12423 (SFD)Building
Address
Owner
Mailing
Address
Van B
C ontwttor
Address
44 ".
P.O. BOX 1504
78--943 Sonesta Way LA QUINOTACCAL FORNIA 92253
Century Homer Communities
1535 South *DO Street
No.
JILDING: TYPE CONST. OCC: GRP.:
P. Number 604•-151-028
12423
dip T I Lot 39 Tract 23269 ease 6B
CA 92408 1909)383-6007 Legal Description
Project Description STD Plan 5C
City lZip I Tela
State Lic.B 314473 I Licy# 2320
&Classif.
Arch., Engr.,
Designer Benjamin AgUiiar ASSOCiateS
Address Tel.
5459 Passero Ave.
Cityp State
Riverside, E AZi92305 Lio. #
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of tWe Business antl P.rofessionss Code, and my'license is in full force and
effect. -E ✓� !i i' J '
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 R (commencing with Section 7000) of
Division 3 o/ the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation o/ Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500).
0 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 o/ 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 o/ completion, the owner -builder will have the burden
o/ proving that he did not build or improve for the purpose o/ sale.)
❑ 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
p1 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 if 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 peison 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
Sq. Ft. 1678 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block walls or
pool.
5timated Valuation $102,878.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
547.16
Const.
653.00
Mech.
49.00
Electrical
Plumbing
144.00
S.M.I.
10.30
Grading
20.00
Driveway Enc.
• 13-i4'
Infrastructure
2.226 r
r c s
vs.
w hn s •
TOTAL
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:
INSPECTOR
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FFES
1ST FL. SO. FT. ® $
UNITS
'
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. @
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
=$
LUMBER GR.
FINAL INSP.
URINAL
SQ. FT. @
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
A;
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
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
Sp. FT. RESID ®1+/a 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./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
A;
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION I
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
.3i
CITY OF LA QUINTI\
DEPARTMENT OF PLANNING & DEVELOPMENT
SIT; U uA Ubt P 1A BUILDING DIVISION
564-2246
,i
.24-HOUR NOTICE FOR INSPECTIONS
Owner Century Homes Communities
Contractor Same
Permit Number 12423
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-940 Sonesta Way
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL a i
WAIN GROUND SYSTEM
GROUND PLUMBING '
me—UUM 1 r I I
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB / j cel -~•'—
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
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING 7 ?i IV Ju
PRE -ROOF 14 (
COVER NO WORK UNTIL ABOVE VAS PEEN SIGNED
DRYWALL INTERIOR / (}'
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK Z1217'. � 3 /ice
ELECTRICAL
F�nL_ %anv 1 co I
HEATING - A/C
Ovo vvmrL_c i cu I I
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
088
I
of 14a 1
utlt�t an
�Pttt -
;�„ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Ali; i I Code certifying that at thelime of issuance this structure was in compliance - with the various'
ordinances of 'the. City regulating building construction or use: For the following:
-BUILDING ADDRESS 78-940 Sonesta Way
j II! ISingle Family Dwelling 12423
Use Classification Bldg. Permit No.
Group R3 Type Construction •'N rFire Zone Use Zone SR
Century Homes Communities 1535 -South "D Street
i Owner of Building Address•
City San Bernardino, CA 92408
I By. Bruce Pelletier
4
i7
4 Dote March 18, 1994
Building Official r'
POST IN A MtMCUOIIS PLACE
I
I
of 14a 1
utlt�t an
�Pttt -
;�„ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Ali; i I Code certifying that at thelime of issuance this structure was in compliance - with the various'
ordinances of 'the. City regulating building construction or use: For the following:
-BUILDING ADDRESS 78-940 Sonesta Way
j II! ISingle Family Dwelling 12423
Use Classification Bldg. Permit No.
Group R3 Type Construction •'N rFire Zone Use Zone SR
Century Homes Communities 1535 -South "D Street
i Owner of Building Address•
City San Bernardino, CA 92408
I By. Bruce Pelletier
4
i7
4 Dote March 18, 1994
Building Official r'
POST IN A MtMCUOIIS PLACE
179
4
I
of 14a 1
utlt�t an
�Pttt -
;�„ This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Ali; i I Code certifying that at thelime of issuance this structure was in compliance - with the various'
ordinances of 'the. City regulating building construction or use: For the following:
-BUILDING ADDRESS 78-940 Sonesta Way
j II! ISingle Family Dwelling 12423
Use Classification Bldg. Permit No.
Group R3 Type Construction •'N rFire Zone Use Zone SR
Century Homes Communities 1535 -South "D Street
i Owner of Building Address•
City San Bernardino, CA 92408
I By. Bruce Pelletier
4
i7
4 Dote March 18, 1994
Building Official r'
POST IN A MtMCUOIIS PLACE