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12822 (SFD)P.O. BOX 1504 Building 44-340, V lle a Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 CeAtury Homes Communities Mailing Address 1535 South ODO Street, Ste. 200 CityZip Tel. San Rernardins CA 92408 1(909)381-60-07 Contractor Same Address ty lZip State Lic. B 3144713 (City 2120 & Classif. Lic. # Arch., Engr., Designer Benjamin Aguilar & ASSOC. SdMs Passero Avenue T1714)359-6066 i1413 59-6065 Cit �,---- Zip State 94erside; • C'AA 92505 Lic. # f , ' LICENSED CONTRACTOR'S DECLARATION•, — I hereby affirm that,l am licensed under-provisibns of Chapter9{c'ommencing with.Section 000) of Division 3 of the Business.and'Professions Cpde;'and-my license•is"Wfull force and 1 OWNER -BUILDER DECLARATION 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, atter, 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 Prof9ssions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any %lolation 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). ❑ 1, 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.) O 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.) 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.) Polic�y NN Ccmpany IT'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 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 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 No. 12822 BUILDING: TYPE CONST. OCC: GRP. ,A.P. Number 604-144-02i ,Legal Description Lot 238 Tract. 23269 Project Description SPIE Plan SX La Quinta Bel Rey . Phase 7.i 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. 692.00 Mech. 49.00 Electrical 141-91 Plumbing 144.00 S.M.I. 11.50 Grading 20.. 0 Driveway Enc. .00 Infrastructure 2,528.06 Arts in Pubic Places 35.15 TOTAL 4,199.79 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 Property Line FINAL DP Issued by Validated Validatior CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. p $ UNITS COLL, AREA SLAB GRADE t YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. g POWER OUTLET ROOF DRAINS GAR. SQ. FT. p HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL v DRAINAGE PIPING CAR P. _SQ. FT. ® WALL SQ. FT. DRINKING FOUNTAIN SERVICE FINAL INSP. URINAL SQ. FT. ® - WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ -Plus-x$-=$ WATER PIPING NOTE Not to be used as property tax valuation FINAL INSPId-9 V/;)' FLOOR DRAIN MECHANICAL FEES ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. SQ. FT. ® c BATH TUB SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER FINISH GRADING FINAL INSPECTION I 14a CERT. OCC. 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 � rr» SETBACK GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE t ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. g GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL v GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-x$-=$ LUMBER GR. FINAL INSPId-9 V/;)' FRAMING FINAL INSP. ROOFING � � / - `..�,p/J j ```��/ / � (L / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION I 14a CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL X] W., TM, . I' OW N Ry N rg4_ 0 A �N•��K* Ed. U au 34t 'his 'Ceetifkati issued pursuant to the requirements of Section 306. of the Uniform Building! time of issuance this structure was in compliance with the various ,-.?,,VCode certifying that at the ordinances of the City regulating- building,- construction or use,. For the following: __340,villeta..Drive', i; BUILDING'� ADDRESS' ' 5�. . f; ,{ Single Family -Dwelling. ti Use Clossif6tion Bldg. Permit No. ''12822 Group R3 Type Construction VN Sri Z'oneUse Zone SR, 4 Owner of Building, Century Homes Communities Address].535South% "DII Street, Ste, 200& C. t San Bernardino, CA 92408 Y t tsy!,a., Bruce Pelletier -'July 20, 1994 Date; all ----------- rd--, Official Building t Building Official Oi'A 6460US PLAC2 ,OtL Yn j