10213 (SFD)Building 70-850 Sanita Drive
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner I
Ciss
B Associates, L.P.
Mailing
Address 15305 S. "D" St #200
City lZip Tel.
Sans Bernardii[o 92408 71.4/381.-6007
Contractor
Century Homes Communities
Address
same as above
City lZip Tel.:
No. 10213
LDING: TYPE CONST. OCC: GRP.
P. Number
Description
Lot Ill
Project Description Plan 3CX Phase 2
State Lic. City
& Classif. 314473 B1. Lic. # 2120 Sq. Ft. 1606 No. No. Dw.
Arch., Engr., Size Stories Units
Designer Frank Gonzales & Assoc. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. Permit clues not include block wall or
1336 E. Chapman Ave 714/532-K687
City Zip State pool.
Grange: 92666 Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION.
I hereb" f r that I am.licensed under provisions of Chapter 9 (commencing with Section
e00 �lf'f 1 sl • n 3 of e'Business and Professions Code, and m1cens i fyl1 for e and
r 611__
v
S GN7UB DATE
' OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's 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 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 thathe-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 penafty of not more than five hundred dollars ($500). -
O 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 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 or 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
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.)
Poky No. Company
O 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. If, alter 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
,timated Valuation
90;056.60
PERMIT
AMOUNT
Plan Chk. Dep.
250 • 00
Plan Chk. Bal.
7 S
Const.
5 `; 9 • U
Mech.
bZ • €iU
Electrical
Plumbing
144.00
S.M.I.
9.10
Grading
2L) . 00
Driveway Enc.
20 o 00
Infrastructure
1JZf2 • 4�
TOTAL
.*Z)ZU VID
t270.uv7
REMARKS
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO 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.000L 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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR..FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE'
MECH.FEE PL.CK.FEECONST.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Plan 3CX, Phase 2, Lot 110
CITY OF LA,OLIMIA
a DEPARTMENT OF PLANNING & EVELOPMENT
BUILDING D�;r .
24-HOUR N OR INS TIONS`
Owner CTB Associat4 k.
Contractor Century, Homes -Communities --
Permit Number •10213
POST ON JOB IN- CONSPICUOUS PLACE;'
INSPECTOR MUST SIGN -ALL APPLICABLE -SPACES
JOB ADDRESS 78-850 Sanita.Drive •:•
Permit does not include block.
wall or pool
TYPE OF INSPECTION DATE : ;. Y INSP.,.
FUU.TING STEEL
r '
MAIN GROUND SYSTEM
�•
GROUND PLUMBING
PRE-GUNITE_
DO NOT POUR CONCRETE UNTIL ALL AB VE tUIAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
�• {! ` t . _
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
44
-77
HEATING & VENT -A/C,:
FIREPLACE
ROOF
BOND EAM
w ,
O.K. TO WRAP 3
,a
GROUT O 4' O V
FRAMING
INSULATION
PRE -ROOF
y..:
y r'
- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED -"
DRYWALL INTERIOR . I
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK G
PLUMBING
FINAL GAS TEST
HEATING - A/C
TEMP
4!88
)WER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO' • '
TURN ON UTILITIES OR OCCUPY BUILDING ,
(tit u 1d Quinta
ywuttbtnt anb Sdfet '743tiltleitlin
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
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-850 SANITA DRIVE
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. _
Group R3 Type Construction VN Fire Zone Use Zone
Owner of Building CTB ASSOCIATES, L.P. Address 1535 S. D STREET
City SAN BERNARDINO, CA' By: RICHARD KIRKLAND
.
Dote; JUNE 30, 1992
Building Official
POST IM A CONSPICUOUS PLACE
10213
SR