14570 (SFD)Building
Address
Owner
P.O. BOX 1504 No. 14570
78-495 CALLE TAMPICO
79-345 Desert Stream Dr. LA OUINTA, CALIFORNIA 92253 :
Century Homes Communities
I
Address 1535 Sough "DO Street, Ste. 200
City Zip Tel.
San Bernardino, CA 52408 1(909)381-6007
1. same
City
Zip I Tel..
State Lic.34473 (City
I£ 2130
Classif. Lic. #
Arch., Engr.,
Designer Benjamin Aguilar . & Assoc. µ
el
SA�97SPassero Avenue (114) 359-6056
C'ty Zip State
Rverside, CA 92505 Lic. #
LICENSED CONTRACTOR'S DECLARATION
j I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3�gf thQ,Bu ness and Professions Code, and my license is in ful force and
1 effect. _�J T %/'�� _ �_
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, alter, 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 0 (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 penaltyof not more than rive 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, Suisness 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
does not apply to an•owner of property who builds or Improves thereon, and who contracts for
such projects with a contractor(s) 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_Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) .
Policy~o. .Company
.EfCopy 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 L - Owner
NOTICE TO APPLICANT. If, alter 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 properly'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 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
BUILDING: TYPE CONST. - VN OCC. GRP. R3
A.P. Number
Legal Description Lot 28. Tract 23935-5 Phase 3A
Project Description• SFD Plan 5
LX
The Classics at 'Topaz
Sq. Ft. No. No. Dw.
Size 2455- Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $14,2,915.'00
-,-.PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
6.34.96
Const.
758.50
Mech.
55.50
Electrical
159.03
Plumbing
156.00
S.M.I.
14.25
Grading
20.00
Driveway Enc.
00
Infrastructure
3,213.34
Arts in Pub!---- Places
107.04
TOTAL
REMARKS
,
ZONE: BY: tE {' 1 V_ V .
Minimum Setback Distances: i
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 FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT. 0
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
SEWER OR SE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.GAS
DRAINAGE PIPING
CAR P. SO. FT. @
METER LOOP
HEATING (FINAL)
WALL SO. FT.
REINF. STEEL
DRINKING FOUNTAIN
GAS (FINAL)
URINAL
SO. 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
INSP.
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
FIREPLACE
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® t/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 PLUMBINGELECTRICAL HEATING & AIR COND. SOLAR
t
SETBACK
GROUND PLUMBIN
2 7J UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
, S
SEWER OR SE
V S 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.
FRAMINGFINAL
INSP.
It it
ROOFING � i
r Q�Q
lVnvl
///
/ / F
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND /
FINISH GRADING
y
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL