14559 (SFD)Af1r1rPs9 79-360 Desert Stream Dr.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
vwrrvi Century Hetes Communities I
Mailing
Address 1535 South -Do -DoStree.ta Ste. 200
City Zip Tel.
San. Bernardino, CA 92408. 1(909)381-6007
Contractor
Sarde
State Lic. H 31447.3 (City 2120
& Classif. #
Designer ; tngr.,
DesiBenjamin Aguilar.. & Assoc.
S499s Passero Avenue T1714) 359--.6066
Ity Zip State
YerSlde-, -CA 1 92505 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I m I'censed under provisions of Chapter 9 (commencing with Section
7000) of Divisi n o e Bt I �e,�,,�sybya++�nd Prof es ions Code, and my license's in fI II'forcec hd
effect,.,
SIGNATURE / DATE
OWNER -BUILDER DECLARATION.
I hereby affirm that I am exempt from the Contractor's License Law for the following.
reason: (Sec. 7031.5,Bustness 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 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 ctW1 penalty of not more than rive hundred dollars ($500).
❑ 1, 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 orofferedfor sale.. If, however, the building
orimprovement 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.)
D 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) (Icensed pursuant to the Contractor's License Law.) •
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
/F/ WORKERS' COMPENSATION DECLARATION
Ateby
I haffirm that I have a certificate of consent to self -insure, ora certificate of
Worker ,Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Pollc No. 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 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: H, '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 tilled out, signed and validated, and is subject to,
expiration if work thereunder is suspended for 180 days.
I certlfy 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
Co. ttructIon, 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
No. 14559
LDING: TYPE CONST: IrrA OCC. GRP.
R3
►.P. Number
.egal Description Lot 2. Tract 23935-5 phase 3A
rroject Description SF`D Plan 3X
The Classics at Topaz . .
Sq. Ft. No. No. Dw.
Size 1694.. Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition p
REMARKS
1 n
Estimated Valuation $101,681.00
_ I
PERMIT
AMOUNT
Plan Chk. Dep.
�.
Plan Chk. Bal.544.90
Const.
646.50
Mech.
-55. 5U
Electrical
131.11
Plumbing
144.00
S.MJ:
10.17
Grading
20.00
Driveway Enc.
*00
Infrastructure
21253.10
Arts in" lE Prices
20. U0
TOTAL
3,825.28
REMARKS
1 n
IV
ZONE: BY:—
Y:Minimum
Min imumSetback 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 I Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING. FEES
IST FL.. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE Tj
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. Q
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROCK STORAGE
FOUND. REINF.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
OTHER APP./EOUIP.
REINF. STEEL
DRAINAGE PIPING
CAR P. SO. FT. ®
I
WALL SO. FT.
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
SO.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 ELECTRICAL HEATING & AIR COND. SOLAR
y9
SETBACK
GROUND PLUMBING
) UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE Tj
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC T ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
ot
HEATING (FINAL)
OTHER APP./EOUIP.
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./! J
(O
FRAMING
FINAL INSP.
ROOFING �. / p�
(
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWAL 7
LATHING 7
MESH
INSULATION/SOUND (Q5f
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
'
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL