10180 (SFD)P.O. BOX 1504 No. 10180
Building 70795 Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Mailing CTB Associat I es, L.P.
BUILDING: TYPE CONST. OCC: GRP.
Address 1-535 S. OD" St 0200
A.P. Number
CityZip Tel.
Sari Bernardit� 92408 71.4/381-6007 Legal Description Lot 88
Contractor Project Description Phase 4 Plan 2B
Century klcsmes Comiunities
Address
same as above
City Zip Tel.:
State Lic. City
& Classif. 314473 BI Lic. # 2120 sq. Ft. 1262 No. No. Dw.
Arch., Engr., Size Stories Units
Designer Frank Gonzales & Assoc. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition'O
Address Tel. Permit does not include block wall or
1336 E. Chapman Ave 714/532-6878
City Zip State pool
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 ejusiness a_nd Professions Code, and my license is in full force and
effect. C —7�i� J 61?
SIGNATURE t TDATE
OWNER -BUILDER DECLARATION Estimated Valuation n
I hereby affirm that I am exempt from the Contractor's License Law for the following 72,496
reason: (Sec. 7031.5,Buslness 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 - AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 plan Chk. De a 0 eJ [
for the alleged exemption. Any violation of Section 7031.5 by 'any .applicant for a permit p C •i
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 9 7 . 5 fi
❑ 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 Const. 518.
00
builds or improves thereon and who does such work himself or through his own employees, 49 . 00Mech.
provided that such improvements are not intended or offered for sale. If, however, the building y
or improvement is sold within one year of completion, (he owner -builder will have the burden Electrical 115 . 77
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 144 . 00
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law -r
does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. ( . 30
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 1631. 16
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 2952.73 2702.79
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS'.COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars $100 valuation '?'i'1J -� .0 ; °'�tl rS s i tar
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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of applicant Dale
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING V -ES
1ST FL. SQ. FT. ® $
UNITS
;.
ROUGH PLUMB.
BONDING
YARD SPKLR SYS,YEM
2ND FL SO. FT. ®
FORMS
SEWER OR SEPTIC TANK
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
OTHER APPJEOUIP.
DRAINAGE PIPING
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SQ FT ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEWPERM
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
LATHING
SQ.FT.GAR ® 114c
HOUSE SEWER
MESH
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) / 3 J Z
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 SIGNATURESJINITIALS
GARDEN WALL FINAL
j
Ut
This Ce-triifica"t-e"''is'sued'o$zp'u-rs to'th6,te,quir6M-ehts. �3O` :o(4he- Uniform Building
yant, vf ection'
'j
Code c'ertifyingj�p'3t,Z-t;ihe time OfIssud ce thissttUcturi'was in compliance withthe various
ordinances of the Cityeeguld'ti9 building id'ig; construction or use r, the following:
.,gUILDING -ADDRESS 78-795 Sanita'Drive
T
Us.e.Closs.ification Single Family Dw'elling Bldg. Permit No. 101,80
Type,iCons -ruc on - SR G�roup Rj t i
t, 1 Fire Zone Use Zone
Owner of Building tTR-- AS--fnC4aj-,-,, L - Addpess .1535'. q -."D_"-St'
y
City
1nifqj-
City Ran- Rtzrnardinn, rA !)94()R
By; Bruce Pelletier
Date; Nnvp-mhpr 19., 19-)2
Building Officiaix.
POST IN kCONSTICUOUS PLACE
i
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D.EPAFIT Ems_
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ENT
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CTIO -
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W'A
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I -lit
ttjE BY
77
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1 Phase 4, Plan 2B, Lot 88
a
CITY OF LA OUINTA
w DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246 cCam�,,,,
24-HOUR NOTICE FOR I4kft ,
JUL 31 199?
Owner CTB Associates, L
16
Contractor Century Homes Commune
Permit Number 10180
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-795 Sanita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION qATE INSP.
FOUNDATION & SETBACK J�
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING 3V/ ?- 7727-
DO
/i
DO NOT POUR CONCRETE UNTIL ALL A OVE AS BEEN SIGNED
CONCRETE SLAB _ j
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST U -7 y e -
HEATING & VENT - A/C
FIREPLACE
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
��. % .:? i•
; k.
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
`
/-�•
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWERSNK
1 -7 G7_
FINALS
ELECTRICAL 1 1,11.71,92- 1 a�J'
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
a!88