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
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