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13787 (SFD)P.O. BOX 1504 Building 45-159 desert pox Drive 78-105 CALLE ESTADO Aririrpcc LA QUINTA, CALIFORNIA 92253 No. 13787 I Owner Century Homes Camlinunities BUILDING: TYPE CONST. VN OCC. GRP. R3 A.P. Number Legal Description Lot 30 Tract 23335-4 Project Description SFD Plan 5X The Classics at Topaz i Mailing Address 1535 South wDe Street,, Ste. 200 City San Beernardino, I CA 92408 Tel. e(909) 381-6007 Contractor Sane Address - City Zip Tela i State Lic. 314473 & Classif. City Zlaa Lic. # Sq. Ft. 2047 c No. No. Dw. Size Stories Units Arch., Engr., Benjamin A ilar -& Assoc. Designer � � New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ' '54b 5 Passero Avenue Tei714)359-6066 City�, Piversl8e,,cA Zip T 92505. State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm'Gat I,am licensed.under',provisions-09 Ater 9 (commencing with Section 7000)pct of Division •and'Profeessid0doded �license is in full force andIG�s'11_� NATURE.w' ,p' % P DATE ,,..� OWAER•BUILDERDECLARATION ` f I herebyaffirm 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. 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.) Estimated Valuation I�R�,�47 (�Q i PERMIT ' AMOUNT' Plan Chk. Dep. Plan Chk. Bal. 591.40 Const. ' 700..7 V Mech. 44. QQ Electrical 34,3, 41 Plumbing 144.00 ❑ 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.) ❑ I am exempt under Sec. B. 8 P.C. for this reason .S.M.I. 11 - Grading 20.00 Driveway Enc. 00 Date Owner Infrastructure 3,683.06 Arts in P'I li c Places 48.12 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 rff� Company , CICopy is filed with the city. ❑ Certified copy is hereby furnished. -TOTAL 4,400.41 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line '• s•Rear 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.) Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line Lender's Name FINAL DATE - Issued by: Valid Validated by: INSPECTOR i Date Permit % 14 %_ r i •k Lenders 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 sof this city to, enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE 3 ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL. SO. FT. STORAGE TANK FORMS lei MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROCK STORAGE FOUND. REIN GAR. SO. FT. ® POWER OUTLET ROOF DRAINS OTHER APPJEOUIP. REINF. STEEL DRAINAGE PIPING CAR P. I SO. FT. (� TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN SO. FT. ® SERVICE URINAL 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 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11A 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 f ECTRICAL HEATING & AIR COND. SOLAR 1 ¢� SETBACK GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 3 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS lei SEWER ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REIN GAS (ROUGH) / G METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) (� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING -cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. 1 9 FRAMING �(� FINAL INSP. ROOFING 7 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING I 24 MESH INSULATIONISOUND l FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL l I -A% v CFA�OF T}1E0�7V ,_ 1 T41 Ofect �liilt�ct lii�1tli1 cilt1 ,clfvt JD I I�t111t 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 45-150 Desert Fox Drive Use Classification Single Family Dwelling Bldg. Permit No. 13787 Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building Century Homes CommunitiesAddress 1535 South "D" Street, Ste. 200 City San Bernardino, CA 92408 By; Bruce Pelletier - Date; December 7, 1994 Building Official POST IM A CONl11000U! PLACE ' I ^��'1�a:�..�� �.. - - - � - r _�-.� - - - -- - - - '�aC.�'7r�ir�.��iS�.-tip � -..:1. _ ••+.a�a��