14784 (SFD)Building 45'420 Desert Air Dr.
Century Homes communities
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 1535. South *D" u' treat, Ste. 200
City Zip Tel.
San Bernardino CA 924081(909)381-6007*
Contractor
Sam
Address
City jZip I Tel.'
State Lic. B 3'14473 (City 2120
& Classif. Lic.Arc#
tgr' Benjamin Aguilar & Assoc.
Designer
Aid s Passere Avenue. Te(.�10359-6066
City�-~ Zip State
Pzversi det—''C-A- % 92505 Lic. #
r LICENSED CONTRACTOR'S DECLARATION !
IIll I hereby affirm that I,am licensed under provisl6i f Chapter'9Tcommencing i4ith Section .
7000) of Division 3 of1hhe Elusiness•and.Professiio+n-s_Code-,,-+andmy license is in full forr6e and'
effect.'
SIGNATURE;, •"':' - d "' Y -d d r 'DATE
s I `
OWNER=fFUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bus1ness;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 Contractors 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 civilpenally 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 Comrador'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 soldwithin 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) ycensed 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 mpensalion Insurance, or a certified copy thereof. (Sec. 3800; Labor Code_.).
PollcYAD. 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.)
1 certify that in the performance of thg work for which this permit is issued, Vshall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. It, 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
'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. 3.4784
BUILDING: TYPE CONST. V14 OCC. GRP. R3
,A.P. Number
,Legal Description Lot. 13 Tract 23935-5 Phase 3S
Project Description SFD Plan 5X
The Classics at Topaz
Sq. Ft- 2047 No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation $119'247.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
591.40
Const.
709.50
Mech.
49.00
Electrical
14.3.41
Plumbing
144.00
S.M.I.
11.92
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,683.06
.t Arts in Public Places.
48.22
TOTAL
4,400.41
REMARKS
S
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback frAni.Center Line
Side Setback from,Pr/&q L eti
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIWU FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB. AI BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC T ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
GAS (ROUGH) J METER LOOP
P
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL) V TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. @
GROUT
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. @
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L 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 SVCWATER
CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
SO.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
1 PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTUREPLUMBING LECTRICAL HEATING & AIR COND. SOLAR
e r
SETBACK
Al
GROUND PLUMBIN UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. AI BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC T ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) J METER LOOP
P
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL) V TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
or FINAL INSP.
GRADING
S^ cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING
ROOFING
f
/`(//a' Y /�
Ole �v / {�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND n
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL