10235 (SFD)P.O. BOX 1504
Building 78-845 Sanity Drive78-105CALLEESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
CTB Associates, L.P.
Mailing
Address 1535 S. OD" St #200
City Zip Tel.
San BernardiniD 9240 714/381--6007
Contractor
Century Homes Communities
Address
same as move
State Lic. I City 2
& Classif. _314473 B-1 Lic. # 2'
Arch:, Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1336 E. Chapman Ave 714/532-'6070
City Zip State
Orange 1 92666 Lica# C 016340
LICENSED CONTRACTOR'S DECLARATION
I hereby{a�I& that I am licensed under provisions of Chapter 9 (commencing with Section
7000) o{f Di/JJJ!Isltoro3 of the Business and Professions Code, and my license is in full force and
effect .l�_/1
SIGNATURE 1t i I - DATE
OWNER-BUILDER'DECLARATION' .
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,&us1ness and Professions Code: Any city or county which requires a
permit to construct, atter, 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 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, Suisness 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 or 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 Contractors 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.)
Policy No. .Company
6 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 (5100) valuation
or less.)
I certify that in the performance of thg 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
LDING: TYPE CONST.
. Number
al Description Lot 83
No. 10235
OCC: GRP.
Project Description Plata 4ARX Phase 2
Sq. Ft. 1732 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block ;gall
car pool
Estimated Valuation
96,353.30
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
286.45
Const.
626.00
Mech.
550, 0
Electrical
131.94
Plumbing
168.00
S.M.I.
9.70
Grading
20. 00 -
Driveway Enc.
20.00
Infrastructure
2167.95
TOTAL
3735.54
3485.54
REMARKS
154-
4-ZONE:
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. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. I SO. FT.
WALL SO. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
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 EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER -
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
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.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
REMARKS:
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase 2, Plan 4ARX, Lot 83
;a
CITY OF LA QUINTA
DEPARTMENT OF PLANNING & D LOPMENT
BUILDING DIVIS
564-►
24-HOUR NOTI(W;.�R INS�ENS
Owner CTB Associates.
Contractor Century Hom .s rnmmunitips
Permit Numbi.r 10235
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-845 Sanita Drive
Permit does not include block
wall.or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK %
FOOTING STEEL
MAIN -GROUND SYSTEM. /
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB, kzza Z—
JOISTS & GIRDERS
ELECTRICAL GROUNDWORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST a_ _
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP C"]/J le2,
❑ 4' .08' F_
COVER NO WORK UNTIL••ABOVE HAS BEEN SIGNED
DRYWALL. INTERIOR l
EXTERIOR LATH
POOL PRE PLASTER
SEWER SEPTIC
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
E
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
i
I
14,
of 14M Ouinta
lluitbin�,-dnb -$ttfet�
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 78-845 Sanita Drive
Use Clossificotion
SFD
Bldg. Permit No. 10235
Group R3
Type Construction
Fire tone
Use Zona R1
Owner of Building
CTB Associates,_ L.P.
Address
1535 S. "D" St. ,' #200
City San Bernardino.
San
CA_ __92.408
By.
Mark Harold
Dote:
6/26/92
ng
POST IN A CONe?ICUOU! PLACE