12819 (SFD)P.O. BOX 1504 N o . 1.2819
Building 44-310 Villeta Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
...."" Century Homes communities
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 1535 South "D" Street, Ste. 200 A.P. Number 604-144-02.0
Cityzip Tel. Lot .2.35 Tract .23269 Phase 78
Saga Bernardino, CA 92408 (909) 301--6007 Legal Description
Contractor SFD Plan 5XL
Same
Address
Description
Address La Quanta Dal Rey
ty lZip I Tel.
State Lia 8 31473 (City 2120
& Classif. Lic. #
Arch., Engr.,
Designer Benjarlain Ag il.a= & ASSOC..
4�ys7assero Avenue Tbu) 359 -6066
City .-1'zip
State
Riverside C��-' 92505 Lic. #
f .-LICENSED CONTRACTOR'S DECLARATION ,... _
I herebyffi
arm that I am licensed under provisionsof�Cliaptey9-('commencing with Section
000) of Division3 of the..Business and• Professions Code,,antl,my license is in full force and
OWNER- BUILDER_-DECL•A'R-ATION
I hereby affirm that I am exemptr-ftgm't a 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).
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
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.)
O 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.)
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 N/�o--d^ Company
Q:Copy 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 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 or 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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Dale
Mailing Address
City, State, Zip
Sq. Ft. 2467 No.
Size Stories
No. Dw.
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
(Estimated Valuation $136,144.00
PERMIT .
Plan Chk. Dep.
250
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing •
.S. M. 1.
Grading
Driveway Enc.
Infrastructure
Arts in. Public
Plac
TOTAL 14,959
REMARKS
AMOUNT'
390.44
769 00
49.00
157.4$
156.00
13.61
20.0/0
.00
3,063.25
90.36
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 Proper Line
FINAL DAT
Issued by:_
Validated t
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL.SD. FT. ® $
UNITS
COLL. AREA
^
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APP./EQUIP.
REIN F. STEEL
DRAINAGE PIPING
CAR P. SO. FT. ®
„
GROUT
DRINKING FOUNTAIN
WALL SO. FT. ®
FINAL INSP.
BOND BEAM
URINAL
SO. FT.
GRADING
cu. yd.
$ plus x$
=$
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING ?j
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
Gs� vi'
5 7 �(r'
7Q
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(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.
SO. FT. ® c
BATH TUB
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
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 Z
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE J 3�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REIN F. 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 ?j
VENTILATION
� � �.p L�J/�
�'�►�) � �
Gs� vi'
5 7 �(r'
7Q
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND a
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
,� x 4 Axnru
ILI
OF
�ut��tn • �n� �S'��P�t � t�r�t.izn � •
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildingi
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 '44-310 Villeta Drive
'Use Classification Single Family' Dwelling Bldg. Permit No. 12819
Group R3 -Type Construction VN -Fire Zone Use Zone SR
Owner of Building centsry Homes Communities , Address - 1 S3r, So "D" S'treet; Ste- 200
7
City San,Rprnardinn, r -A 9240R Bruce Pelletier
By'.
Date; July 18, 1994
Building Official
el�e_ POST IN A CONSIPICUOUS PLACE
II
IiUIIJI rr 7e 14<F
.5�•I.
,vim
4
,� x 4 Axnru
ILI
OF
�ut��tn • �n� �S'��P�t � t�r�t.izn � •
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildingi
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 '44-310 Villeta Drive
'Use Classification Single Family' Dwelling Bldg. Permit No. 12819
Group R3 -Type Construction VN -Fire Zone Use Zone SR
Owner of Building centsry Homes Communities , Address - 1 S3r, So "D" S'treet; Ste- 200
7
City San,Rprnardinn, r -A 9240R Bruce Pelletier
By'.
Date; July 18, 1994
Building Official
el�e_ POST IN A CONSIPICUOUS PLACE
,vim
4
,� x 4 Axnru
ILI
OF
�ut��tn • �n� �S'��P�t � t�r�t.izn � •
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Buildingi
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 '44-310 Villeta Drive
'Use Classification Single Family' Dwelling Bldg. Permit No. 12819
Group R3 -Type Construction VN -Fire Zone Use Zone SR
Owner of Building centsry Homes Communities , Address - 1 S3r, So "D" S'treet; Ste- 200
7
City San,Rprnardinn, r -A 9240R Bruce Pelletier
By'.
Date; July 18, 1994
Building Official
el�e_ POST IN A CONSIPICUOUS PLACE