14571 (SFD)Building
Owner
P.O. BOX 1504 N o • 14571.
78-495 CALLE TAMPICO
79-355 Desert Stream Dr.. LA QUINTA, CALIFORNIA 92253
Century Homes Communities
BUILDING: TYPE CONST. VF OCC GRP. R3
Mailing
Address 1535 Sol ith "D" Street, Ste. 200
City Zip Tel.
San Bernardino CA 92+ 08 (909)381-6007
Contractor
Same
Address
State Ljc..B 314473 (city 2120
& Classif. Lic. #
Arch., Engr., Benjaattin Aguilar & Assoc.
Designer '
gd4V§s Pas.sero Avenue T11734) 359--6Q66
C��ity T92505
State
WrVersideF CA Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division of th 6 sines a/nd• rofesslons Code, and my license is in % , l force and
effect.
SIGNATURE % ' DATE
7
OWNER -BUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,9usbress and Professions Code: Any city or county which- requires a,
permlt to construct, after, Improve, demolish, or repair any structure, prior .to its issuance also
reGulrea 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 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
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 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.)
0 1 am exempt under Sec B. 8 P.C. for this reason
i Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I,have a certificate of consent to self -insure, or a. certificate of
Worker mpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Pollc o. Company
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 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: ff, alter making this Certificate of Exemption youshould, 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 it work thereunder is suspended for 180 days. .
I certtty that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinancesand state laws relating to building
construction, and hereby authorize representatives -of this city to enter the tabove-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
P. Number
gal Description Lot 29 'Tract 23935-5 Phase 3A
oiect Description 5PO. Pian 4X—ALT
The Classics at Topaz
Sq. Ft. No.
Size . 2105 Stories
No. Dw.
Units
New ❑ Add ❑ . Alter ❑. '
Repair ❑ Demolition ❑
Estimated Valuation, $122,r396.00
-.—PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
603.91
Const
720.00
Mech..
49.0€3
Electrical ,.
145.44
Plumbing '
162.00
S.M.I.
22.24
Grading
20.00
Driveway Enc.
00
Infrastructure
2,753.92
.Arts -in Publi Places
55.99
TOTAL
\, 4,522.50
REMARKS
/
ZONE: BY: �" t
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
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
770
f
SEWER OR SEPT
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. I SO. FT.
METER LOOP
HEATING (FINAL)
WALL SO. FT.
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
SERVICE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus x$
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING /yS
ROOFING , y
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3Yac
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 ELWTRICAL HEATING 8 AIR COND. SOLAR
SETBACK
GROUND PLUM BIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
I At
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
770
f
SEWER OR SEPT
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. Z 5�
FINAL INSP.
-q 11164Zc�qz2
i
GRADING
cu. yd.
$ plus x$
REMARKS:
=$
LUMBER GR.
FRAMING /yS
ROOFING , y
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING f�
MESH C
INSULATION/SOUND
f
FINISH GRADING /
FINAL INSPECTION In S
CERT. OCC. 1
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL