13191 (SFD)Building
Address
Mailing
Address
City
San R
Contractor
Address
P.O. BOX 1504
78-105 CALLE ESTADO
78-845 Sonesta Way LA QUINTA, CALIFORNIA 92253
ry Homes Communities
BUILDING: TYPE CONST.
1535 South "DO Street A.P. Number 604--152-•0011
Zip Tel.
na.rd1 , Cid '924118 >j714) 381-6007 Legal Description_
Project Description
Zip I Tel.
state. 314473 B I tic. Lic. & Classitsif.
Arch., Engr.,
Designer Benjamin Aguilar Associates
Ad r4es5'9 s
Passero Ave. Te�j714) 353-6865
CityZip State
Riverside, CA 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
_ (1000) of Division 3 of the Busin s3 -and Professions Code, and: my license is in full force and3
r effect:.! -) . -7" Gk i' �., % `j ✓
r
_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).
❑ 1, 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.)
❑ 1, asowner 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 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
EA py 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 lhg work for which this permit is issued, I shall not
employany 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 it 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. 13191
�I
_OCC: GRP.
Lo- 57 Tract 23269 Phase 6A
SPO Plan 5C
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
Issued by:.
Validated t
Validation:
Sq. Ft. 1678
Size
No.
Stories
No. Dw.
Units
New ( Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block walls or
pmol.
Estimated Valuation
$102,874.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
547.1
Const.
650.00
Mech.
49.00
Electrical
136.35.
Plumbing
144.00
S.M.I.
10.30
Grading
20.00
Driveway Enc.
XXXM . 01
Infrastructure
21276.33
Arts in P=lj
c Vlaces
.o
TOTAL
t+14,�
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
Issued by:.
Validated t
Validation:
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
r
UNDERGROUND
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
HEATING (ROUGH)
STORAGE TANK
FORMS
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GROUT
WATER HEATER
SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. @
WATER SYSTEM
WALL SQ. FT.
=$
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ FT ®
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
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
SO.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 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.IEQUIP.
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL
a
CITY OF u WINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSREGTIONSi;:•,l,,,,
Owner Century Homes Communities
Contractor Same
Permit Number 13191
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-845 Sonesta Way
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION
DATE(
INSP.
FOUNDATION & SETBACK
(� • s-
/ ; ti. , .
FOOTING STEEL
ROOF
MAIN -GROUND SYSTEM
BOND BEAM
GROUND PLUMBING
!:-
GROUT ❑ 4' ❑ 8'
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
27',-9X7(/ Si/•!,
COVER NO WORK UNTIL ABOVE HAS 4EEN SIGN D
DRYWALL INTERIOR Z.
EXTERIOR LATH j
POOL PRE PLASTER r
POOL FENCE & GATE
SEWER S �%NK r ,
FINALS
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
n
MOF
Ct�t 41 a(Qut*nta : +`
-'Ut" t nq HU6. 'afet� iw
This Certificate issued pursuant to the requir'ements of Section 306.of the Unifdirii Building!
Code certifying that at the time of issuance this structure was In 6Mpliance With Me"va"rious
ordinances of the'City regulating building construction or use. Foe the following:
BUILDING ADDRESS
78-845.Sonesta Way
Use Classification
Single Family
Dwelling
Bldg. Permit No.
13191
Group R3
Type Construction
VN -Fire Zone
use zone"' SR
Century
Century Hoimies"'C8mmui�ilt'fe'li� 11535
- South :.PD"
Street'
Owner of Building
City San
Bernaidino, CA 92408
Irl
By,
Dote:
Hrtir-p- PpAlpfipr
March' 6 1994'
,
Building Official
POT IN-, A
00-9' i01160101 PLACC