13769 (SFD)4
P.O. BOX 1504
No. 13769
Building 45-300 Desert $1L3lG' CourtLA
CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Homes Comunities
BUILDING: TYPE CONST. � OCC: GRP.R3�
Mailing
Address 1535 South "Y3" Street, Ste. 200
A.P. Number
City Zip Tel. Lot 12 Tract 239351
San Bernardino, CA 92408 (909)381-6007 Legal Description
Contractor Project Description SFD Plan 4R ALT
Sime The Classics at Topaz
Aftt'IrASC
City Zip Tela
State Lia,$ 314473 City 2120
& Classif. Lic. #
Arch., Engr., $e
Designer j � amity Aguilar & Assoc.
A:0 3P ^Passerc ,Avenue Te J-710359-6066
(giverside ; CA_ zip 92545 Limit#
LICENSED CONTRACTOR'S DECLARATION --
I hereby affirm that, ! -am Iicensed,Ondewp or visions of Cha :ler 9 (commencing with:Section
000) of Division 3 of the Business arrd'ProfessionlskC-odb?and my I'cen)se s in fuIIhf!�ce a d,NIVect. -1
OWNER -BUILDER DECLARATION r
II hereby affirm that I am exempt from the`Contractor's License Law for the following
reason: (Sec. 703 1. 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 -phot 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 thathe 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 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 contractors) licensed pursuant to the Contractor's License Law.)
0 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� b— 'Company
[dNo�pysis 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 the 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 if work thereunder is suspended for 180 days.
I certify that I have read this application and slate 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
rt
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 DATE INSPECTOR r
Issued by: Date Permit !
Validated by:
Validation: X� r�
Sq. Ft.
Size 2105
No. No. Dw.
.Stories Units
New ❑ Add ❑
Alter ❑ , Repair ❑ Demolition ❑
Estimated Valuation
$119,473.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
596.41
Const.
749.50
Mech.
49.00
Electrical
145.44
Plumbing
162.40
S.M.I.
11.78
Grading
20.00
Driveway Enc.
40
Infrastructure
2,649.90
Arts in Public
Places 48.68
TOTAL
4,392.7.
REMARKS
rt
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 DATE INSPECTOR r
Issued by: Date Permit !
Validated by:
Validation: X� r�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROUGH WIRING
DUCT WORK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT.
REINF. STEEL
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN
GROUT
URINAL
SO. FT. ®
SERVICE
FINAL INSP,
ESTIMATED CONSTRUCTION VALUATION $
BOND BEAM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
, / `
C! /
D
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 �mjlkNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC ANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) 2 13 S
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP,
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP./
FRAMING f
FINAL INSP.
ROOFING2
, / `
C! /
D
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. F REWALL
"qATHING
MESH
INSULATIONISOUND �/
FINISH GRADING
FINAL INSPECTION r
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Vj,W i bs�z I
T �L
(!Titt of 011ilita,
�lti�1tlt1 cilt� � cl�i'� �tltt�ililt
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. in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 45-300 Desert Eagle Court
use classification Single Family Dwelling Bldg. Permit No. 13769
R3 VN SR
Group Type Construction Fre Zone Use Zone
owner of Building Century Homes Communities Address 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408
y Bruce Pelletier
By;
jj'� --
Dote: December 15,1994
Building Official
POST IN A CONSTICUOU! /LACE
71