12796 (SFD)P.O. BOX 1504
Building 78-615 Sanita Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Homes Communities
Mailing
Address 1535 South RD" Street, Ste. 200
City Zip Tel.
San iarr�inc�o CA 92408 (909) 381-6007
Contractor
Same
Address
ty jZip
State Lia B 314473 (City 2120
& Classif. Lic. #
Designer Arch., nr., Benjamin Aguilar 6 Assoc.
!097sPassero Avenue T{e724) 359-6066
City Zip State
RiVerside f.: - . 92505 Lic. #
LICENSED CONTRACTOR'S'DECLARATION—;_
I hereby affirm that I am'licensed under.provisioq .of,Chapter 9 (commencing with Section
7000) of Division 3 of•tfie Business.aSld=Profes§ions Code', -and -My license.is-in full force and
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 thathe 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
I herebyr'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 vd,— .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, 1 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.
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. 12796
BUILDING: TYPE CONST. OCC. GRP.
,A.P. Number 634-174-007
�
Legal Description t 172 Tract 23269 Phase 7A
Project Description S D Plan SXd,
La Quinta Del Rey
Sq. Ft. 2467 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $136,144.00
PERMIT
AMOUNT
Plan Chk. Dep.' 250.00
Plan Chk. Bal.
390.46
Const.
769.00
Mech.
49.00
Electrical
15 7. 4 2
Plumbing
156.00
S.M.I.
13-61
Grading
20-00
Driveway Enc.
.00
Infrastructure
3,063025
Arts in Pubtic Places
90.36
TOTAL 4.9.59.16
4,709.16
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 Pro pA
FINAL DATE INS
Issued by: Date
Validated by:
Validation: .
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE a
r ~
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
FORMS
SEWER ROUGH WIRING
DUCT WORK
ROCK STORAGE
POR. SQ. FT.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL) TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING /
FLOOR DRAIN
MECHANICAL FEESWATER
SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(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.
SO. FT. RESID @ 1�A 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 EI, CTRICAL HEATING & AIR COND. SOLAR
1 of
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE a
Q
/
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ,
METER LOOP
GAS (ROUGH)Ivy Wf
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 i
1 �� ,V d
•VJ 3`r'� 4/11-2
�j J�
REMARKS:
VENTILATION
FIRE ZONE ROOFINGw
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1!j
.-N
k 3
-AF
Tit f T4ar a
�MW.A
t 0 -it
tn�
I 1�� 4
tb D j
ri
Certificate issued to the requirements.of Section 306 of
This C the,.Unii
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:
-G
IQ7615:Sanita Drive ,
Use Clos4iftbition Single Family Dwelling 'Bldg. Permit No. .12796
pp
Group R3 TYPO Construction VN Fire Z4nii Use Zone SR
dress S
4-ceritury- Homes In 6uth "D" 2 n nr.:
Owner of Building onamun
San Bernardino, CA 92408
Cityfi
By o Rini�p- PPI I P -f --i P -r
i
July 8, 1994 v
Bu
ilding Official -
PM In 'i'j !UOUS PLACS