14554 (SFD)Building
Address
4
P.O. BOX 1504 No. 14554
78-495 CALLE TAMPICO -
45-060 Desert Hills Court LA QUINTA, CALIFORNIA 92253
Century Homes Communifties i
BUILDING_ TYPE CONST. TIV ( OCC. GRP 0I
Mailin'_
Address 1535 South "Do Street, Ste. 200
City Zip Tel.
Say Br:rnardino, CA 9+240$ 1(90P,)381-6007
Contractor
same ...
Address
k.P. Number
23935-1
egal Description List 11 Traci:
)roject Description SF Plan SY
7he .Clasaide at Topaz
State Lic. City
& Classif.. 34473 Lic. # 220 Sq. Ft. No. No. Dw.
Size 2047 Stories Units
y'' Benjamin Aguilar. a ASSOC.
Designer
SdS}SSpassero Avenue 1114) 359-6066
City Zip State
Riverside', CA 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 commencing with Section
7000) ofDivision3 t B i sss andel Piro essions Code, and rp license'is in full force and
effect/14�+s%
SIGNATURE -� DATE
OWNER -BUILDER DECLARATION
I hereby affirm 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, atter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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 exemptkm. 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). .
�" .❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
y: 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 knprove 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 Coder 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) (:tensed 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 Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code')
Polcy N� �' Company
QdOpy.is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM,
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100)vaiva[ion
or less.)
I certify that in the performance of the work for which„this permit is issued, I shall not
employ anyparson in any manner so as to become subject.to the Workers' Compensation -
Laws of California
New ❑ Add 0
Alter 0 Repair ❑ Demolition ❑
NOTICE TO APPLICANT. d, after making this Certificate of Exemption you should become
ZONE:
BY:
subject io the Workers' Compensation provisions of the Labor Code, you must forthwith
'
Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Minimum
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Estimated Valuation
$119 a 247 * 00
Side Street Setback from Center Line
PERMIT
-
AMOUNT
Plan Chk. Dep.
Side Setback from Property Line
Plan Chk. Bal.
591.40 -
Const.
-
FINAL DATE
709.50
Mech.
49.00
Electrical
143.41
Plumbing
Issued by:
144.00
• S.M.I.
11.92
Grading
20.00
Driveway Enc.
Validated by:
00
Infrastructure
2,683.06
Arts in Public Places
48.12
City, State, Zip
TOTAL
41 400.41
REMARKS
V'i fid
t l l
•
\ � j �\ice
Date Owner
NOTICE TO APPLICANT. d, after making this Certificate of Exemption you should become
ZONE:
BY:
subject io the Workers' Compensation provisions of the Labor Code, you must forthwith
'
Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Minimum
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
Side Street Setback from Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES -AND CIVIL, FINES UP TO ONE
-
-
HUNDRED -THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,.
Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND' .
ATTORNEY'S FEES.
-
FINAL DATE
INSPECTOR
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- car tity.that I have read this application and state that the above information is correct.
Issued by:
Date Permit
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:
Validated by:
Signature of applicant Date -
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES /
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM I
2ND FL. SO. FT.
HEATING (ROUGH)
DUCT WORK
STORAGE TANK
ROCK STORAGE
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
DRAINAGE PIPING
CAR P. I SO. FT.
GROUT
WALL SO. FT.
WATER HEATER
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FRAMING �'I
11
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® VAc
HOUSE SEWER
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
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 I w /_CTRICAL HEATING & AIR COND. SOLAR
n
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
DUCT WORK
STORAGE TANK
ROCK STORAGE
FORMS
ROUGH WIRING
SEWER OR SEPf4TIfw
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL Vj
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP..
BOND BEAM
WATER SYSTEM
'GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING �'I
11
FINAL INSP.
ROOFING
`
� L � /
Vv Y
J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 41111
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL