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12821 (SFD)Building 4.4--330 Vi2ieta Drive Address Owner Century €Tomes Communities P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 2.535 South "D" Street, Ste. 200 CityZip Tel. San Bernardino, CA 924083 1(909)381-6007 Contractor Same Address State Cla slf. S 314473 City &# 2120 Arch., Engr., Designer Benjamin Aguilar t ASSOC. Address Tel. 5459 Passero Avenue (714) 359•-6066 City Zip State PdVerOL$e, CA 92505 Lic. #,1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,l am licensed under provisions;of-Chapter 9 (commencing with Section 7000) of Division 3,6f the Business and Professions Code, and my�lice✓nse,is in full force and effect'• y �✓,.– ,s /' FSIGNATURE I _✓" DATE OWN ER�BUILDER'IJECLARATION 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 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 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, asowner 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company IP opy 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 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, alter 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 sof this city to enter the above-. mentioned property for inspection purposes. Signature of applicant— Date Mailing Address City, State, Zip No. 12821. JILDING: TYPE CONST. OCC: GRP. P. Number 604-1:44--022 Description t 237 Tract 23269 Phase 79 Project Description r �FD Plan 4X ' La Quinta Del Rev Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $102,819.00 PERMIT AMOUNT Plan Chk. Dep: 250.00 Plan Chk. Bal 304.49 Const. 650.0 Mech. 55.50 • Electrical 235.45 Plumbing 268.00 .S. M.I. 10.28. Grading 20.00 Driveway Enc. .00' Infrastructure 2,313.43 Arts in Pub1J c Places 25.00 TOTAL 3,932.15 3.692.15 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 Pri per-ty-UQ& w FINAL DATE INS OR Issued by: Date PPleymit Validated by: (� HH KK it1994 1U1 I Validation: By CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ $ UNITS SLAB GRADE ROUGH PLUMB. I BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS f SEWERROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. @ (ROUGHtlrAhMETER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. @ GAS (FINAL) TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. @ FINAL INSP. WALL SO. FT. @ DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ =$ URINAL SO. FT. @ ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES I WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1+/. 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 4 ETTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. I BONDING HEATING (ROUGH) STORAGE TANK FORMS f SEWERROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF.GAS 141/p (ROUGHtlrAhMETER LOOP HEATING (FINAL) OTHER APPJEOUIP. REIN F. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING , /YIry� • Y �U /jam f� �v 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 1, i I � i ,fF�Y�� • `,.` - 4ti, L + . }". r'fi { ' M l'. ��. .l: Y'h . � � j r •!.• _�rS., t (�/ t, 1 i ' ! t't+ _�.% � .` w +RIR . C. � � f � t`y ,/ /�� '� �q • i . • f. �� 1I ''- i� i •,f' � ! � +r :i 71 it '6 : i f e.t".Q � #:•t'Y.i ^• � `Pi _y ' � � �.r I � I ' I , � I � � <�. l.' 1 r •e fel.. �� h < � � _ 1.�.,.. q•• S` tyr.. ' `�. * `1` i '.f � Ai• � t 3 � 1 •(H. �/ Vnn yS •l t i S� � ;}�_.ih }1 t•. f �- Y �,+ 7 / � t 1 �I I I � 3 t��4 4i 1 `� V = �i T�,�"��, ri. kir ✓ E. OF I , i , • ( I I h*�� ' A t, r,.; r ; t' 31 �..� r EY .fit` tY.J. i �� , •.! :/ S [ 'i y`� , ,+t ! n�'r �� +• , I i I � � I I � s.+ 3 r'. �A�; {ti �qt A )�..•,in� i Y�� -/1'� ♦ � i' I� This'!$Certiflcate `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 J� ;! ! i ""'ordinances �'ordinances of the City regulating building construction or use. For the following: I :1 44-330'yilleta DriveBUILDING:;ADDRESSe Single.-...Family 'Dwelling=_: 21,coton .uss.Claesifii . . I ; i III Group R3 Type 'Construction VN Fire" Zone" Uss Ione SR Owner of Building Century Homes Communitie�g. Address X535 South D Street, Ste 200 i San Bernardino, CA 92408 II city Y Y By; Bruce Pelletier 1' i July 20, 1994 ..!111 1:006 z,!'�r `"', X'K Dots: ✓4 fc' Bu ding Official - { 'Posy ----- — OU! PLACC NAN/N6 — -