11964 (SFD)P.O. BOX 1504 No. 11964
Building78-710 Sanita Drive LA QUINOTA, CALIFORNIA 92253
Address
Owner Century Homes Communities
MailinBUILDING: TYPE CONST. OCC. GRP.
Address 1535 South ADA StreetA.P. Number
60,4-172-002
City Zip Tel.
Sar Bernardino 92408 (714)381-6007 Legal Description_
Contractor Project Description
Sane
Address
Zip
State Lic. 314473 I City 2126
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City (Zip (State
C. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that.l am licensed under provisions of Chapter 9 (commencing with Section
7000 of Division 3fbfp}th Busine s and Prof ssions Code, and m license is in full foro8 and
effect. bl �o I � yI /17142 -
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 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
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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent J6 self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
f4tGopy 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 thq 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.
1 , 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Lot 96 Tract 23269 Phase 0A
SFD Platt 2m
Sq. Ft. 126,2 No. No. Dw.
Size Stories Units
New EX Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does n.®t include block walls or
pool.
Estimated Valuation $75,328.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
207.25
Const.
531.50
Mech.
49. 00
Electrical
115.87
Plumbing
144.00
S.M.I.
7.60
Grading
20.00
Driveway Enc.
—0—
Infrastructure
1,06.64
TOTAL
�s 2.i731.cS
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'
Validated by:
Validation:
Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
Ii F
YARD SPKLR SYSTEM
2ND FL. SO. FT. p
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SQ. FT. @
WALL SQ. FT.
DRINKING FOUNTAIN.
SERVICE
FINAL INSP.
URINAL
SO. FT. ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ -plus-x$-=$
WATER PIPING
NOTE: Not to be used as property tax valuation
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM I 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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
INSULATIONISOUND
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 APP./EQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
a
- eITY OF LA OUINTW
°+o, wr`S DEPPRTMENT OF PLANNING 8t DEVELOPMENT
't?� BUILDING DIVISION
564-2246
,:1,14 -HOUR NOTICE FOR INSPECTIONS
Owner Century Homes Communities
Contractor Same
Permit Number - 11964 - — ----.. _
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-710 Sanita Drive
SFD Permit does not include any
block walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL / 3
MAIN GROUND SYSTEM ez
GROUND PLUMBING / 3
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE -HA - S BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
ELECTRICAL
PLUMBING
FINAL GAS TEST (o^ 5
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED .
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
-
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8' 1
/
FRAMING'
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
N SIGNED ,
DRYWALL, INTERIOR
EXTERIOR LATH ?
,
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
4: 71
ELECTRICAL
PLUMBING
FINAL GAS TEST (o^ 5
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED .
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
FFT,-r-ztpa
r�
Tit� of �tt Quinta
�
uil, in4 an�
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 78-710 Sanita Drive
Use Classification Single Family Dwelling Bldg. Permit No. 11964
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Century Homes Communities4ddress 1535 South "D" Street
City San Bernardino, CA 92408 Bruce Pelletier
BY. .
July 19, 1993
Dote
Building Official
PosT IN A CONSPICUOUS PLACE
iii