13783 (SFD)` P.O. BOX 1504 N o . 13783
Building 45-030 .Desert Fox Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Homes Ct3ri#IDt1nsties
BUILDING: TYPE CONST. VW OCC: GRP. R3
mailin
Address 1535 South "D* Street, Ste. 200
A.P. Number
City ZipTel. Lot 26 Tract 23935-4
San Bernardi.nc , CA 92408 (909) 381-600 Legal Description
Contractor Project Description SFD Plan 2R
Same The Classics at Topaz
A(t(1rP-CS
Zip ITel.
State Lic. 8 314473 (City 2120
& Classif. Lic. #
Arch., Engr.,-
Designer Benjamin Aguilar & Assoc.
Ad.d ess Tel.
4�� Passero Avenue (714?359-606
City. Zip° State
I versi de, CA 92505 Lic. #
LICENSED CONTRACTOR' S,D CLARATION
herebYaffirm that I,.am licensed under_prg§`siyws of Chapter 9 (commsfiicing with Section
"F ,OWNER -BUILDER DECLARATION i
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, alter, 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).
❑ 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. 11, 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
Date Owner
j 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 No Company
C� opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit'is for one hundred dollars
or less.) ($100) valuation
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date - Owner
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become ,
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and stale laws relating to building
construction, and hereby authorize representatives sof this city to enter theabove-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, Slate, Zip
REMARKS
N
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit `r t
Validated by:
Validation:
Sq. Ft. 1422$' No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation $85,080.01D
PERMIT
AMOUNT
Plan Chk: Dep.
Plan Chk. Bal
497.52
Const.
576.50
Mech.
55.54
Electrical
121.80
Plumbing
144.0.0
S.M.I. • _
8.51
Grading
20.00
Driveway Enc.
.00"
Infrastructure
1, 054.5 ±
TOTAL
3,273.3.3
REMARKS
N
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
Issued by: Date Permit `r t
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
'
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER SO
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH) 1
METER LOOP
DRAINAGE PIPING
CAR P. SQ. FT.
WALL SQ. FT.
DRINKING FOUNTAIN
REINF. STEEL
GAS (FINAL)
URINAL
SQ FT ®
GROUT
ESTIMATED CONSTRUCTION VALUATION $
SERVICE
WATER PIPING
NOTE: Not to be used as property tax valuation
BOND BEAM
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
FINAL INSY. 9
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIREPLACE
SQ.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE IPL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING I 1XLECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER SO
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 1
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
LUMBER GR.
FINAL INSY. 9
cu. yd.
FRAMING
FINAL INSP.
$ plus x$
=$
ROOFING v ,
l 01247YA
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING y
-pin�
MESH
INSULATION/SOUND//,7/(,01 y
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
!il',11 !11
� i', A
of (VVr
ng
T itr 11f Tien (011hita
s � �
llii1tlll -lilt) '$'afCt 31illisto 1111
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 45-030 Desert Fox Drive
Use Classification Single Family Dwelling Bldg. Permit No. 13783
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Century Homes CommunitiesAddre9s 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408
By. Bruce,Pelletier'
.
Dote: December 7, 1994
Building official
Y09T IN A CONSPICUOUS ►LAC[
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