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12193 (SFD)'{ i P.O. 1504 Building 78-'795 tiylleta. Drive 78-1 5 CALOLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner I Jr Century NOmes Communities Mailin Address 1535 South "DO Street City Zip Tel. Saga Perna3rdi4, CA 9240 (909) 381"6007 Contractor Same City State Lic. City & Classif. g 314473 Lic. # 212; Arch., Engr., Designer Benj&Ti3.n Aguilar Associates A �& Pasdero Ave. Tt71411359-6806 cikive sic e, Cp,Izip925 35 I Limit# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ff't:•r"r + { _ , _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,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 thathe 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 (8500). 0 1, as owner of the property, cr 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 Contractcr'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.) ❑ 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) Bcensed 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 Noy 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 (8100) 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 Dale Mailing Address City, Stale, Zip No. 12193 11LDING: TYPE CONST. OCC: GRP. P. Number IMMMXM 604-142-005- Legal 04-142-005 Legal Description LOt 165 Tract 23269 Phase 63 Project Description SFD plan 5CXR TOTAL 4,199.78,/ 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 y FINAL DP Issued by Validated Validatior Sq. F120i0 Size No. No. Dw. Stories Units New f Add ❑ _ Alter ❑ Repair ❑ Demolition ❑ Permit does not include -block walls or pool. Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 578.44 Const. 692.00 . 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 I TOTAL 4,199.78,/ 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 y FINAL DP Issued by Validated Validatior IV, CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. %PwMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SQ. FT. ® TEMP. POLE GROUT'+, DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. BOND BEAM WATER SYSTEM DRINKING FOUNTAIN. WALL SD. FT. =$ LUMBER GR. FINAL INSP. URINAL SQ. FT. g ROOFING ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE 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 ® 11/a 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 SETBACK GROUND PLUMBING 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 APPJEOUIP. 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL CITY OF u OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT rIi i' U il�llld BUILDING DIVISION 564-2246 1944 -HOUR NOTICE FOR INSPECTIONS Owner Century Contractor Same Permit Number 1219 3 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 78-705 Villeta SFD Permit does not include block walls or pool. TYPE OF INSPECTION DATE INSP. FOUNDATION 8 SETBACK /`�"✓ �„ ; i .FOOTING STEEL STEEL L_/ Z_/6 MAN GROUND SYSTEM GROUND PLUMBING % �. �. ''i 1/i.• - DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED rntiraaTI: cI as,7� r 77 JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH PLUMBING ROUGH GAS 8 GAS TEST HEATING & VENT - A/C O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING INSULATION PRE -ROOF I i COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER FINALS ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 "A . - . �ut��t� �u� ��P� �•t�t�tuu � . This Certificate issued pursuant to the requirements of Section 3,06 of the Uniform Building! 6de'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. 78-705'Villeta Drive Use Classification— Single Family Dwelling Bldg. Permit No. 12193 Group R3 Type Construction VN Fire Zone Use Zone SR Century Homes Communities 1535 South "D" Street Owner of Building Address City San Bernardino, CA-92408— By; Bruce Pelletier Date; March 22, 1994 Building Official POST IN A CON6VIC1,101,13 PLACE