14794 (SFD)44Q
P.O. BOX 1504 No. 14794
Building 79-235 Desert StareaM Dr. 78-495CALLETAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner Century Homes Communities
Vh
Mailing BUILDING: TYPE CONST. • OCC. GRP. R3
Address 1535 South "D12 Street, Ste. 200
A.P. Number
City Zip Tel. Lot 23 Tract 23935-5 Phase 3B
San Bernardino, CA 92408 (909) 381-'6007 Legal Description
Contractor Project DescriptionSFD P2"an 5LX
Same. _
Address
The Classics at Topaz
City Zip Tel.:
State Lic. B 31.4473 City 2120
& Classif. Lic. # Sq. Ft. 2455 -No. No. Dw.
Size - Stories - Units
Arch., Engr., -Ben �xia Aguilar & ASSOC.
Designer � 9 New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑
� 3 Passero.-Avenue T1714) 359-65066a
. F
City -r'""` j Zip State
�Ri.vers �de CA 92505 _Lic. #
1. { LICENSED CONTRACTOR'S DECLARATION. �7
I hereby affrrm that lam licensed under p visions-of-Chao,.F#,(commen�6g wi
it th Section '
6 '-7000) of Division 3.ofthe Business arid,P,rofessions G�o�de,, amend m�yl-ige�nse�= s m full orce and
SIGNATURE
OWNEWi6lLDER DECLARATION.
2
I.` 81500- I hereby affirm that I am" -exempt from the Contractors License Law for the following Estimated Valuation $142"815.00
•
f • reason: (Sec. 7031.5,11usiness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statementthat he is licensed pursuant to PERMIT AMOUNT
the provisions or 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 Plan Chk. Dep. -
subjects the applicant to a civil penalty of not more'than five hundred dollars ($500). Plan Chk. Bal. 3 9
O 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 COnSt. I 750.50
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; .. 55.50
provided that such improvements are not Intended or offered for sale. If, however, the building Mech159.03
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical
or 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- Plumbing 156.00
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 S.M.I. 14.28
such projects with a contractors) Licensed pursuant to the Contractor's License Law.)
Grading 2�j Ot?
❑ 1 am exempt under Sec B. 8 P.C. for this reason
Driveway Enc. 00
Date Owner Infrastructure 3,313.34
Arts in Public, Places r
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.) -
Policy o. Company
Copy is filed with the city. ❑ Certified copy Is hereby furnished.
TOTAL 5,118.65
CERTIFICATE OF EXEMPTION FROM REMARKS '
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation
or less.-)
I 1 certify that in the performance of thg work for which this permit is issued, I shall not .
1, employ any pparson in any manner so as to become subject to the Workers' Compensation
Laws of California.
r
NOTICE TO APPLICANT n, after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the • Labor Code, you must forthwith
.
Distances:
comply with such provisions or this permit shall be deemed revoked.
M mimum Setback ,
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 LI
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
FINAL DATE
INS PECTO
a 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.
a
1 certify that 1 have read this application and state that the above information is correct.
Issued by:
Date rmit
I agree to comply with all city and county ordinances and state laws relating to building
nr�
construction, and hereby authorize representatives -of this city to. enter the above-.
mentioned property for inspection purposes:
Validated by:
Signature of applicant _ Date
•Malling
1/
Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS el
SEWER OR SEPTIC TAN ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
GAS (ROUGH)
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
REINF. STEEL
DRAINAGE PIPING
CAR P. SO. FT. @
GROUT
WALL SQ. FT. @
WATER HEATER SERVICE
DRINKING FOUNTAIN
SQ. FT. @
BOND BEAM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ -Plus-X$-=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L 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, TEM/PERM
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.
SQ. FT. RESID @ l IA c
SEWAGE DISPOSAL
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
SQ.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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS el
SEWER OR SEPTIC TAN 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
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
C,
I
L/-�A
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL