14060 (SFD)Building 44-185 Camino Lavanda
Address
Century Homes Communities
Mailing
Address 1535 South *D*
CityZip
San Bernardin>, Ca
Contractor
Sate
Address
Zip
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Street, Ste. 244
24081Tel.
(909)381-6007,
State Lic.
Phase I
Norte
City
& Classif. B
314473
Lic. # 2120
Arch.,gr
Des 9 .
Frank Gonzales Assoc., Design
A 1dYJ% E.
Chapman Ave.
Tel.
City
Alter ❑ Repair ❑
Zip
State
orange,
Ca " Jr
92665
Lic. #
LICENSED CONTRACTOR'S DECLARATION r
I hereby affirm that I am licensed under provisions of Chapter -9 (commencing with Section
7000) of Division -3 of
effect.
the Business•and Professions Code, -,!and my license is ig full forcg and
�. 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 of not more than five hundred dollars (5500).
O 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,
i 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.)
❑ 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 of 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. R P.C. for this reason
Date Owner
I
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'COMPENSATIONINSURANCE
(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 the 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.
1 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.
11LDING: TYPE CONST. VN OCC. GRP
P. Number 604-180-858
14060
R3
,Legal Description Lot 1 Tract 25290
Project Description SFD Plan 4
Rancho ocotillo @ La Quinta
Phase I
Norte
Sq. Ft.
Size 2
No. No.
—Stories Units
Dw.
Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$146,073.00
PERMIT
AMOUNT
Plan Chk. Dep.
664.75
Plan Chk. Bal.
804.00
Const.
49.00
Mech.
_
160.56
Electrical
150.00
Plumbing
14.61
S.M.I.
20.00
Grading
.00
Driveway Enc.
'
Infrastructure
3p236.37
Arta in Public Places
115.18
TOTAL
5,214.47 _
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
DUCTWORK
ROCKSTORAGE
FOUND. REINF. l
l
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
REINF. STEEL `
GAS (FINAL) TEMP. POLE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT. ®
LUMBER GR.
DRINKING FOUNTAIN
/�
FRAMING J N
FINAL INSP.
URINAL
SO FT ®
REMARKS:
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. 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 E1CTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING V I UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE O
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER QR SE ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF. l
l
GAS (ROUGH) ETER 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 J N
FINAL INSP.
ROOFING V11-�
� 'n �
r7y
`
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPAR ARRESTOR
GAR. IREWALL
LATH NG
ME
IN ULATIONISOUND I
NISH GRADING
FINAL INSPECTION -71
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
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Trtt
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Nliltb[It� alib �Szlfjot�J 31t*h'I5�L1ITi
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
44-185
Camino Lavanda
Use Classification Single
Family
Dwelling
Bldg. Permit No.
Group R3 Type Construction VN Fire Zone
Owner of Building Century Homes Communities Address _
San Bernardino CA 92408
14060
Use Zone SR
1535 South "D" St., Ste. 200
City BY, Bruce Pelletier
Dote: February 2, 1995
Building Official
POST IN A CONSPICUOUS PLACE