10196 (SFD)P.O. BOX 1504
7&105 CALLE ESTADO
Address 78-855 San=ta Drive LA QUINTA, CALIFORNIA 92253
CTB Associates, L.P.
Mailing
Address 1535-S. "D" St #200
City Zip Tel
San B-ern.ar€zinc 92408 1714/381-6007
Contractor
Century Domes Communities
No. 10136
LDING: TYPE-CONST.—OCC: GRP.
P. Number
Description Lot 82
Description Plan 3B Phase 2
same as abii re
.
City
Zip
Tel.:
State Lic.
& Classif. 314473 B1
City
Lic. # 2120
Sq. Ft. 1400
Size
No. No.
Stories Units
Dw.
Arch., Engr.;
Designer Frank Gonzales gd Assoc.
New ❑ Add ❑
Alter ❑ Repair ❑
-Demolition ❑
Address
1336 E. Chapman .Ave
Tel.
714/532-6878
Permit does
not include blocs
wall or.
>at7fl�
City
Orange
Zip
92666
State
Lic. # C 0163490
T LICENSED CONTRACTOR'S DECLARATION
I hereb �affi That I am,licensed under provisions of Chapter 9 (commencing with Section
7000) of I"visio 3'of.th'e Business and Professions Code, and my licen� Is in full force and
effect.�G� }y�
7
SIGNATURE` 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, alter, improve, demolish, or repair any structure, prior to its issuance also
requires 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 or the Business and Professions Code, or that. he is exempt therefrom, and th basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant fora permit
subjects the applicant to a civil 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 thatsuch 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
�y
83, 226.40
.PERMIT
AMOUNT
Plan Chk. Dep. 250. 00
Plan Chk. Bal,
.� pg
• 1
u 8
Const.
5'6 r � 50
Mech.
t1
55.. P50
Electrical
124.66
Plumbing
1-44. 00
S.M.I.
l� !1 0l�
.
8 4
Grading
20.00
Driveway Enc.
20.00
Date Owner
Infrastructure
1872.59
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
'Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 399.46
3043.46
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., 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 validated, and is subject to
expiration if 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 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
REMARKS
X10 �. `�.:.?i'.�.�•i t�'i1 ��l��rc�" �7yY)-'� ��F�� � ��r �i
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
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
.r '
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT.
GAR. SQ. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
1.4
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation'
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM. FAN j EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE j DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. RESID ® I V4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
f
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 SEP1nC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. }
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT �.
i
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
J
GAR. FIREWALL
LATHING
MESH }
INSULATIONISOUND
FINISH GRADING
f
FINAL INSPECTION
CERT. OCC. 1
FENCE FINAL
INSPECTOR'S SIGNATURESRNfTIALS
GARDEN WALL FINAL {
Phase 2, Plan 3B, Lot 82
CITY OF u'OuINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISIQN
564-22
24-HOUR NOTICE` SPETTIONS
owrw CTB Associates co
Contractor Century Home ommunities
Permit Number 10196
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-855 Sanita Dr.
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK /��--
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING 7 e2
ALL
CONCRETE SLAB /D 7- /7' --
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
G:0 oI�,aT L'y/1L�0W//�
O.K. TO WRAPl�--
GROUT ❑ 4' ❑ 8'
FRAMING t t Ar jvx
INSULATION /_ 92
PRE -ROOF I - I
COVER NO WORK UNTIL ABOVE IJAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
SEWER SEPTIC TANK r.; .. (. i %? l a✓zi'i'
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED,ZAK
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY. BUILDING
4/88
of �
3
,
OFTi9
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It
41i�;
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1-LittxT aub-,z)afet Da ** t% t�tolt
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
,
�:•
4:
ordinances of the City regulating building construction or. use. For the following:
IL
�i
BUILDING ADDRESS 78-855 Sanita Drive
Use Classification SFD Bldg. Permit No. 10196
Group R3 Type Construction VN Fire Zone Use Zone R1
'Owner of Building CTB Associates', L.P.Address 1535 S. "D" St. #200
j
i
I4
f
i
cit S ernardino CA 92408
By; Mark Harold
Dots • 6/24/92
i
Building Official
POST IN A 0ONtM000U! PLAO[
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