10910 (BLCK)I VOL,4Jf 1 cSo.
,a. 4 a
W .
/ P.O. BOX 1504 N o , 10910
Building78m385 S � 3r. 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253 •
Owner
CTB Associates, LP
Mailing
Address 4535 S. 'D" St., Suite 200
BUILDING: TYPE CONST.
A.P. Number
OCC: GRP.•
City Zip JTe+Sari Bern. 92408 14/381-6G07 Legal Description
Contractor Project Description
Same as above
1201.of 6' block gardenwall
Address
City
Zip
Tel::
State Lic.
& Classif. 314473 S1
City
Lic. # 2120
Sq. Ft.
No., No. Dw.
Size
Stories Units
Arch., Engr:, • '
Designer
New ❑ Add ❑
Alter ❑'. Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
. LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licerp4d undevp?ovisions of Chapter 9 (commencing with Section
,-7000)0-vi fDisiop f-t�hhW�BB�uusiness a :Prrooffees�sions C e, and my license is in full force and
.,,..effect.
.SIGNATURE DATE
' OWNER -BUJl!b DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation
'
3,000
reason: (Sec. 7031.5,Business and Professions .Code: Any city or county which requires a_
PERMIT
AMOUNT
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 civil penalty of not more than Ove hundred dollars ($500). '-
D I; as owner of the property, or my employees with wages as their sole. compensation; will
Plan Chk. Dep.
-
-
Plan Chk. Bal.
Const.
✓'
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
Mech.
_
builds or improves thereon and who does such work himself or through ,his own employees, ,
provided thatsuch improvements are not intended or offered for sale. If, however, .the building,
Electrical
or improvement is sold within one year of completion, the owner -builder will have the.. burden •
or proving that he did.not build or improve for the purpose ofsaie.) : -
Plumbing
❑ 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,Llcense, Law
does not apply to an owner.of property who builds or improves thereon, and.who contracts for
S•M.l.
- .30
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
Grading
Driveway Enc.
Date Owner
Infrastructure
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�No. .Company
0%opy is filed with the city. O Certified copy is hereby furnished..
TOTAL
54, 3Sl
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION•INSURANCE
REMARKS
APIW:i C f 4111- Gs L a ; .'__ •`5 - a .1
.
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.)
1 certify that in the performance of thg work for which this permit is issued, I -shall not
-r (— I--- '.i.._
ZEs 1 t 0 T:Avj•• y • O
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date ' ` Owhat
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.
ZONE:BY: _
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
I hereby affirm that there is 'a construction lending agency for the performance of the
. work for which. this permit is. issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
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 thatthe 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
FINAL DATE
INSPECTOR
Issued by: Date Permit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2N0 FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. ®'
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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.
SQ. FT.® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR @ V4c
HOUSE SEWER
LATHING
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
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS.
GARDEN WALL FINAL
�f�"+fin•". _
120' of 6' block garden wall
I , CITY OF:LA QUINTA ;
DEPARTMENT OF.PLANNING'&"DEVELOPMENT
BUILDING DIVISION i
564-2246
24-HOUR NOTICE F0191�f4 A
i
MAY u 5 1992
owner C.T.B. Associat;
Contractor Same
ftrMit Number 30910
POST ON JOB IN CONSPICUOUS, PLACE ,
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
-JOB ADDRESS 78-885 Sanita Dr. j
TYPE OF INSPECTION DATE INSP.
C,,._. FOUNDATION B SETBACK i
GROUND :PLUMBING
E:PRE=GUNITE.' '
DO NOT; POUR CONCRETE -UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS A GIRDERS.
' -ELECTRICAL GROUND WORK
+ DO NOT POUR CONCRETE UNTILALL ABOVE HAS BEEN SIGNED,'
'ROUGH :ELECTRIC
`ROUGH PLUMBING "
ROUGH ;GAS & GAS TEST
risHEl1TING8VENT•A/C
clocol •eec "
Y
GROUT�,_O 4' O S'
FRAMING'
uMm a A'ne%Li
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1.
DRYWALL- INTERIOR
`EXTERI,OR, LATH' '
POOL -PRE PLASTER
vPOOL'FENCE &GATE
:SEWER,SEPTIC TANK
FINALS
ABOVE APPROVALS DO NOT:INCLUDE RIGHTJO
TURN ON UTILITIES OR OCCUPY BUILDING -
4!88
mi
in