12824 (SFD)4
P.O. BOX 1504 No. 12824
Building 44-360 Villeta Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
centary Homes Commun ities
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 1535 South "D" Street, Ste. 200 A.P. Number 609-175-002
City zip Tel. Lot 240 Tract 23269 Phase 78
$a!1 Bernardino CA 92408 1(909)381-6007 Legal Description
ContractorSFD Plan 4X
Project Description
Sante La Quinta Del Rey
Address
Zip
State Lic..71 City
3��
& Classif. Lic. # 3120
Arch., Engr.,
Designer Benjamin in itgu filar 6 ASSOC.
5 d5e9SsPassero Avenue 1714) 359. 6066
CityZip/ State
Riversides £A 92505 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affiimthat I am li
7000) censed under provisions of Chapter•9':(commen with Section
of.Division 3 of the Business and Professions.Code, and -my license is in full force and
\PfecL"y-
�'
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from-therC n actor'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, 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.)
❑ 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
L,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 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 it 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
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 frQaProperty Line
FINAL, DATE 1ArJAPFQ
Issued by: DaF,,mN,4
'r
Validated by: R ,
Validation:
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$102,819..00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
304.49
Const.
650.00
Mech.
_
55.50
Electrical
135445
Plumbing
168.00
S.M.I.
10.25
Grading
20.00
Driveway Enc.
.0 .
Infrastructure
2,313.43'
rtes in Public Places
25.W
TOTAL
3,932.15
3,652.15
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 frQaProperty Line
FINAL, DATE 1ArJAPFQ
Issued by: DaF,,mN,4
'r
Validated by: R ,
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE �(�
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. p
GAS (ROUGH 11 1 VL METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
GAS (FINAL g TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SD. FT. @
FINAL INSP.
WALL SQ. FT. ®
DRINKING FOUNTAIN
GRADING
cu. yd.
$ —Plus—x$—=$
URINAL
SQ FT ®
FRAMING Q
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING' —
NOTE: Not to be used as property tax valuation
REMARKS:
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
SPARK ARRESTOR
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
SO.FT.GAR ® 3/ac
HOUSE SEWER
FENCE FINAL
GAS PIPING
PERMIT FEE
INSPECTOR'S SIGNATURES/INITIALS
PERMIT FEE
PERMIT FEE
DBL,
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE 19PLUMBING l/ ELECTRICAL HEATING & AIR COND. SOLAR
1
SETBACK
GROUND PLUMBIN lC. 'l UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �(�
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH 11 1 VL METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL g TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—x$—=$
LUMBER GR.
FINAL INSP.1
094
FRAMING Q
FINAL INSP.
ROOFING
�� q,Lef
o1(/ j
S/Z7
REMARKS:
VENTILATION
FIRE ZONE ROOFINGl�
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHINGFly
MESH
INSULATIONISOUND 9
FINISH GRADING
FINAL INSPECTION
i
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
7
r4 r,
P
.�V
k
Wu*nt
11 U 0 in a n b'- •t thtston
This Certificate issued pursuant to the requirements qu ments of Section 306 of the, Uniform'Building!
'Code certifying that at the time of issuance this structure was In compliance with the various
7 t,
ordinances of the City regulating building construction or use. For the following:
t6
yiiielt&.. Drive
44r3
60�
BUILDING .'ADDRESS
&qelling- Bldg. Permit No. --
Use Clatelficotion Single Family 12824'-
%41
Firelone
R3
Group Type Construction VM Use Zone SR
`Owner of* Building j t; I Address 1535 gojjth linil Street, ste- 900
city San Bernardino, CA 92408
By
Bruce ler
-411- Date; July 20, 1994
j
Building Official
4t PLACE