14792 (SFD)Building
Address
Owner
f44
P.O. BOX 1504 No. 14792
79-275 Desert Stream Dr. 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Center! Homes Comunities
Mailing
Address 1535 Sou* h "DO.. Street, $tom. 2.00
City Zip Tel.
Sa x: Bersna.rafno CA -4- (909)381-6007
Contractor
SaMt
Address
I State Lic.
& ClassifI City# 2320.',
I' :..' `' B . 3.14473 Lic:
Designer .Se1iiai in, tI.3.ar .� Assoc.
yft Passerca Avenue Tei -714) 359-A606C.
Cityfx' Zip State
.vers'a:,..p, ' 92505 Lic: #
�'. LICENSED CONTRACTOR'S DECLARATION'
I hereby, affirm -that I am licensed,under provisiops' f Chapter 9 (commencing with?Section
I 7000) of: Divlslon 3 of the Business and Profes6ions'Code, and my license is in fultfforceand
nlfecf- /' ..�n:�:.�_!w y" d: .. "'^^•n•+;.J.'f. Pr, 2e,�•�'
BUILDING: TYPECONST.-• yN.,' OCC: GRP. R3
A.P. Number
Legal Description Lot 2s Tract 23933-5 Phase '3B
Project Description
..The._Classics. at. Topaz
Sq. Ft. 2047 NO. No. Dw.
Size . - - Stories Units
New O Add O ••. Alter O• Repair -0 Demolition O,
-/DATE
'
I' OWNEI0611ILDER DECLARATION
I hereby affirm .that I argeexempt from the Contractor's License Law for the following
reason: (Sec. 7031.5Auslness and .Professions Code: • •Any city or. county ,which requires a
Estimated Valuation 1=j° 22•
-PERMIT
j. permit to construct, alter, improve, demolish„ or repakian y structure,..pdor to its issuance also .-
requires the applicant for such' permit to file a signed statement thathe is.licensed pursuant -,to•.
the provisions o/ the 'Contractor's license Law, Chapter 9 (commencing with Section 7000) of •
Dlvlsion 3 0l the Buslnessand Prolesskins Cade, 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). .
01, as owner of the property, or my employees with wages as their sole compensation, will .
Infrastructure
Plan Chk...Dep.
Plan Chk. Bal..
'. COrISt-.. '
do the work, and the structure Is not Intended or offered for sale. (Sec. 7044, Buisriess and.
Professions Code: The Contractor's License Law does not apply to an owner of property who
Mech.' - "
builds or improves thereon and who does such work himself or through fiis.own- employees,'
provided that such improvements are not intended or.oflered for sale. If, however;- the. building -
- or improvement.is soldwfth/n one year of completion, the owner -builder will have the -burden
of proving that he did not build or improve for the purpose o/ 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 bullds or Improves thereon, and who contracts for .
. such projects with a contractor(s) (fcensed pursuant to the Contractor's License Law.)
' ❑ I -am exempt under Sec, B. 8 P.C. for this reason
Electrical
Plumbing'
.S.M.I.. '
Grading
Driveway Enc.
"Date owner.
Infrastructure
.torts - ina L f" . n
y
WORKERS' COMPENSATIONDECLARATION
I hereby affirm that I have a certificate 'of consent to self -insure, ora certificate .of '
Worker_ 4;;ompensation Insurance, ore certified copy thereof. (Sac. 3800, Labor Code.)'
Policy: 0._CCopy is filed with the city.. 0 Certified copy Is hereby furnished.
Date - Owner
TOTAL
7.00
AMOUNT'
591.40' ...
709.50 .
4%* 00
143.41
14-4.00' :
11.,9'2
2{x.00 ,
.00
2,,693.05'
.-
CERTIFICATE OF EXEMPTION FROM -
WORKERS' COMPENSATION' INSURANCE
REMARKS.
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
"or less.)
i, 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: 11, after making this Certificate. of- Exemption' you -should become '.
ZONE: • BY: '
subjec( to the 'Workers' Compensation provisions of the 'Labor Code, • you must - forthwith.
• - _ -
Setback Distances:
comply with such provisions or this permit shell be deemed revoked.
Minimum :
Front Setback from Center Line
Rear Setback from.Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE IS'UNLAWFUL,'AND•
'
Slde'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 IN TO
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.
Issued by: Date it
I agree to comply with all city and county ordinances: and state laws relating to building
v
construction, and . hereby authorize representatives -of this city to enter the above,
_
mentioned property for inspection purposes..
Validated by:
Signature of applicant Date AA 0
Mailing -Address Validation: 61.
City, State, Zip -�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
ROUGH WIRING
DUCT WORK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. I SO. FT. @
REINF. STEEL
WALL SO. FT. @
TEMP. POLE
DRINKING FOUNTAIN
SO. FT. @
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
SERVICE
WATER PIPING
NOTE: Not to be used as property tax valuation
BOND BEAM
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROOFING /
LAUNDRYTRAY
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
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ V4c
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 I LECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TAV4K
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 /
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND S 21117
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL