10188 (SFD)4
P.O. BOX 1504 No. 10188
Building 78-840 6w3ZX�� Drive
1S;1E: `'� 7&105 CALLE ESTADO
Address ` LA QUINTA, CALIFORNIA 92253
CTB Associates, L.P.
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 1535 S. aDf3 5t #244
A.P. Number
---
City
Zip
Tel.
1714/381-6007
� `'Lot: 149
Sara Bernardino
92$4$3
Legal Description
ContractorPhase
Project Description
.2 Pian 2XI�
Century Homes Connun ties
�
Address
sate as above
City.
Zip
Tel.:'
State Lic.
City
& Classif. 314473 31
Lic. # 2120
Sq. Ft. 1262
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer Frank Gonzales .& Assoc.
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Pf. x -mit: does not include block walls or
1336 E. Chapman Ave
714/532--6878
City
Zip
State
p001
Orange
92666
Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION
I herebyy�aff' m that I am licensed under provisions of Chapter 9 (commencing with Section
7000);of)D/i�Si(8y){on 3 of the Business and Professions Code, and my license.is. in full fo
ce �'dd
etfeci. f W � I �)! i� �� L/
SIGNATURE` 7 / DATE
L OWNER -BUILDER DECLARATION
I hereby that I from the Contractor's License Law for the following
Estimated Valuation
75 826. 6€3
affirm am exempt
- reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
P
--
pemrit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
'for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
Plan Chk. Dep.
..
subjects the applicant to a civil penalty or not more than five hundred dollars.(3500).
Plan Chk. Bal.
.a 115
' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness andCDn$t.
� J i .S U
—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
Mech.
U U
of improvement is sold within one year of completion, the owner -builder will have the. burden •',
'
' -Electrical
1.19. �)!
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 core.
Plumbing
144 < UU
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
S.M.1.
bU
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 4"
Grading
Z U . U U •
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
_ 2 U o U U
Date Owner .
Infrastructure
-r ub.lu
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
.2W
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
. + - ,,_" u_-�,._, •� ,_ �._.,,,, _.-,...,,• _,,, ,
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
VSL, —T_'Y.0 ►-W1oxi7SL)A&K.-Yom' � :r."Y.i�•:aYI P•'
employ any prson In any manner so as to become subject to the Workers' Compensation
Laws of Cal ifeornia.
Date Owner
NOTICE TO APPLICANT: If, after making 'this Certificate of Exemption you should become
subjectto 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
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. PLUMBINGrFEES
1ST FL SQ. FT. ® $
UNITS
I S' a
2ND FL SO. FT.
BONDING
YARD SPKLR SYSTEM
POR SQ FT ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. 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. / �yrJ
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% 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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
$ plus x$
_$
LUMBER GR.
FINAL INSP. / �yrJ
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 2XAR, Phase 2, Lot 109
CITY -OF LAWINTA
DEPARTMENT C
BU
24-HOUR N(
Owrw CTB Associates
Contractor--e-atury Hom
PeonO Number 10188
POST ON JOB IN CONS PICUOUS PLACE
INSPECTOR MUST SIGN ALL. APPLICABLE SPACES
JOB ADDRESS 787840 Sanita Drive
Permit does not include.block
.wall or pool
TYPE OF INSPECTION DATE INBP.
FOUNDATION A SETBACKea
Z
FOOTING STEEL �Ely
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE.
DO NOT POUR CONCRETE UNTIL ALL A O S SEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT.POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS A GAS TEST / V, • .
HEATING & VENT -NC
ovivv ocnm
O.K. TO WRAP (y Z
GROUT ❑ 4' ❑ 8'
FRAMING y
INSULATION
COVER NO WORK UNTIL ABOVE HAS BEJEN.SIGNED -
DRYWALL INTERIOR y
EXTERIOR LATH y
POOL PRE PLASTER
POOL FENCE A GATE
SEWER SEPTIC TANK G _
FINAL GAS TEST . -
HEATING - A/C
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT 70
TURN ON UTILITIES OR OCCUPY. BUILDING
V88
717: 1NI!
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OF
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uta to "n �S 3 t* � t* 0 n
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This Certificate issued pursuant. to the requirements of Section 306 of the Uniform Buildi n*g';
H
J!,
Code certifying that at -the time of issuance this structure was in compliance with the various
II i
ordinances of the City regulating building construction or use. For the following:
ili
BUILDING ADDRESS 78-840 Sanita Drive
Use Classification SFD Bldg. Permit No. 10,188
Group R3 Type Construction VN FIre Zone Use Zone R1
I I
j
Owner of Building CTB Associates, L.P. 1535 S. "D" St #200
Address
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($
City San Bernardino, CA 92408
By Mark Harold
Date; 6/24/92
Building Official
POST IN A CON04C000S PLACE