10182 (SFD)Building
Address
Mailing
Address
City
Saxe Be
4-r
P.O. BOX 1504 K7 -No. 10182
1
78-800 Sa dta Drive 7&105 CALLS
LA QUINTA CALIFORNIAORNIA 92253
Associates, L.P.
1535 S. `Do St #200
77]BUILDING:'TYPE CONST. OCC: GRP.:
92408 1714138.-.-6007
Contractor
Century routes Co unities
Address
sartie. as above
StateLjc. ity
314,473 B1 ILic.# 2120
&Classif.
Arch., Engr.,
Designer Frank Gonzales 6 Assoc:.
ddress Tel.
(336 E. C11apman Aare 7141532-=6873
€ ryange Zhp2666 Dicta 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 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 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 penalty. of not more than rive hundred dollars.($500).
❑ 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..lf, however, the building
or Improvement 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.) ,
O 1, 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.I am exempt under Sec. B. ti. P.C. for this reason
Date ..net _T NIA
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.)
Polipy No. Company
[A 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 ($100) 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: ti, after making this Certificate or 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
A.P. Number
Legal Description Lot: 105
Project Description Phase 4 Plan 2QRAk
Sq. Ft. 1262 No. No. Dw.
Size Stories Units
rNew ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block wail or
wool
3timated Valuation
72,496
PERMIT
AMOUNT
Plan Chk. Dep.
250.00.
Plan Chk. Bal.
1.97.56
Const..
5.18.00
Mech.
49.00
Electrical
115.77
Plumbing
144.00
S.M.I.
7.30
Grading
20.00
Driveway Enc.
20.00
Infrastructure
3 6 31.3 6
TOTAL
2452.79
2702.79
REMARKS
".
.; V'A.+,�•`_�;�E{�: 1114 s. t.� e�tg. A��.I ii `i�� " As -i f. L1
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. PLIMBING FEES
1ST FL SQ. FT. ® $
UNITS
\
2ND FL SQ. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SD. 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$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTI�MFORCED 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
SO.FT.GAR ® V4c
HOUSE SEWER
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) 2
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
Pian 22;x, Phase 4, Lot 105
k CITTOPLAOUINTA
a' QEPARTMENT OF PL ANNING;B`DEVELOPMENT
BUILDING DIVISION'
24-HOUR NOTP'EC IONS
yy�
uu�SeeEP1 `� 1992
OCTB Associatefala
Nw-
Contrador Century Homes Communities
Permit Number 1.01'8 2
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADbRESS 78-800 Sanita Drive
Permit does not include block
wall or pool
TYPE OF.INSPECTION DATE INSP.
.'FOUNDATION & SETBACK
'FOOTING STEEL'
':DO NOT:POUR CONCRETE UNTILALLABOVE HAS BEEN SIGNED
CONCRETE SLAB ///
DO NOT: POUR CONCRETE UNTIL -ALL ABOVE HAS BEEN SIGNED
ROUGHELECTRIC
ROUGH"PLUMBING
ROUGH GAS & GAS TEST ' / L
HEATING & VENT- A/C
ROOF
BOND BEAM
O:K 'JO WRAP
"GROUT i0.4 D
FRAMING.
INSULATION
F'Ht=HUVr I'' I
COVER.NO WORK UNTIL ABOVE HAS, BEEN- SIGNED
OOR LATH
PRE PLAB
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR`OCCUPY BUILDING
4!88
Trzt
bk,k, paumu
(�itof Quinta
lluitbin4, anb �SafeN �i��siun
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:
np Official
POST IN A CONSPICUOUS PLACE
t,
BUILDING ADDRESS 78-800
Sanita
Drive
Use Classification
Single Family Dwelling
Bldg. Permit No. 10182
Group R3
Type Construction VN
Fre Zone
Use Zone SR
Owner of Building
CTR Aliso .i a PG' T.. P.
Address
is -is "n" -,t-- #200
City can Rprnardinn.,
CA
Bruce Pelletier
a „
e71,/ _
Dote:
December 14, 1992
np Official
POST IN A CONSPICUOUS PLACE
t,