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12815 (SFD)4 P.O. BOX 1504 Building 44--375 Vilieta [Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Century Homes Communities Mailing Address 1535 South *D" Street, Ste. 200 CityZip Tel. San Bernardino CA 92408 1(909)381-6007 Contractor Sane Address ty lZip I Tela State Lic.,S 314473 (City 2120 & Classif. Lic. # Arch., Engr., Designer Benjamin Aguilar & Assoc. 91T4S Passero Avenue TM0 359-6066 City -° Zip State Riversidt� , CA 92505 Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (comencin'g with Section 7000) of Division 3 of tm he Business and Professions Code, and-my-Iicense is in full force and ,,!effect. _�'J .r^` /• __.C� SIGNATURE— -+�'- -. ,.�"' /' �-"'""' ..�"'.+` .,� _�...�— DATE OWN ER-BUILDER'bCZ E-ARQTION �elyhereby affirm that I am exempt from h_ 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 or not more than five hundred dollars ($500). ❑ 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 or 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 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 iGopy 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 tha 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. 12815 )ILDING: TYPE CONST.. OCC. GRP. P. Number 604-174-015 Description Lot 180 Tract 23269 Phase 7R Project Description SPD Pian 5XL ,a Quinta.Del Rey ZONE: BY: Minimum Set back'Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street'Setback from Center Line Side Setback from Property Line FINAL DAl Issued by:_ Validated t Validation: Sq. Ft. 2467 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $$136,144.00 PERMIT AMOUNT Plan Chk. Dep. 250.00 ' Plan Chk. Bal. 390.4 Const. 769.00 Mech. 49.uu Electrical 157.45 Plumbing 156.00 S.M.I. 13.61 Grading 20.00 0 Driveway Enc. .00. Infrastructure 3,0 3.2 .Art: in Pu 1 e Places 90.36 TOTAL 41959.16 4,709.1b REMARKS ` ZONE: BY: Minimum Set back'Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street'Setback from Center Line Side Setback from Property Line FINAL DAl Issued by:_ Validated t Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FJES_ :1 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER VR-JEfff9:+*NK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE I GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL SQ. FT. ® WATER SYSTEM FINAL INSP. DRINKING FOUNTAIN GRADING cu. yd. $ plus x$ =$ URINAL SQ. FT. ® ROOFING7, VENTILATION O /� OL{, U// w \ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation. 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 SPARK ARRESTOR LAUNDRYTRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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 FINISH GRADING 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 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 PLUMBING fS UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER VR-JEfff9:+*NK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) :71-1/ TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. S GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING7, VENTILATION O /� OL{, U// w \ n �K l af (/ REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND 9 FINISH GRADING FINAL INSPECTI CERT. OCC. -712 FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL N. • ''i' t. fLD. Iy . �^ l..ae.w. Sw�• � � *" ..r �.. j ` 4 yy �' r [.. OF 1 41 ' ..` ,. ° �' s r.�. _>:f r�� •T �� i "711■ t.i ♦ r L-. c � 4i 3; �... _ } r :. ;.�'��' 5i... Wfl ,iot This Certificate issued pursuant to the requi"cements of Section 306 of the UniformBulldingl Code certifying that at the time of issuance this structure was in compliance with the various. ordinances of the City regulating buildinggconstruction or use. For the following: 44-375 . Villeta DriveN BUILDING: ADDRESS IN Use Classification Single Family Dwelling 12815�� " Bldg. Permit No. � r'• Group R3 Type Construction VN r' Fln Zone -7 Use zon SR` Y oOwn r t Building uil inqcentury Homes Cruni o"Address ross 15* 5 South L .2 ^D" Streets Ste_ 20� City S Be Bruce Pelletier ;Dots. July 15, 1994 Building Official -w r a • .. , ..\5........ •' s�osr;a�tii�'ooi!�encuaus P1�./�YC '4'� r