12816 (SFD)Ti4 4 4 Q9hA
Building 44'345 Fillets Drive.
Address
Century Some Communities
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 1535 South "D" Street, Ste. 200
City Zip Tel.
San Bernardino, CA 9.2408 (909)381-600
Contractor
Address
Tela
State Lic.City
& Classif. B 314473 I Lic. # 2124
Arch., Engr.,
Designer Benjamin Aguilar & ASSOC.
Address Tel.
5459 Psssero Avenue 1714} 359-606
City /"" Zip State
Sivers3¢3e, A, 1 92505 Lic. #
11 LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that l am licensed under provisions of Chapter 9`- mmencing with Section
/7000) of Division 3 of the Business an „P_roflissions Code; a ,my license i;.in•full'foice and
1 effect , _�, �� - —' . _
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 (5500).
❑ 1, 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 N oq--" Company i
❑ L'opy 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 (S100) 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
No. 12816
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 604--174-0115
Legal Description Lot 181 bract 23269 Prase 7B
Project Description SFD Plan 5X
La Quinta - Dei Rey`
Sq. Ft. 2010 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation 414.14',058.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
328.44
Const.
692.00
Mech.'
49.00
Electrical
141.63
Plumbing
144.00
.S.M.I.
11.50
Grading
20.00
Driveway Enc.
.00
Infrastructure
211528.06
Arts in Public Places
35.15
TOTAL 4.199.79
3.949.78
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line �•
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
n
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCTWORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL rV
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SQ. FT. ®
DRINKING FOUNTAIN
WATER HEATER SERVICE
FINAL INSP.
URINAL
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP 9
FLOOR DRAIN
MECHANICAL FEES
ROOFING
VENTILATION
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, TEM/PERM
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
INSULATIONISOUND
SQ.FT.GAR Q 3/ac
HOUSE SEWER
FINISH GRADING
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 PLUMBIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE Z
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
j
SEWER OUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL rV
GAS (FINAL) II TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP 9
FRAMING
FINAL INSP.
ROOFING
VENTILATION
C95-77 G/
\kj �q
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING �1
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION f
CERT. OCC.
FENCE FINAL
�f
Q
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
All
OF 7 1'
r ♦4b
lu t ♦tn�' �` `e afet�r!:�Dthtston -
• i L
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. , s'
ordinances of the City regulating building, construction or use. For the following:
BUILDING ADDRESS 44-345 Villeta,.Drive.; }�
_• '. r
Single Family Dwelling 12816
Use Classification Bldg. Permit No.
1 Group R3 Type Construction `1N Fire•Zons j '-'' Use Zone SR ,
,F*
k Owner of Buildingrentury Hnm _s o m gni i ea' Address l ci�i5l•So h "D" S r _ F Ste_ -200 ?t
By. Bruce Pe.l 1 eti er
`Dote: July 15, 1994 `
Building • Official
POST IN A 000001CU.OUS PLACC t �