13778 (SFD)Building
Address
Owner
Mailing
Address
City
Sitz I
Contractor
Same
Address
P.O. BOX 1504
45-095 Desert Fox Drive 78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Century Homes Communities
1535 South "Ag Street, Ste. 200
Zip Tel'.
rnardina, CA 9240 (9139) 361-'6013
Tela
State Lic. H 324473 (City 21241
& Classif. Lic. #
Designer
_
Designer Benjamin Aguilar & ASSOC.
Adg9 9 Passero Avenue., Te1.(914)359-6th
City, �� Zip -.1 State
h- vers- idea ,. 92505 Lic. #
�r LICENSED CONTRACTOR'S DECLARATION
I hereby affirih4hat I anli ensed und`e provisions of Chaptey9 commencing witl�Section
70f)0) of DiGision 3 ofthe BuysineWand Professs�o,Qs Code, and my license is.in fuj_L e,@gd
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: ss an
(Sec. 7031.5,Busined 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. 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.)
0 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 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 Company
125"Copy 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 th@ work for which this permit is issued, 1 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
No. 13778
BUILDING: TYPE CONST: V14 OCC: GRP. R3
A.P. Number
Legal Description LGt 22 Tract 23935-4
Project Description SPD Plan 3X
The Classics at Topaz
Sq. Ft.
Size 1654
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
17
Estimated Valuation
$99t577.00
PERMIT `;
AMOUNT
Plan Chk. Dep. '
Plan Chk. Bal.
533.11
Const.
639.50
Mech.
55.5¢
Electrical
131.11
Plumbing
144.00
.S.M.I. . •
9.75
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,120.454
c
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: r�
Validation: C
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. W. FT. ® $
UNITS
-
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. Q
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (FINAL) Z
Z
WALL W. FT.
DRINKING FOUNTAIN
SQ FT ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
VENTILATION
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, 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 ® 1 I c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
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 PLUM IN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER P2161=1
ROUGH WIRING
DUCT WORK
ROCK STORAGE
�!
FOUND. REINF.
/
GAS (ROUGH) / L9
/
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL) Z
Z
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. L
FRAMING
FINAL INSP.
ROOFING
VENTILATION
Z -z-19
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL,
l
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION v�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
I
:ff
of
Uit�r of ��t I�lti�it�i
�uilliit� �ui1 ��lfrt� �ilri�inn
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 45-095 Desert Fox Drive
Use Classification Single Family Dwelling Bldg. Permit No. 13778
Group R3 Type Construction VN Fre tone Use Zone SR
Owner of Building Century Homes CommunitiesAddress 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408 By: Bruce Pelletier
Dote: December 22, 1994
Building Official
POST IN A CONSPICUOUS PLACE
a.....�..+�. � -- -----•----s+�—:X�si-�r';�S�r ..e,�.. - 1.