14135 (SFD)Building 44-154 Camino Lavanda
Address
Owner
Century Homes Communities
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailin
Address 1535 South *D1 Street, Ste. 200
City Zip Tel.
San Hsraardino, Chi 92408 ( 94911381-6007
Same
Address
City Zip Tela
State Ljo. 8 334473 City 2124
& Classif. Lic. #
Arch- Engr.;
Designer $tt�S3 83>1111` Ag 331�tr a Assoc.
Tel
_ 0 s1+assero Avenitte (714)359-6066
citRiverside. zip 92505 Lic.t#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (corgm`encing with Section
7000) of Division 3 of the;Business.arid Professfiwo`ns,Code, and;my license is in full force and
SIGNATURE t'. r-�'" r. /��••/ 1I r./,,Y� / 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 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 rive hundred dollars ($500).
O 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
or proving that he did not build or improve for the purpose of sale.)
O I, 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 or property who builds or improves thereon, and who contracts for
such projects with a contractors) 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
❑ 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 youshould 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.
BUILDING: TYPE CONST. VN OCC: GRP.
A.P. Number 6041-184-061
14135
Legal Description Lot 12 Tract 25294 Phase Y
Project Description SFD Pan 2X
Rancho Gcoti.11o 0 La Quinta Worte
Sq. Ft. No. No. Dw.
Size 1965 Stories Units -
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $11fi t 025.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
584.85
Const.
699.00
Mech.
55.50
Electrical
140.74
Plumbing
144.00
S.M.I.
11.60
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,560.28
Arts xi Publ ' a Places
40.06
Validation:
TOTAL
4,256.03
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:
- 1
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
* '
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
DUCTWORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
ETER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. I SQ. FT. ®
GAS (FINAL) r
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
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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' I
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE azzyhy
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
C Ile
ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
I
GAS (ROUGH)7 it
1,01M
ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) r
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. Z
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING /
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAT NG
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIO a
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
of
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This Certificate 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
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 44-150 Camino Lavanda
Use Classification Single Family Dwelling Bldg. Permit No. 14135
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Century Homes Communities dress 1535 South "D" St., Ste. 200
City San Bernardino, CA 92408 Bruce Pelletier
By.
Dote: February 13, 1995
Building Official t.
POST IN A CONe?ICUOU! PLACE
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