14568 (SFD)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 79--325 Desert Stream Dr. LA QUINTA, CALIFORNIA 92253
W -M' Century homes Communities I
Address 1535 South "Do Street, Ste. 208
CityZip Tel.
San Bernardino CA 92408 1(909)381-6007
Contractor
Some
City
State Lic. S 314473 (City 2120
8 Classif. Lic. #
Arch., Engr.,
Designer Benjamin Aguilar & Assoc.
9drxetsvSPassero Avenue T(714)359-6066
Cit Zi State
Riiverside, . CA p 9250S I Lic. #
LICENSED, CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000)o�fDivyisi/on�.3 oft e Bus'nes d Professions Code, and my license is in fill force and
effect.//"i".�C-s'.s�`��''�..6�"`l'i'1%�.S"
SIGNATURE 'no, eD- 1'A' E
OWNER -BUILDER DECLARATION f
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, 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
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or 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 withh one year of completion, the owner -builder will have the burden
of proving that he did not build or inprove for the purpose or 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
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) (lcensed pursuant to the Contractor's License Law:)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner t
WORKERS' COMPENSATION DECLARATION
I -ereby affirm that I have a certificate of consent to self -insure, or a certificate of
Work 's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polf No. Company
VI Copy 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 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
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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
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,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when property 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 slate, that the above information is correct.
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.
Signature of applicant Date
Mailing Address
City, State, Zip
LDING: TYPE CONST. VN
A.P. Number
No. 14568
OCC. GRP.
R3
,Legal Description Lot 26 Tract 23935-5 Phase 3A
Project Description Sl' d Plan 3X
The.Classics at Topaz
Sq. Ft. No. No. Dw.
Size 1694 Stories Units
New ❑ Add ❑ Alter ❑ . Repair ❑ Demolition ❑
Estimated Valuation $101,681.00
I
PER
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
5441.90
Const.
646.50
Mech.
55.50
Electrical
131.11
Plumbing
244.00
S.M.I.
10.17
Grading
20.00
Driveway Enc.
100
Infrastructure
2,253.10
Arts in Public Places
20.00
TOTAL
3,825928
REMARKS
ZONE: BY:
Minimum Setback Distances: 1
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:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW%3 FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTI UGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
a
7
GAS (ROUGH) ETER LOOP
DRAINAGE PIPING
CAR P. I SO. FT. ®
REINF. STEEL 7j
WALL SO. FT.
DRINKING FOUNTAIN
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/�
� � � � � I„ //
/ /�({/�
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
GAR. FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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 E f TRICAL HEATING & AIR COND. SOLAR
r
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI UGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
a
7
GAS (ROUGH) ETER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL 7j
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.7,
FRAMING 121
FINAL INSP.
ROOFING -7
(i
�
/�
� � � � � I„ //
/ /�({/�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUNDi1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL