13174 (SFD)P
M1
P.O. BOX 1504
Building 7$.-$90 Sonata Way 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
tory Homes Communities
Mailing
Address 1535 South %DO Street
City zip.Tel.
San Bernardir.oi£A 9240(714)370-3001
Contractor
Sate
Address
ty lZip Tel.
State Lic.B 314473 (City 2120
& Classif. Lic. #
Arch., Engr.,
Designer Benjamin n A .ilar Associates
AddrTgg Passero Ave. Tei 14) 359-5066
CityZip State
Riverside, 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed'under provisions of Chapter 9 (commencing with Section
(7000) of Division 3 oftheBusiness lind•.Professions Code, and my license is in full force and
4`effect. I}t.f cf i.�^` _,✓r ,__). " {C•
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.S,Busfness 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).
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
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.)
p 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.)
❑ 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,�A* Company
[PCopy 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, 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.
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
N o . 13174
JILDING: TYPE CONST. OCC: GRP. -
P. Number 604-151-023
Description Lot 34 Tract 23269 Phases 6A
t Description SPD Plzen 5CXR
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback fro `
n _ `
FINAL DATE
Issued by:
Validated by:
Validation:
N
Sq. Ft. 1Q
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit does
not include block
walls
or pool..
Estimated Valuation
$114t058.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
578.44
Const.
692.00
Mech.
49„00
Electrical
141.63
Plumbing
144.00
.S.M.I.
11.50
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,528.06
Arts in Public Places
35.: S
TOTAL
4,199.78
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 fro `
n _ `
FINAL DATE
Issued by:
Validated by:
Validation:
N
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. '—P UMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
M.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SO. FT. @
WALL SO. 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 tak.valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND
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 APPJEOUIP.
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 SIGNATURESIINITIALS
GARDEN WALL FINAL
b
CITY OF u WINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
Li\ Wj 1i6 A 564-2246
p
24-HOUR NOTICE FOR INSPECTIONS
1 � �9 ✓� �� f1 � •j
a
l:4ll�'11
Contractor Same
Permit Number 13174
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-890 Sonesta Way
SFD Permit does not include block
wallsor pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION $SETBACK
FOOTING STEEL L L
MAIN GROUND SYSTEM
GROUND PLUMBING I z z,
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
CONCRETE SLAB 1,
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF y -
_BOND BEAM
O.K. TO WRAP -
GROUT ❑ 4' ❑ 8'
FRAMING c
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BIEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER /Z s
NUU5t NUMBEH5 I
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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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: •
7. BUILDING ADDRESS 78-890.,Sonesta Way" ,
Use Clossification Single Family DwellingBldg. Pormit No.. 13174
Group R3' Type Construction VN Fire Ione - Use Zone SR
Century.Homes Communities-' `' '1535 South-"W'Street
Owner of Building Address'
city San -Bernardino; CA 92408 `
Bruce Pelletier
a _r' ._ •. - , ' ice.:'• .:- ..
Date;'- �
' March 18 1994
' . -. -•
1 POST'IN'A OONA?IQOOU!
?LACE ,