14073 (SFD)1
4
I P.O. BOX 1504 No. 1.4073
Building 78-105 44--240 Camino Lavan$a LA QUINTACCALIFORNIA92253
Address _
Owner Century Homes Communities
BUILDING: TYPE CONST. VN OCC: GRP.
Mailin
Address 1535 South *D" Street o Ste. 200604-193--025
A.P. Number
City Zip Tel. ' Lot 15 Tract 2529th Phase 1
San. Bernardlino, Ca 92408 (909) 381--60€ 7 Legal Description
Contractor. SFD Plan - 3X
Staff
Project Description
Address . Rancho Ocotillo f La Quinta Norte
City Zip Tel
State Lic. City
'& Classif. IS, 314473 Lic. # 2120 Sq. Ft. No: No. Dw.
Size 2216 - Stories Units
Arch:, Engr.; ""PinarGonZcaies Assoc. _ _.
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Al.330 Z. Chapman Ave. Tel.
City Zip State
CiaIIcE:, C$,,.,/'', 92666 Lic. #
LICENSED CONTRACTOR'S DECLARATION j
I hereby affirm that I am"licensed under provisions of Chapter9_(com�ncing with Section
7000) of Division 3 of the Business and Professions Code, and'rny license is,iinn fullll force%anndd
ct.
effect.
SIGNATURE-- 8 I A DATE
OWN ER. BUILDER.DECLARATION
I hereby affirm that I am exempt.from'the Contractor's License Law for the following
,-t reason: (Sec. 7031.5,Business and`Professions Code: Any city or county which requires a
s',- permit to construct, after, 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).
❑ 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
orimprovement 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 contractor(s) licensed pursuant to the Contractor's License Law.)
O 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 hundreddollars($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 Cal forma.
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
ateMailing Address
City, State, Zip
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Cent Line -
J
Rear Setback from R r Prop. Line
Side Street Setbac from Center Line
Estimated Valuation $13201481i.00
PERMIT AMOUNT
/ SECTOR
-Plan Chk. Dep.
Plan Chk. Bal.' - 627.50
Da Permit
Const. 755.00
_
�'��
Mech. 55.50
Electrical 151.18
Plumbing' 144.00
.S.M.I. 13.25
_
Grading 20.00
Driveway Enc. .00
Infrastructure 2,930.54_
Arts in Public Places 81..20
TOTAL 4,778.17
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Cent Line -
Rear Setback from R r Prop. Line
Side Street Setbac from Center Line
Side Setback fro Property Line
FINAL DATE
/ SECTOR
Issued by:
Da Permit
_
�'��
Validated by._, •
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
P
so
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
ROCKSTORAGE
FOUND. REINF.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. I SQ. FT. ®
GAS (FINAL) zj,i3 TEMP. POLE
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN
WATER HEATER
SERVICE
URINAL
SQ. FT. ®
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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
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
INSULATION/SOUND f y
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
�f UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
so
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC NK ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL O
GAS (FINAL) zj,i3 TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
,GRADING
- cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. 7 /OIL
f
FRAMING /
FINAL INSP.
ROOFING II
v
01
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH '
INSULATION/SOUND f y
FINISH GRADING
FINAL INSPECTI / l
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
%*,vt
of f,Is_
Tj�g
Tit�T of Ila Wuinta
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 -240 -Camino Lavanda
Use Classification Single Family Dwelling Bldg. Permit No. 14073
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Century Homes Communities Address 1535 South "D" St., Ste. 200
City San Bernar ino, 2408
By; Bruce Pelletier
Date: February 13, 1995
Building Official
POST IN A CONSPICUOUS PLACE