13789 (SFD)• Q
P.O-BOX 1504 No. 13789
Building 45-210 Desert Fox Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century homes Communities
BUILDING: TYPE CONST. VNI OCC: GRP. R3
Mailing
Address 1535 South "DO Street, Ste. 200 A.P. Number
City
Herna-rdin( ,p CA 9244
Contractor
SWM&
Address
State Lic.
& Classif.
Arch., Engr.,
Designer
Zip
H 314473
Tel. Spot 32 Tract.23935-4
{9�09.) 381--6#�0' Legal Description
}. Project Description SFD Plan 3
The Classics at Topaz
Tela
City 2i2fl ''�
Lic. # Sq. Ft. No. No. Dw.
Size 1654 Stories Units
Benjamin Aguilar & Assoc. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
�' Address
545 Passero Avenue
Tel.
(710 359"606
CityZ'rp State
ldverside,� �° 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Ilial l>am licensed under provisions of Chaptp9 (cornmenddg with Section
D00) of Di3ision of h_e Busin�'s d.P.rofessJV C — Viand my license' m full forde and
.00OWNER•BUILDER DECLARATION If I
I hereby affirm that I am exempt from the Contractor's License Law for the following
i ,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 rive 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
4 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,
t provided that such improvements fare not intended or offered for sale. If, however, the building
oimprovement is sold within one year of completion, the owner -builder will have the burden
proving that he did not build or improve for the purpose of sale.)
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
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm.that I have a certificate of consent to self -insure, or a certificate of
Worker's Compen'sation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.J
Policy Company
iCUopy is filed with the city. ❑ Certified copy is hereby furnished.
1
i 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
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 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
ateMailing Address
City, State, Zip
S
FINAL DATE INSPECTOR'
r
Issued by: Date Permit
Validated by: �a
Validation: )Nx l 1/�
�
Estimated Valuation
$99#577.00
PERMIT
r AMOUNT
Plan Chk. Dep.
l,r2
Plan Chk. Bal.
533.11
Const.
639.50 77
Mech.
55.50 \ .
Electrical
131.11
Plumbing
144.00
S.M.I.
9.75 r
Grading
20.00
Driveway Enc.
'1600
Infrastructure
i
TOTAL
31653.41
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line=�
Rear Setback from Re_ar.Prop.:Line-- '-
Side Street.Setbacic from Center Line
- Side Setback from Property Line
FINAL DATE INSPECTOR'
r
Issued by: Date Permit
Validated by: �a
Validation: )Nx l 1/�
�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
SEWER 94444'p;"
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SQ. FT. ®
REINF. STEEL ^
WALL SO. FT. ®
POLE
DRINKING FOUNTAIN
URINAL
SO. FT. ®
WATER HEATER
SERVICE
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
I WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
�=qY
$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(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.
SO. FT. ® c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @.11/4 c
SEWAGE DISPOSAL
LATHING
MESH /
INSULATION/SOUND
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 PLUMBINGJj
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS t
SEWER 94444'p;"
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. (�
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL ^
GAS (FINAL)TEMP.
POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
�=qY
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FRAMING / /
1
ROOFING
/
(,
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREW LL
LATHING
MESH /
INSULATION/SOUND
FINISH GRADING
J
FINAL INSPECTION �/
11
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
VI
N
Ghk
MOO jCVW 1Z
,BVI
:,
QfiNj of lla 011had
�uilbiitt� aii1 -Sbafvt� D1-4tkiinn
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 45-210 Desert Fox Drive
Use Classification Single Family Dwelling Bldg. Permit No. 13789
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Century Homes Communitiellddress 1535 South "D" Street, Ste. 200
City San Bernardino, CA 92408 - BY: Bruce Pelletier
Date: December 27, 1994
Building Official
POST IN A CONSIICUOUS PLACE
/� 1