14587 (SFD)P.O. BOX 1504
Buildingx 78-495 CALLE TAMPICO
Address 79-350 Desert Stream Dr. LA QUINTA, CALIFORNIA 92253
Owner Century 13omes Communities
mailin
Address 1535 South 0D" Street, Ste. 200
City Zip Tel:
San, Bernardino . CA 92408- (90911381-6007
Contractor
Saute
Address -
ty
Zip
State Lia g 314473 City 2120
& Classif. • Lic. #
Arch.', Engr:,
Designer De uJamin Aguilar a Assoc.
AONSPSPassero Avenue T014) 359-6066
CR Zip State
CR erside.,- Cid 1 92505 Lic.'#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with•Section
7000) of D Isio 3 Iusiness .Professions Code, and my license is in
full force:and
effect�V�
SIGNATURE •A^ / DATE
OWNER -BUILDER DECLARATION
I hereby affiDn 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, after. Improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to 81e a signed. statement.lhat he is licensed pursuant to
Me 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
s-ubjects 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
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
�r
t 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
1Popy 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 any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: lt, 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 properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 certify that 1 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, as
No. 14587
BUILDING: TYPE CONST.. IM OCC. GRP.
A.P. Number
Legal Description
Project Description
The Classics
Lot 3 Tract 23935-5 Phase 3A
SFD Flan 4X—ALT
at'Topaa
Sq. Ft.
Size 2105 -
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation
$122,396.00
PERMIT
,
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
603.91
Const.*
720. Q4•
Mech..
49.0€
Electrical
145.44
Plumbing , ,.
162.00
S.M.I.
12.24
Grading
20.00
Driveway Enc.
00
Infrastructure
2,753.92
Arts in Pubii^ Places 55.99
�t.
TOTAL
4,522.50
REMARKS.
1A, , E W
ZONE: BY•.AA A
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:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE '�j
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SO. FT.
nn�
GAS (FINAL) ( 1
TEMP. POLE
WALL S0. FT. @
DRINKING FOUNTAIN
WATER HEATER
URINAL
SO. FT. ®
BOND BEAM
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
oaf „ Z v �
J3 7
f
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Ac
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 ABICECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE '�j
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
nn�
GAS (FINAL) ( 1
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 7
oaf „ Z v �
J3 7
f
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND f
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESJINITIALS
GARDEN WALL FINAL