10224 (SFD)P.O. BOX 1504
Building 7&105 CALLE ESTADO
Address 78-830 Sanita Bribe LA QUINTA, CALIFORNIA 92253
Owner
CTB Associates, L.P.Mailing BUILDING: TYPE CONST.
Address 1.535 S. repo St #200 A.P. Number
City Zip Tel.
San Bernardin) 92408 714/_381-600 i Legal Description -ot 108
Centum Homes Communities
Address
same as above
City Zip Tel.:
State Lic. City
& Classif. 314473 B1 Lic. # 2120
Arch., Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1336 E. Chapman Ave 714/532--68:78
City Zip State
Orange 92666 Lic. # C 016340
/"""��t LICENSED CONTRACTOR'S DECLARATION
I herebyjagirm th t I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divtlsipn 3�of the Business and Professions Code, and my license, is it full forcqand
OWNER -BUILDER DECLARATION
No. 10224
OCC: GRP.:
Project Description Plan 4C Phase 2
Sq. Ft. 1567 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Perm -it does not include block gall or
idol
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation
9011 8.75.30
reason: (Sec. 7031.5,Business 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
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
the Any Section 7031.5 'any for
Plan Chk. Dep.
250.00
.tor alleged exemption. violation of by applicant a permit
. ^ subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
as
Plan Chk. BBI.
2.66. 5
❑ I, 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
Const.
599. 00
,.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,
Mech.
55. 50
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
Electrical
129. 47
, 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-
Plumbing
168.00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does notbuilds improves thereon, for
S.M.I.
9. 10
applyto an owner of property who or and who contracts
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
20.00
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
20.00
Date Owner
Infrastructure
2644.69
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
is
Copy filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
3562..29
3312.29
CERTIFICATE OF EXEMPTION FROM
REMARKS
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.
1 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
{;a i K, � ' tzdf3ti "R�� "iii#_.�,g3-:.c'r a::;' S 1, Tr?, 0
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 t )
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
GAS (ROUGH)
DRAINAGE PIPING
WALL SD. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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, 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% c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.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 SEPTICTANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REIN F. 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 4C, Phase 2, Lot 108
CITY OF u OUINTA
DEPARTMENT OF PLANNING 8 DEVELOPMENT
BUILDING LDI I
24-HOUR NOT;WR INP ONS
Owner CTB Associates.1494.
Contractor Century Homes o m,in; t; P
Permit Number 10224
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-830 Sanita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION d SETBACK �7
FOOTING STEEL
D PLU
Dy NOT POUR CONCRETE UNTIL ALL ABOVE:HAS BEEN SIGNED
SLAB
JOISTS 8
Wu ryu I FUun UUNCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH GAS d GAS TEST S Z oma.
HEATING d VENT- A/C `
O.K. TO WRAP
(TROUT ❑ 4' ❑ 8'
PRE_ -ROOF . -1
COVER NO WORK UNTIL ABOVE IJAS j3EEN.SIGNED.
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
rwL FtN(:E A DATE
SEWER SEPTIC TANK
Q
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
ordinances .of the City regulating building construction or use. For the following:
BUILDING ADDkESS 78-830 Sanita Drive
Use Classificotion SFD Bldg. Permit No. 10224
Group R3 Type Construction VN —Fire Zone Use Zone R1
Owner of Building CTB Associategi, L.P. Add - ress 1535—S. "D" St..' #20'0
City S n Bern. ; By; Mark Harold
Dote; 6/26/92
Building Official POST IN A CONS"PICUOUS 0LAC2