14780 (SFD)P.O. BOX 1504
Building 45-540 Deserts Air Dr: 78-495 CALLE TAMPICO
Address LA OUINTA, CALIFORNIA 92253
Owner Centu Notes Cole��uz�i.t es
No. 14780
rX 1VN
BUILDING TYPE CONST. OCC. GRP.. R3
Address 1535 south "Et" Street, Ste. 200
A.P. Number
CityZip Tel. Lot 9 Tr*ct 23935-5 Phase 3Yi
San Bernardi e, CA 9240 (909) 381--600 Legal Description
Contractor Project Description SFD Plan 5X
Same The Classics at 'topaz
Address .
State Lic. B 314473 (City 2120
& Classif. Lic. #
'Arch., Engr., Benjamin A ilar & Assoc..
Designer � �
Addie s ,
Addr4a3 Fassero Avenue Tel. x724)353-60
CityZip State
Riverside; C1? �' 92515 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm that I am -licensed under provisions of Chapter 9,(commenoi" n� g with,Sec9on .
!7000) of Division 3 of to Business, -and Professions Code, and-nij licenge is in fulliorce?and
I hereby affirm that I am=exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busiriess and Professions Code: Any city or county which requires a
Sq. Ft. 2047 No. No. Dw.
Size Stories Units
New ❑ Add 0 Alter 0 Repair ❑ Demolition O
Estimated Valuation $119,247.00
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also
i requires the applicant for such permit to rue a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
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 Any Section 'any for
Plan Chk. Dep.
.
alleged exemption. vlolatiom of -•7031.5 by applicant a permit
subjects the applicant to a civil penny of not more than rive hundred dollars ($500).
Plan Chk. Bal.
591.40
❑ 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
Const.
709 50
Professions Code: The Contractor's License Law does not appy to an owner of property who
•
builds or improves thereon and who does such work himself or through his own ,employees,
Mech.
9• 0 VAA
49.00 (�
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
Electrical
1,43.41
of proving that he did not build or improve for the purpose of sale.)
,�-
[1I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
144.00
strucl 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
S.M.I. • .
a
11.,.92
such projects with a contractor(s) pcensed pursuant to the Contractor's License Law.) '
Grading
20.00
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
.00
Date owner
Infrastructure
2,683.06
Arts in Publi c Places
48.12
WORKERS' COMPENSATION DECLARATION
t
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 o. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL -
4.4Q0. 41
CERTIFICATE OF EXEMPTION FROM
REMARKS
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, Lshall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. 11, after making this Certificate of Exemption you should become
ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code; you must forthwitn.
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE ISUNLAWFUL. AND
Side Street Setbackfr mCenter Line
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 P ine
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
-
ATTORNEYS FEES.
FINAL DATE IN TO
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.
Issued by: Date Perm
I agree to comply with all city and county ordinances and state laws relating to building
F
construction, and hereby authorize representatives -of this city to enter the above,.
• mentioned property for inspection purposes.
Validated by:
Signature of applicant -Date-
ate
Mailing
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. S0. FT. p $
UNITS
SLAB GRADE
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. p
FORMS
SEWER OR SEPTIC TAN ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
GAS (ROUGH) METER LOOP
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
GAS (FINAL) TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT. p
GROUT
WALL SO. FT. p
FINAL INSP.
DRINKING FOUNTAIN
SO. FT. p
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING /
VENTILATION
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR p VAc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBLTOTAL
FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE/ PLUMBING ' �/nKLECTRICAL HEATING & AIR COND. SOLAR
i i �� '��JIlliii/
SETBACK
GROUND PLUMBINUNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TAN ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
)
REINF. STEEL L
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTE
FINAL INSP. 3� `�,
FINAL INSP.
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR. /12
FRAMING ,iff
ROOFING /
VENTILATION
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
/'
LATHING 4 dL
MESH
INSULATIONISOUND 7-7
FINISH GRADING nn7
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL