 23269 Phase 7A San Bernardino CA 92408 1(909)381 6007 Legal Description Contractor Same Address - Zip ! State Ljc. B 314473 (City 2120 & Classif. Lic. # Arch., Engr.,- Designer Benjamin Aguilar & ASSOC. vms Te Passero ,Avenue {1'714) 359-6066 City , r' Zip State Riverside,. CA 92505 LiD. # LICENSED CONTRACTOR'S DECLARATION�' �..— I hereby affirm that I am licensed under provisions of Chapler9'(commencing with Section 7000) of Division 3 of the Business and Professions Code; and.my°license is in full force and ./effect/. :' ''� .� ` -SIGNATURE • DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buslness 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). O 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 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.) ❑ 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.) 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 Corllpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy Company Copy 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.) 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 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 Project Description SE PIS SX La Quinta Del Rey Sq. Ft. +2010 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $114,058.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 328.44 Const. 592.00 Mech. 49.00 Electrical 141.63 Plumbing 144.00 S.M.I. 11.50 Grading 20.00 Driveway Enc. .00 Infrastructure 2.528.06 Arts in Public -Places. 35.15 TOTAL 4,199.78 3,949.78 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 PrqpefityvLorve_ r FINAL DATE INSP11� OR t� Issued by: Date 1 J it_ Validated by: 03 Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING . ES IST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING HEATING (ROUGH) Y ARD SPKLR SYSTEM 2ND FL. S0. FT. Q SEWER ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® 1 METER LOOP HEATING (FINAL) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS 'r ' tY TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. @ WATER HEATER SERVICE WALL SO. FT. DRINKING FOUNTAIN SO. FT. ® FINAL INSP. / / �v wr� �(29(we � � ' URINAL ESTIMATED CONSTRUCTION VALUATION $ LUMBER GR. WATER PIPING NOTE: Not to be used as property tax valuation FIRE ZONE ROOFING FLOOR DRAIN MECHANICAL FEES GAR. FIREWALL WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER INSPECTOR'S SIGNATURES/INITIALS 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 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 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 { m SETBACK GROUND PLUMBING �], UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3 J� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 1 METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) 'r ' tY TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. �� yy FINAL INSP. / / �v wr� �(29(we � � ' GRADING cu. yd. $ plus x$ _$ LUMBER GR. FRAMING ROOFINGREMARKS: f". (/J' VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUN 1j FINISH GRADING FINAL INSPECTION CERT. OCC. . FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL OWN 4 14"A OF (LI t t Ka Autnta Q- r Ytl� i c Sit P ' t, tot n 33 ,Jhis; 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 iconstruction or use.,- For the following: 4 8 -7570 ftte16.Court , Single Family -Dwelling 12817 Use Classification Bldg. Permit No. �� Group R3 Type Construction VN. —Fire Zone Use Zone SR owner of Building Century Homes C6m unitie'i Address 1535 5 I' 35 South D" Street, Ste. 200 V , - San Bernardino, CA 92408 City By! jBruce Pelletier July 20, 1994 Building Official 15.4, ,M1 IN 00l1lfli000Ys IILACV-