13715 (SFD)4_0 "
F<°O. BOX'1504
Building 45--005 Desert dills C6urt 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
owner Century Homes ICammuunit.i�es
Mailin
Address 1535 South I'D" Street, Ste.. 200
City ZipTel.
San Hernardinc, Cis 9240x$ (909) 381. 600
Contractor
Same
Address
Tela
State Lia B 314+473 I City 212{3
& Classif. Lic. #
Arch., Engr., Ben +3dtl n +A uilar a Assoc.
Designer _ � g
AZ,* P2lssero, Avenue Te17l4) 359-606
Gkyxversidc�,''CA Zlp,/92505 LLii�t#.-_'`'%
I hereby affirm,that I am licensed u
400) of Division 3 of the•Business.a
�/' OWNER-BUILDERZECLARATION
I'hereby affirm that I am exempt fromptI;a Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Profes'slons Code: Any city or county which requires a
permit to construct, alter, improve, demo(jsh; or repair any structure, prior to its issuance also
requires the applicant for such permiyto'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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
0 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.)
❑ 1, 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.)
0 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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 Company
Dopy is filed with the city. O 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 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 it 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
BUILDING: TYPE CONST._ . Vn
A.P. Number
No. 33T15
OCC: GRP. x3
Legal Description Lot 8' Tract 23935-3
Project Description SFD Flan 5X
The Classics at.Topaz
ZONE:
BY:
Minimum Setback Distances: -
Front Setback from Center Line
Sq. Ft.
Size 2047
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Side Setback from Property in
l 1
FINAL DATE
INSPECTOR, \1
Issued by:
ol V �
Date / Pe�i4 I"' f
Validated by:
Estimated Valuation
$119,247.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
341.40
Const.
09. bU
Mech.
_
49.00
Electrical
143.41
Plumbing
__U4. 00
.S.M.l.
11.92
Grading
20.00
Driveway Enc.
.00
Infrastructure
2-168:3.06
Arts in Fuvllc
r1aces
4 8 .1l
TOTAL
40400.41i
4115U.41
REMARKS
l
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 in
l 1
FINAL DATE
INSPECTOR, \1
Issued by:
ol V �
Date / Pe�i4 I"' f
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEZS �.
1ST FL. SO. FT. ® $
UNITS -
COLL. AREA
SLAB GRADEAa
YARD SPKLR SYSTEM
2ND FL. S0. FT. ®
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH) qJ.;
METER LOOP
DRAINAGE PIPING
CARP. SO. FT. ®
REINF. STEEL
WALL SQ. FT. ®
GAS (FINAL) TEMP. POLE
DRINKING FOUNTAIN
GROUT
URINAL
SO FT ®
WATER HEATER SERVICE
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
BOND BEAM
WATER PIPING
NOTE: Not to be used as property tax valuation.
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.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 I f-LECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEAa
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.^
GAS (ROUGH) qJ.;
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
-
LUMBER GR.
WA
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING /
9
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