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14790 (SFD)Building 45-'544- Desert Ai I- Address Owner Century Hames Communities Address 1535 'South "D" Street, Stt~. 200 City Zip Tel. .San Berhardino, CA 9240.3 (909)381.64 T4-tyl 4 4 Qum& P.O. BOX 1504 Dr., 78-495 CALLE TAMPICO ' LA QUINTA, CALIFORNIA 92253 07 ;City Zip Tel.: State Lic.$ 3144730 CityZ2� '• & Classif.Lic. # -Arch., Engr., Ben �Tl R tailar & ASSOC. 'Designer ilII�ti Passero Avenue Tel714j 359—€066 City.�" Zip State Riverside C,.' 92505 Lic. # f LICENSED CONTRACTOR'S DECLARATION— y �I hereby_affirm thatA am licensed under provisions of Chapter'9 (commencing with Section '70 . '00) of Division.3'of the -Business and Professions Code; nd my license -is in ffGll force nd .P' DATE OWN ER:BUILDERtDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following . reason: (Sec. 7031.5,Business and Pro/essions Code: Any city or county which requires a permit to construct, atter, Improve;rdemoash, or repalr.any structure, prior to its issuance also requires the applicant forsucA,permft 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 Nat. 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 appy 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.) 4 . l7 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 contractors) licensed pursuant to the Contractor's License Law.) O 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 N8 Company CyCopy.is filed with the city, O Certified copy is hereby furnished. �j 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 Californirs a. 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. . . 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. 1 certify that,I have read this application and state that the above information is correct. 1 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. 14790 BUILDING: TYPE CONST. YN OCC. GRP. R31 A.P. Number Legal Description Lot 15 Tract 239355 Phase 3B Project Description S'D Plan 5L .The Classics at .Topaz Sq. Ft. No. No. Dw. Size • 2162 Stories Units New ❑ Add ❑ Alter ❑ Repair.❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Front Setback.from Center Line Rear Setback from Rear P op. Line Side Street Setback fro Line Side Setback from Pro Line • a FINAL DATE INS . OR,�^ Issued by: Date 'r/"Amit Validated by: Estimated Valuation $133,'522.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. b313.09 Const. «� Mech. Electrical �.` ,yA Plumbing a i S.M.I. - Grading __ 0 Driveway Enc. r nom Infrastructure Arts in Public Planes 63.81 TOTAL REMARKS �~ ZONE: BY: Minimum Setback Distances: Front Setback.from Center Line Rear Setback from Rear P op. Line Side Street Setback fro Line Side Setback from Pro Line • a FINAL DATE INS . OR,�^ Issued by: Date 'r/"Amit Validated by: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH 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 GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WALL SO. FT. ® WATER HEATER SERVICE DRINKING FOUNTAIN SO. FT. ® BOND BEAM URINAL ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES ROOFING/`f 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Va c SEWAGE DISPOSAL INSULATIONISOUND SO.FT.GAR ® 3/sc HOUSE SEWER FINISH GRADING FINAL INSPECTION �IO 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 PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. AIN GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. 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. FRAMING7 J FINAL INSP. ROOFING/`f Ci`J / !/,'/" f REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING I MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION �IO CERT. OCC. FENCE FINAL INSPECTOR'S SIONATURESlINITIALS GARDEN WALL FINAL 77d