12794 (SFD)Building 78'635 Sanita Drive
(Y st..r_-rsi8lt¢ii:='eYYi l -.w"'., T111L10X0 ti Yb.u, t'C aY-:r:..
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address ]M:B.% TSMtt& Stw:g Mae 2SID
City Zip Tel.
San Bernardino, CA 92108 (909)381-6007
Contractor
Same
Address
ty Zip
State Lic.B 314473 (City
&2120
Classif. Lic. #
DesArch.ergr' Ren3ami�n Aguilar & Assoc.
9
VW195 Passero Avenue Tei'714) 359-6066
City Zip State
Riverside, CA 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION ;,<-" 1
I hereby affirm that I annlicensed under -pro visions•of'Chapter 9 (commencing with Section
7000) of Diyision 3 of.the Busine'ss.and..Professions Code„andsmy license is in full force and
effect. r
%SIGNATURE DATE
OWN ER -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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis
for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
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,
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'h'ave the burden
of proving that he did not build or improve for the purpose of sale.)
O 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
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�� Company
Ot opy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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 Exemptionyou 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
bovementioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 32794
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 604-174-005
Loi. 170 Tract 23269 Phase 7A
Legal Description
Project Description SFD Plan 4X
La Quinta
Del Rey
Sq. Ft. 1818
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter O
Repair ❑ •Demolition O
Estimated Valuation
UB r U l .
PERMIT
AMOUNT
Plan Chk. Dep.
•
Plan Chk. Bal.
• 49
Const.
Mech.
_
5 5 •
Electrical
135 •
Plumbing
I • UU-
S. M. 1.
• L i3
Grading
du.00
Driveway Enc.
• U
Infrastructure2,313.43
1 E5 til pubill.0
Places
25.00
TOTAL
3,932.15
3,6582.13
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line_
Side Street Setback from Center Line
FINAL DA'
Issued by:
Validated
Validation
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. p $
UNITS
SLAB GRADE 3
ROUGH PLUMB.
YARD SPKLR SYSTEM �
2ND FL. SQ. FT. p
STORAGE TANK
FORMS
y
SEWER t
MOBILEHOME SVC.
BAR SINK 1,
POR. SQ. FT. p
FOUND. REINF. (L\
GAS (ROUGH)
METER LOOP
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. p
GAS (FINAL) G/+
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. p
..v - a •_
FINAL INSP.
WALL SQ. FT. p
BOND BEAM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
URINAL
SO. FT. p
_
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
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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. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 11/4 c
SEWAGE DISPOSAL.
SO.FT.GAR p 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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
y
SEWER t
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. (L\
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) G/+
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 7/� C, tIse
VENTILATION
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REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND /
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Z
ii II��� •. A/,
'A
S
. ;-. , '( n .!':, A
N
A
01,
Wk fir.
to
61
.0
uttotut ��P
attt V n
er
nt to the Uniform' This..0 Ifficate issued pursuant e requirements of'Section 306 of the Ur
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:
8-m-635, Sanit ;.Drive7Z
SUNWADDRES
IL -64,
V
K
Single Family Dwelling 12'794
J. Use Classification6 ' Idg. Paimit'No.
R3 0� 'R
Group Typ a construction V14 Fire.. Use zone- S
Owner of Building Century'tHomes CommunitigAddrets 0 Street, S
JP- ,!
San Bernardino, CA 92408
City
BYIBruce Peliet-i Pr
oat July .8, 1994
Building Official
PO*T• W PLAtf`