10205 (SFD)P.O. BOX 1504 ` �' �
No. 10205
Building $� ,rive 7&105 CALLS C
Address 78 �d0 LA QUINTA. CALIFORNIAORNIA 9 92253 i,
Owner
CTB Associates, L.P.
M�iLinn BUILDING: TYPE CONST. OCC. GRP..
Address 1535 S. "D" St #200
City Zip rTe
San Bernardix:o 92408
Contractor
C:er::ury Roues Comunities
P. Number
Ii14/381-6007 Legal Description Lot 107
Project Description Plan 3i3 Phase 4
Address
same as abov6
City Zip Tel.:
State Lic. City
& Classif. 3144-13 B1 Lic. # 2120
i; Arch:,' Engr.,
Designer PraWk Gonzales & Assoc.
Address Tel.
1336 E. Chapman Arte 714/532-687
City Zip State
1 Orange 92666 Lic.# C 016340
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions'of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE 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 or 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 penally of not more than five hundred dollars (S500).
0 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 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 budding
or improvement is sold within one year of completion, the owner -builder will have the burden
or 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner i
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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
Y� Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM'
WORKERS'COMPENSATIONINSURANCE
(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 thg work for which this permit is issued, I shall not
employ any peon in any manner so as to become subject to the Workers' Compensation
Laws of Cali fornirsa.
Data 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 it work thereunder is suspended for 180 days.
I certify that 1 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:
I
Sq. Ft. g 0
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
?ermit does not include
block wall or nota
Estimated Valuation
83,226.40
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
236.81
Const.
567.50
Mech.
55,.:50
Electrical
124.66
Plumbing
144.00
S.M.I.
8.40
Grading
20.00
Driveway Enc.
20.010
Infrastructure
1872.59
TOTAL
3299.46
3049°46
REMARKS
/';fry: d' J=i ,t i•S
^r i.,?.'i Vic).»; ._�'? 4 i't
.��i.. ... T..#'i. 11
.« 1 rJI �i � R `7 C,
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
IST FL. SO. FT. ® $
2ND FL SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® V4c
HOUSE SEWER
FRAMING
FINAL INSP.
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) L
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION-
NSPECTION CERT. OCC.
CERT.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Phase 4, Plan "3BL , Lot 107
.CIS OF LAQUINTA
a ~
DEPARTMENT OF PLANNING:& DEVELOPMENT
BUILDING DIVISION
E 564-2246-
24-HOUFI NOTICE FOR NS
Owner CTB Asso i � tes
Contractor . Century I'Hom
Permit Number 10:2 0 5 1 11,
POST ON JOB INICONSPICUOUS PLACE
INSPECTOR MUST SIQ� ALL APPLICABLE, SPACES
JOB ADDRESS 7`8-8210 5anita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION' " '-; DATE INSP.�
FOUNDATION & SETBACn ��L-
FOOTING STEEL % �'""' i
MAIN GROUND SYSTEM
GROUND PLUMBING ' .. ) f f2
PR&GUNITE I'V.
CONCRETE SLAB��--
JOISTS & GIRDERS.
ELECTRICAL GROUNDIWOR
f, "
DONOT POUR CONCRETE
NTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
i
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL
ABOVE "ASJB3EEN.SIGNE
DRYWALL INTERIOR'
EXTERIOR LATH
.
POOL PRE PLASTER
POOL FENCE 8 GATE,"'
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED/
TEMP POWER
ABOVE APPROVALS
TURN ON UTILITIES
4.88
DO NOT INCLUDE RIGHT TO
OR OCCUPY'BUILDING
Ci
of Ila Quinta
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 78-820 Sanita Drive
Use ClassificationR i 11g 1 e Pam i 1 y nw_ 1 1 i ng Bldg. Permit No. 10901;
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building (TR Acsnci Ates, T. g Address 1 SIS 9- "n" StrPAt-
City San Bernardino, CA Bruce Pelletier
ding Offic
BY.' —
Dote: _
POST IN A CONSPICUOUS PLACE
December 14, 1992 .