14066 (SFD)Building
Address
Owner
Mailin
Address 1535. South "D" Street, Ste. 200
City lZip Tel.
San Be3rnardin , Cs 9240E (909)381-6007
Contractor
Same
Address °
030 P.O. BOX 1504
44 Camino Lavanda LA QUINTA CALIFORNIA 92253
Century Homes Communities
Zip
State Lic. City
& Classif. S. 31.4473 Lic. # 2120
-Arch., Engr., Frnzik Goxiiales Assoc.
Designer
A S3 i5 ChapMan Ave. Tel.
Cif'" Zip State
t8ralta ge,./Ca 92666 Lic. #
J• LICENSED CONTRACTOR'S DECLARATION /
I hereby,affirm that I am licensed under provisions,ohChapter 9 tcommencing;with Section/
I 7000) of Division 33 of the Business and Professions Code, and•m`y license is ',,'f u11 force andr
C OP DATE
OWN ER -BU I L-D.tlj�.DE&ARATION 1
I hereby affirm that I am exempt froni'the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professlons 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).
❑ 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.)
❑ 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
IDate 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
❑ 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.
1 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. 14066
BUILDING: TYPE CONST. VNOCC. GRP.
A.P. Number 6()4-180-'4 066
Legal Description 1,0'bract 25290 Phase I
Project Description SFD Flan :.4
Rancho Ocotillo @ La Quinta Tarte
Sq. Ft. No. No. Dw.
Size 2436 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $146,0.73.043
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
664.75
Const.
$04.00
Mech.
49.00
Electrical
160;.. 56
Plumbing
150.00
s. M.l.
14.61
Grading
20.00
Driveway Enc.
.00
Infrastructure
3,236.37
Arts in Publ..c Places
TOTAL
5 t 2 IL iV. 4 _7,1
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 DATE INSPECTOR
Issued by: Date_ Permit
Validated by:
Validation: _
11
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
r •.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SO. FT. ®
GAS (FINAL)
WALL SQ. FT.
DRINKING FOUNTAIN
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
RADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
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.
SQ. FT. ® c
BATH TUB
SPARK ARREST R
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
MESH
INSU TION/SOU D l
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 D Z
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER rrPttm
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)ETER
LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
RADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
�J♦,y��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARREST R
GAR. FIREW LL
LATHING 'v q
MESH
INSU TION/SOU D l
FI SH GRADI
/NAL INSPE ION v�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL I L
M
> dl m
FS WS
A � pan'cg
L1 i of 14 d (0111*11ta
llillitbthi still) �Safvt 3141ilmotill
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building,
Code certifying that at the tame of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 44-030 Camino Lavanda
Use Classification Single Family Dwelling Bldg. Permit No. 14066
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Century Homes Communities�ddress 1535 South "D" St., Ste. 200
City San Bernardino, CA 92408 Bruce Pelletier
By;
Buildinq Dote: January;'27, 1995
Official
POST IN A CONSPICUOUS PLACE