10236 (SFD)P.O. BOX 1504
Building 78-860 Sanita Drive 7&105 CALLE ESTADO
Arlrlrpcs LA QUINTA, CALIFORNIA 92253
Owner L.P.CTB Associates, b.L
Mailing
Address 1535 S. nD" St A200
City Zip Tel.
San Bernard1no 92408 1714/381-6007
Contractor
Century Roues Communities
Address
same as above
City lZip Tel.:
State Lic. City
&Classif. 314473 Ell Lic.# 2220
Arch., Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1336 E. Chapman Attie 714/532.6878
City Zip State
Orange 192666 Lic. # C 016340
e LICENSED CONTRACTOR'S DECLARATION
hherepyDi#firm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of vision 3 of the Business and Professions Code, and my license is in full force and
effect9
1
SIGNATl1RE ! -DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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 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 rive 'hundred dollars.($500). '
O 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 contractind 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.)
O 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.)
PoNo. Company
l[gyCopy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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: 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.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and.validaled, and is subject to
expiration it 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 ielating 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
No. 10236
LDING: TYPE CONST. OCC: GRP.
P. Number
Description
Lot 111
Project Description Plan 4BRX Phase 2
TOTAL 3735.54 1 3485.54
REMARKS
A-0wO.S�� l ):S�","6-"Z%._'.'Sd1RS. SaG
ZONE: BY:
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
I
FINAL DATE
NSPECTOR
Issued by: Date Perm
Validated by:
Validation:
Sq. Ft--
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit gees
not include black
wall or
001
Estimated Valuation
96,353.30
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan.Chk. Bal.
286.45
Const.
626.00
Mech.
55.50
Electrical
131.94
Plumbing
168.00
S.M.I.
9.70
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2167.95
TOTAL 3735.54 1 3485.54
REMARKS
A-0wO.S�� l ):S�","6-"Z%._'.'Sd1RS. SaG
ZONE: BY:
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
I
FINAL DATE
NSPECTOR
Issued by: Date Perm
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
,
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM �-
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
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
LAUNDRYTRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE JELECT.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 APPJEQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Plan 4BRX, Phase 2, Lot 111
CITY of L r r�5; }_
t?UI IIiTA° °'pr l
a . DEPARTMENT OF PLANNING DF��QPMENT
.BUILDING D *►�+�'" r
564-20
24-HOUR NOTICE FOR IN • I
Owner CTB Associates Lt. P"
Contractor . Century. Homes Communities'-`
Permit Number 10236
POST ON JOB IN CONSPICUOUS, PLACE; .
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
"ADDRESS 78-860 Sanita, brive'4 _ "
Permit does not include blocki>•...
wall or pool
TYPE OF INSPECTION A IN8P.'r
FOUNDATION & SETBACK ..;.
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING "•' 4
PRE-GUNITE_
DO NOT POUR CONCRETE UNTIL ALL ABjDVEiHAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ti ..; ...
ELECTRICAL GROUND WORK
1
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
+:- ' `
�:•: _
ROUGH GAS & GAS TEST."
'HEATING & VENT - A/C
FIREPLACE
,..
; ......�;._
ROOF
y
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMINGY
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE H SEEN
SIGNED' -°
DRYWALL INTERIOR
EXTERIOR LATH'
7,
.'
POOL PRE PLASTER
POOL FENCE & GATE
SEWER
FINALS
,
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
.
HOUSE NUMBERS
��
•, +:;.
JOB COMPLETEDI Alfil-
47
:
TEMP POWER
POWER I L„
ABOVE APPROVALS DO NOT INCLUDE RIGHT,TO
TURN ON UTILITIES OR OCCUPY BUILDING'
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this. structure was in compliance with the various.
i
ordinances of the City regulating building construction or use. For the following:
W!!
BUILDING ADDRESS 78-860 Sanita Drive
Use Classification SFD Bldg. Permit No. 10236
jI
i��i!
Group -R3 Type Construction VN Fire Zone Use Zone RI
I;I+j�
;'
Owner of Building CTB Associates, L.P. Address 1535 S. "D" St., #200
City - San Bernardino, CA 92408
BY: -;— Mark Harold
6/26/92
Date;
Building OfficialPOST 1N*A 06M04CU611.119 PLACE