14789 (SFD)P.O. BOX 1504 No. 14789
Building 455--515 Desert Air iii. 78-495 CALLE TAMPICO-
Address LA OUINTA, CALIFORNIA 92253
Owner Century Homes Commumities
BUILDING: TYPE CONST. OCC. GRP. R3
! Address 1535 South 7Da Street, Ste. 20th
A.P. Number
Legal Description Lot 18 TraCa.
SFD Pian 4
Project Description
— 7
23935-5 Phase 3B
I City
i San .Bernardino,
Zip
CA 9240$
Tel. -
1,00911-381-6007
Contractor
Saffie .
Address
The Ciassics :at Topaz
City
Zip
Tel.:
Side Street Setback fro ter e
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
State Lic.314473
& Classif.
City 2124 ,
Lic. #
Sq. Ft. 1695 No.
Size Stories
No. Dw.
Units
Arch.; Engr., �
Designer Benjamin Aguilar & ASSOC.
,
New ❑ Add ❑ • . ' Alter ❑ Repair ❑ Demolition ❑
'�i r sPassero A n
T614) 359--5066
ATTORNEY'S FEES.
FINAL DATEINS
TO
This is a building permit when properly filled out, signed and validated, and is subject to
City . -
2iif�aSide, ;C
Zip /
505
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION,'"�
I hereby affirm that I amyl censed under p[o(isions oYChapter,:$lcommencin9 with Section
7000) of DDiivi"sion 3 of -the Business and:Profess'iionnsCode, and my license is i ✓full ffoi a and—
f ffect.f�^"� /6f��4T
-
Date PermOt
I agree to comply with all city and county ordinances and state laws relating to building
I{ SIGNATUREr+ --/ DATE
OWNEWJMCOEIi 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, atter, 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
Estimated Valuation $104 979.00
0
J
- I
- PERMIT
AMOUNT
Plan Chk. Dep.
Signature of applicant Date
,plan Chk. Bal. ` '
556.33
Const.
C
j / . i(}
Mech.
49.00
Electrical
135.26
Plumbing
162.00
S.M.1.
l! f�
10.50
,
Grading
Z0.00
Driveway Enc.
- . 00
Dale Owner
Infrastructure
2,340.45
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 tAo. Company .
• VCopy 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 thg work for which this permit is issued, I shall not
employ any peon in any manner so as to become subject to the Workers' Compensation
Laws of Californirsa.
Arts ' 1xt: Public Places
� 20. d0
- -
TOTAL
REMARKS
Date Owner
NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the .Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear P o ine
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND '
Side Street Setback fro ter e
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,
Side Setback from Pro Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
_
ATTORNEY'S FEES.
FINAL DATEINS
TO
This is a building permit when properly filled out, signed and validated, and is subject to
r
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.
Issued by:
Date PermOt
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to. enter the 'above,
VValidated
J
mentioned property for inspection purposes.
by:
Signature of applicant Date
Mailing Address -
Validation:
City, State, Zip
e�
I
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADEROUGH
PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SD. FT.
FORMS )
SEWER OR SEPTIC TANK ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (FINAL) TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. @
WATER HEATER SERVICE
FINAL INSP.
WALL SD. FT.
BOND BEAM
DRINKING FOUNTAIN
WATER SYSTEM
GRADING
cu. yd.
$ -plus-x$_=$
URINAL
SO. FT.
FINAL INSP.
i
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
ROOFING
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
FINAL INSPECTION
CERT. OCC.
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 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEROUGH
PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS )
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEGUIP.
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.
i
FRAMING
FINAL INSP.
ROOFING
P'�V' X/-.-
REMARKS:
VENTILATION
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