13764 (SFD)4
P.O. BOX 1504 No, 1.3764
Building 45-1.20 Dosert Halls Cour 1k- 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century homes Communities VNI_ . .
BUILDING: TYPE CONST.
Mailing OCC: GRP.3
Address 3535 South "DO Street, Ste. 200
City Zip.Tel.
San Bearnardin®, CA 9240(909) 383-6007
Contractor
Same
Address.
City
Zip -I Tel.
State Lic. $ 314473 (City 2120
& Classif. Lic. #
DesignerArch.'r Benjamin Aguilar Ss ASSOC.
SV12eig Passers Avenue ITeJ_710359-•6066
City.-'' Zip State
:RI
iverside, CA 92505 Lic. #
1 hereby affirm that`I am licensed
and
dO,WNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031 .5, Busiriess:arid Professions Code: Any city or county which requires a
permit to construct, alter,'impiove, 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.)
❑ 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
i does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) 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 Cokr�pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy Np•� Company
f3Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(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 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.
s
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 it 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 Address
City, State, Zip
A.P. Number
,Legal Description Lot. 13 Tract 23935-3
Project Description SFD Plan 4 ALT -
The Classics at Topaz
Sq. Ft.
Size 1903
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$112,666.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
578.13
Const.
685..00
Mech.
49.00
Electrical
142.41
Plumbing
162.00
.S.M.I.
11.27
Grading
20.00
Driveway Enc.
00
Infrastructure
2,496.73
A: is in Public Places
31.67
TOTAL ,-.
4. 17 6. 2 f,{
REMARKS f
e
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
`Validated by: "''e r� !
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADEVON
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. p
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER _
ROUGH WIRING
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. I SQ. FT. p
METER LOOP
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN
G S (FINAL)
URINAL
SQ. FT. ®
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
LATHING
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 11 '
i
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADEVON
X
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER _
ROUGH WIRING
DUCTWORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) 7
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
G S (FINAL)
TEMP. POLE
GROUT
WA ER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATE SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING 0 /
FINAL INSP.
ROOFING 91 r
0
_/ _ V r'ar tlQ
�(]--0
'�J
F�
J
REMARKS:
VENTILATION/!�
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL