13784 (SFD)Building
Address
44 UW
P.O. BOX 1504
45-060 Desert Fox Drive 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Century Hamer Communities
Mailing
Address 1535 South *D* Street, Ste. 200
City Zip Tel.
San Beruardir_< , CJS 92448 (909) 381-6007
Contractor
I Same
City jZip I Tel.
State Lic. B 314473 ( City 2120
& Classif. Lic. #
Arch., Engr., ' Benjamin Aguilar a Assoc.
Designer , �
A d ess� Passero .Avenue Tel '(714) 353-606
City Zip State
Riverside,,. 925t35 Lic. #
f LICENSED CONTRACTORS DECLARATION
I hereby affirm that l:am licensed under provisions of:eh0-Mer 9 (commencing with Section
7000) of Division &of the Business and Professions=Code„and—mv lieense is in full force and
OWNEA78UILDER DECLARATION r f
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
i 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 or 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 or 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.)
❑ 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.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date I 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 No Company
opy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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 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
Ihereby 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 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. 13784
BUILDING: TYPE CONST. NN OCC. GRP. _ R3
A.P. Number
Legal Description Lift 27 Tract 23935-4
Project Description SFd Plan 3XC
The Classics -at Topaz
ZONE:
BY:
Minimum Setback Distances:
4
Sq. Ft.
Size 1654
No. No. Dw.
Stories Units ~
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
I
'
Side Setback from Property Line
^FINAL DATE
INSPECTOR
Issued by:
Date Permit
`
Estimated Valuation
$99,577.00
PERMIT
AMOUNT
Plan Chk. Dep. .
Plan Chk. Bal.
533.11
Const.
639..50
Mech.
55.50
Electrical
r 131.11
Plumbing
144.00
S.M.I.
9.75
Grading
20.00
Driveway Enc.
00
Infrastructure
2,120.44
TOTAL
. 3, 653.41
REMARKS
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
`
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
UNDERGROUND
A.C. UNIT
COLL. AREA
YARD SPKLR SYSTEM
2ND FL. SQ. FT. p
ROUGH PLUMB.
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
AS
SEWER
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
FOUND. REINF.
GAS (ROUGH) /
DRAINAGE PIPING
CAR P. I SQ. FT.
OTHER APPJEQUIP.
REINF. STEEL
WALL SQ. FT.
DRINKING FOUNTAIN
TEMP. POLE
URINAL
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
SERVICE
WATER PIPING
NOTE: Not to be used as property tax valuation
BOND BEAM
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING 7
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
��y
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.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MESH
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 1, "
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
AS
SEWER
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) /
ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
RADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING 7
FINAL INSP.
ROOFING o
`Q
tV
��y
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION,j 7 2
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
y,'j\ !'!
�,v
t1*�xi�
of Orr Tt 12,4k
M.cu
/`
Cts l of Tijo (0111*11ta
IN111011)thi1 alt1 - '•► fvt -1,041kii111t
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 45-060 Desert Fox Drive
Use classification Single Family Dwelling Bldg. Permit No. 13784
SR
Group R3 Type Construction VNSRZone Use Zone
Owner of Building Century Homes Communities dress 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408 Bruce Pelletier
Building Official'
BY:
Date: December 29, 1994
POST IN A CONSIPICUOUS PLACE
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