12843 (SFD)P.O. BOX 1504 No, 12843
Building 44-430 LTi] lets Drive 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century IiL'S?Hes', Comunities
BUILDING- TYPE CONST OCC GRP
Address 1535 South •D" Streets Ste. 200
City Zip Tel.,_
San Berna�re�i, CA 92408 1(909)381-6007
Contractor
Same
Address
Tel.
State Lic. B 314473 (City 2120
& Classif. Lic. #
, enyr.'
Designer Benjamin Aguilar & Assoc.
Desi
Pa., AVenua '1714)359-6066
Cit Zip State
RtYver,,, ide r: CA 92505 Lic. # _t
' A LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that ham licensed under provis'i n§ of Chapter,9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and`my,license is in full force and
'SIGNATURE - .✓' "" DATE
OWNER-BUILDER•DECLARATION
I hereby affirm that I am exemptgfr m 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).
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.)
❑ 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 Copensalion Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic N Company
Copy 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 ($100) valuation
or less.)
I certify that in the performance of tha 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
A.P. Number 604-175-005
Legal Description Lot 243 Tract 23269 Phase 7B
Project Description
SFD Plast 5XL
Sq. Ft. No. No. Dw.
Size 2467 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$136,;L44.00
PERMIT
AMOUNT
Plan CW'Dep.
250.69
Plan Chk. Bal.
399.46
Const.
769.00
Mech.
149.00
Electrical _.
157.49
Plumbing
156.00
S.M.I.
13.61
Grading
29.90
Driveway Enc.
, QQ
Infrastructure
3,063.25
.Arts an Public
P aces
90.36
TOTAL
4#959.16
9. i6
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 DA1
Issued by:.
Validated t
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. r PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE VV
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL.' SO. FT.
'FORMS
SEWER
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SQ. FT. @
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM •
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ. FT. ®
FRAMING
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
�vk
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
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE VV
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
'FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. v
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL) G
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM'
WATER SYSTEM •
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
yY
FINAL INSP. V
o
FRAMING
FINAL INSP.
ROOFING i
�vk
rL p ��
\
/X
9�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
MINSPECTOR'S
SIGNATURESIINITIALS
GARDEN WALL FINAL
OF
P
luibtu an.b$Ofe -A- Wsiutt
This' Certificate issued pursuant.to the requirements of Section.,306 of the Uniform Building
Code certifying that. at the. time of issuance this structure. was., incompliance with the various
ordinances of the.City regulating building construction oruse.. For. the following:
BUILDING ADDRESS 44-430 Villeta Drive'
Use Classification, Single Family Dwelling- Bldg. Permit No. 12843
R3 VN SR
Group Type Construction Fire Zone Use Zone
owner of Building Century Homes CommunitieQdress 1535 South "D" Steet,
—City. San Bernardino, CA_ 92408
BY: Bruce Pelletier
Date; August 15, 1994
Building Official
POST IN A CONSPICUOUS PLACE
17
1A
OF
P
luibtu an.b$Ofe -A- Wsiutt
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., incompliance with the various
ordinances of the.City regulating building construction oruse.. For. the following:
BUILDING ADDRESS 44-430 Villeta Drive'
Use Classification, Single Family Dwelling- Bldg. Permit No. 12843
R3 VN SR
Group Type Construction Fire Zone Use Zone
owner of Building Century Homes CommunitieQdress 1535 South "D" Steet,
—City. San Bernardino, CA_ 92408
BY: Bruce Pelletier
Date; August 15, 1994
Building Official
POST IN A CONSPICUOUS PLACE