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13717 (SFD)P.O. BOX 1504 N o . 13717 Building 45-010 Desert Sx11s Cour78-105 CALLE ESTADO Address A QUINTA, CALIFORNIA 92253 Owner Century Homes Communities Mailing BUILDING: TYPE CONST. OCC: GRP. Address 1535 South "Do Street, Ste. 200 A.P. Number Cityzip Tel. fat 9 bract 23935-3 San Bernard, nT, CA 92408 (909) 381.6007 Legal Description Contractor Project Description $FD Plan 3X Smote Address The Classics at Topaz , City Zip Tela i State Lic. B 314473 City 2120 & Classif. Lic. # Sq. Ft. 1554 No. No. Dw. Size Stories Units Arch.; Engr., Benjamin Aguilar & ASSOC. Designer 3 9 New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ss t A-11,1 �,assera Avenue Tel 710359-6066 City � Zip State itiveraide, CA] 925t? Lice �LICENSED CONTRACTOR'S DEd LARATION _ d- tl heretiy affirm that`I am licensed' u`nder�rovisions o6Chap*ter 9 (c mencin`grwith Section _ 7000) of Diviissi`oW3✓of tpe-,B'TsWgss and-Professlons-Code,yand rny9 censse`�is if full force forcce and ]ref,fect. ✓ 9 �� J.. G ✓% �',i i f r. SIGNATOR i / f DATE OWN ER•BUILDER DECLARATION I hereby affirm that I am exefnpt_from the Contractor's License Law for the following Estimated Valuation $99,577.00 reason: (Sec. 7031.5,Buslnessra�%Pro/essions 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 PERMIT AMOUNT 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 o/ Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. 250.00 283.11 yf 7 y subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. BBI. b 8 3.11 ❑ I, as ownerof the property, or my employees with wages as their sole compensation, will 11�� do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 6 39.50 Professions Code: The Contractor's License Law does not apply to an owner of property who [� i builds or improves thereon and who does such work himself or through his own employees, Mech. J�rJ. SQ provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year o/ completion, the owner -builder will have the burden Electrical 131 .11 lk j'of proving that he did not build or improve for the purpose of sale.) r ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- _ Plumbing 144 .00 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o/ property who builds or improves thereon, and who contracts for .S.M.I. 9.75 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) i ❑ 1 am exempt under Sec. B. & P.C. for this reason Grading �QQ Driveway Enc. .00 Date Owner Infrastructure 2,120.44 r WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of j Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company Op is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 3 * 653.41 3, 4U3. 41 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed i/ the permit is for one hundred dollars ($100) valuation I 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 ZONE: BY: subject to the Workers' Compensation provisions o/ the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from -Center Line I hereby affirm that there is a construction lending agency for the performance of the II work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from; Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR V �� 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. Issued by: Date UL Ir�liit 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-. X0(4 I mentioned property for inspection purposes. Validated by: �!'� / Signature of applicant -Date- Mailing Address Validation: f City, State, Zip � \\ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL. AREA ~ YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN SO. FT. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER MESH 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 PLUMBING NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH)— l l METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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. FRAMING /?/ FINAL INSP. ROOFING ✓� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHINGnm MESH INSULATIONISOUNOQ 91 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL —