10228 (SFD)- f�G1�GV
P.O. BOX 1504 1
No. 14228
Building 7&105 CALLE ESTADO
Address 78-$10:: Sancta Drive LA QUINTA, CALIFORNIA 92253 � � i
Owner � t
CTB Associates, L.P.' v
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 1535 M. "D" St #200 A.P. Number
City Zip Tel.
Sala Bernard.—m 92408 1714/381-6007 Legal Description RIXNX% Lot 106
Contractor _I Project Description Plan 4r Phase
Century Homes Commuhities
Address
same as above
City lZip Tel.: 4
State Lic. City
& Classif. 314473 X31 I Lic. # 2220
Arch., Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1335 E. Chapman Ave 714/532-6€378
CityZip State
Orange 92666 tic. # 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, 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, 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
orimprovement 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 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 contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
/ r`1 , ?-\ __r
ir�f
Date q 1 �% �— Owner Wa
WORKERS' COMPENSATION DECLARATION
1 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars (S100) 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
Cal ifornirsa.
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
Sq. Ft. No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ . Repair ❑ Demolition ❑
Permit does not include block wall Or
(Estimated Valuation �y��"",..3`� t 0e;q0 % , ` ')
f;~A
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
)
TOTAL
AMOUNT
1 a-. "?I&I61O."
599.. 00
�� 1-2-9,447
9.10
20.0/0
20.00
REMARKS
eftE:J°$#�;:�51! ;�:M.�-<dt•.�(3�+'"3"pr'i"- - r.a {.t.}
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 JNSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. iPLUMBIh FEES
1ST FL SQ. FT. ® $
UNITS
COLL. AREA
2ND FL SQ. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
FIREPLACE
SQ.FT.GAR ® 3Vac
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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.
REIN F. STEEL
9
GAS (FINAL) 1 /
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 q
FINAL INSPECTION- / 7/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase;-P+lan.'*, =Lot 106
CITY INTA
a` DEPARTMENT OF PLANNIN6.4 DEVELOPMENT
BUILDING. DIVISION
564-2246
24—HOUR NOTICE FOR
*Ito
D 15' 1982
Owner CTB Associates
Contractor . CentL ` Ho~ a s`'..Co ti'}e
Permit Number 10228* ..
y POST ON JOB, -IN CONSPICUOUS. PLACE
1
INSPECTOR -MUST 'SIGN ALL APPLICABLESPACES
JOB ADDRESS 78-810 Sanita • Drive
Permit does not include block.
.wall or pool
TYPE OF INSPECTION';DATE
FOUNDATION 8 SETBACK
FOOTING STEEL, -;:A
MAIW
TEEL -,MAIN GROUND SYSTEM'
GROUND PLUMBING'
PRE-GUNITE_ r`i
DO NOT.POUR CONCRETE'UNTIL ALL APOVErfjAS BEEN SIGNED
CONCRETE SLAB
t�
JOISTS 8 GIRDERS !
ELECTRICAL GROUNDWORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC '
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
`HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP t
GROUT ' ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
;XOVER� NO WORK UNTIL'ABOVE; A BEEN SIGNED
`DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE: y .
SEWER SEPTIC TANK;
FINALS
ELECTRICAL . L ;a
PLUMBING r'
FI NAL' GAS TEST
HEATING A/C
HOUSE NUMBERS
JOB COMPLETED I 7ET7E- J
TEMP POWER
ABOVE APPROVALS. DO NOT.INCLUDE;RIG.HT.TO
S
TURN ON UTILITIEOR OCCUPY BUILDING
4/88
Tit 1: 1 .
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utl to stn *Ufet� illt£4t in
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:
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building:
f.
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:
F
BUILDING ADDRESS 78-810 Sanita Drive
use Classification Single Family Dwelling Bldg. Permit No. 10228
f
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Group R3 Type Construction VN Fre Zone use Zone SR
I
Owner of Building CTB AssociatesL.P.Address 15'15 I'D" St - 4200
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City San Bernardino, A Bruce Pelletier
By;
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oots: December 14, 1992
_.__
Building Official
POST IN A CONepICUOUS PLACE
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