12820 (SFD)P.O. BOX 1504' N o .
Building 64-320 vill.eta Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Century Homes C€mlai; pities
Mailing
Address 1535 South ODO Streets Ste. 200
City Zip Tel.
Saes Berna�'c irw r CA 92408 (909) 391-6007
Contractor -
Sane
Address
ty lZip I Tel.
State Lic. 3 City
& Classif. Lic. # 2120
Arch., Engr.,
Designer Benjamin Aguilar & Aszoc.
54 9 Passero .Avenue T(•714) 359-6066
City Zip State
Rivereided-I* 92505 Lic. #
.'" - LICENSED CONTRACTOR'S DECLARATION�.�:`'F
I herebyy,affirm thati am licensed under provisions of Chapter9(comencing with Section
7000) .PDivision 3 of the Business and Professions Code,+and my license.is-in'full force and
I hereby affirm that I am exempt from`the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness 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 rile 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 thathe 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, 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.)
❑ 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 Company
❑ opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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, 1 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
Ihereby 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
12820
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 604--144-021
Legal Description Lot 236 'Tract 23269 Phase 7B
Project Description 5FD• Plan 4X
La Quiz+ta Dei. Rey
Sq. Ft. No. No. Dw.
Size $ Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $102,819.00
PERMIT
AMOUNT,
Plan Chk. Dep. 250.00
Plan Chk. Bal.
304.49
Const.
6.50.00
Mech.
_
5.5.50
Electrical
135.45,
Plumbing
168.04
S.M.I.
10..29.
Grading
20.00
Driveway Enc.
00
Infrastructure
2,313.43
Arts in Public Places
25.00
TOTAL 3,932.15
3.682.15
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 DAl
Issued by:_
Validated t
"I Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES ti
IST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB. BONDING
1
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. ®
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT. ®
LUMBER GR.
DRINKING FOUNTAIN
FRAMING5-11
FINAL INSP.
URINAL
SQ FT ®
REMARKS:
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
SPARK ARRESTOR
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAR. FIREWALL
LATHING �'�
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FENCE FINAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
INSPECTOR'S SIGNATURESIINITIALS
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 ?j�11061NDERGROU ND
A.C. UNIT
COLL. AREA
i
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
i
SEWER r j 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. g
FRAMING5-11
FINAL INSP.
ROOFING 'L�
VENTILATION
may-
� �/�►'ci� ` /G
J�/J
REMARKS:
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
I
�14
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ThisUn� '"Building!
�"C&tif1cai6�,'1s"S"ued pursuant to the requir'ements.,of Section 306.6f the iform
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.
,.
t,!, BUILDING tADDRESS,-, ?,447320villeta Drive
'Single Family"Dwielling-' A2820
Use 6110t946;ilon Bldg*. Permit No.
Group R3 VN SR --
Type Construction Fire Zoni Use Zone
Address 15 15 f- h 1- rept-' i--
1 PA
Owner of Building r-Ffintai C64�u n I q i- t;, 2nn
City San Bernardino, CA 92408''
By I Rriie-p- PP I I P -f i Pr
July 20, 1994
Building Offici
al
e:lr 13 P, Act
I