12425 (SFD)f
P.O. BOX 1504
Building 78-965 Sonesta Way78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Century Homes Communities
Mailin
Address 1535 South nDft Street
Cit Zip Tel.
Sart Bernardizs�, CA 9240 (909) 381-6007
Contractor
Same
City lZip I Tel.
State Lic. City
& Classif. g 314473 Lic. # 2120
Arch., Engr.,
Designer Benjamin Aguilar Associates
Address Tel.
5459 Passero Ave. (714) 359--6001
Cit, Zip State
riverside, 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I,am licensed under provisions of Chapterf9 (commencing with Section
7000) of Division 3 of the:Business,a9n 1Professions:Code, and my license is in full force and_
ffect. y
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).
❑ 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, Bulsness 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 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
❑ toa isis file�y. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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
ateMailing Address
City, State, Zip
No.
JILDING: TYPE CONST. OCC: GRP.
P. Number 604.151-032
Legal Description_
Project Description
12425
Lot 43 Tract 23269 Phase GB
SFA Pian 3BXR
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 i
FINAL DA'
Issued by:
Validated
Validation
Sq. Ft. 1606No.
Size
No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolitirn ❑
Permit deea
not include block
walls or
wails..
Estimated Valuation
$93t171.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
13
Const.
i •
Mech.
4 T._U_
Electrical
12-11-15
Plumbing
94 .09
.S. M. 1.
Y . 4AJ
Grading
10.13
Driveway Enc.
«rill
Infrastructure
v �� • �Ki
TOTAL
1rr �•Rj
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 i
FINAL DA'
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.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
ROCKSTORAGE
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I & q3
f
CITY OF LA WIHTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
A 564-2246
GT 24-HOUR NOTICE FOR INSPECTIONS
0G t
Owner Century Homes
Communities
Contractor Same
Permit Number X2-4 2 5
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
FRAMING
i
JOBADDRESS 78-965 Sonesta
Wa_y
SFD Permit does not
include block
walls or pool.
ASj3EEN SIGNED
TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
1 '• �' �� I L
.FQOTING STEEL
/ 7 f i• ' `
MAIN•GROUND SYSTEM
GROUND PLUMBING
Z 3
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB 7-• i �2•i' 1 777
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
I -
DO NOT POUR CONCRETE UNTIL ALLAB I OVE 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
i
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
ASj3EEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER K
Z 3
ELECTRICAL
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
OF TIS
of U**nta
t tit.dub �Pttturt
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:
BUILDING ADDRESS -78-965 Slonesta-Way-
Use Classification Single Family Dwelling Bldg. Permit No. 12425'
Group R3 Type Construction VNore Zone Use Zone' SR
_F
Owner of Building
Century Homes Communiti"iddress 1535 South •"D" Street
City San_.Bernardino, CA, 92408
By Bruce Pelletier
Date; March, 22, 1994
Building Official 47 POST IN A CONSPICUOUS PLACE