13788 (SFD)4
P.O. BOX 1504 N o . 13788
Building 45-180 Desert Fox Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Homes CoilitAunitiers
BUILDING: TYPE CONST. YN OCC. GRP. R3
MailinAddress 1535 South "D" Street, Ste. 200 +
City Zip Tel.
San Bernardin , CA 924081 (909)381-60
Contractor
Same
Address
State Lic. B 314473ILity 2120
& Classif. Lic. #
tngr.,
Designer
II3
ner BeJamin hilar & ASSOC.
Desig
AdJJdkes� Passero Avenue Tel.{ 714) 353-606
Cit Zip J State
jgiverside,-- Cr �- 92545 ILic.#
i LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
of Division 3_ of the Business and Prof ssig0 Cad 'And mIlcen a is in full force and
ffecte
ATE
OWNER -BUILDER DECLARATION /r
I hereby affirm that 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 thathe 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 penally 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 or 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.)
O 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
i 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 Nom¢✓' Company
Modopy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 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
i 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 1 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
�A.P. Number
Lot 31 Tract
rLegal Description
Project Description SFD Flan 4
The Classics at Topaz
23935-4
Sq. Ft.
Size 1903
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$112,1666.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
578.23
Const.
685.00
Mech.
49.00
Electrical
142.41
Plumbing
162.00
S.M.I.
11.27
Grading
20.00
Driveway Enc.
.40
Infrastructure
2,496.73
Arts in Public Places
31.67
TOTAL
4,176.21
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 —*, I . 11,,A\ rr
Validated by: r�C\ ��ti ►.
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. p $
UNITS
COLL. AREA
SLAB GRADE
g
YARD SPKLR SYSTEM
2ND FL. SO. FT. p
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. p
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SQ. FT. p
WALL SQ. FT. p
DRINKING FOUNTAIN
SERVICE
FINAL INSP.
URINAL
SQ. FT, p
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. p c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID p 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR p 34c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEEMECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING II ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING L
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
g
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
/
%
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL) '
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
LUMBER GR.
FRAMING //
ROOFING V
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIONI
CERT. OCC.
FENCE FINAL
GARDEN WALL FINAL
WATER SYSTEM
FINAL INSP. ( t I I)
FINAL INSP.
NSPECTOR'S
GRADING
cu. yd.
$ plus x$
REMARKS:
.,F:,7' ' �p.
r
Qjitt of U!��1 �ltilt�cl
1{ 111�111i1rllt� �cl�l'� � tlti�illlt
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 -45-180 Desert Fox Drive
Use Classification Single Family Dwelling Bldg. Permit No. 13788
VN
Group R3 Type Construction Fire Zone Use Zone SR
Owner of Building Century Homes CommunitiesAddress 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408 Bruce Pelletier
Building Official ;
By:
Date: December 27, 1994
POST IN A CONSPICUOUS /LAC[