10217 (SFD)T44 4 .&Qu1�tw
r P.O. BOX 1504 r 1 'N o . 10217
Building e 78-105 CALLE ESTADO. L,•
Addc7�_rac 790 Sanity fir iVe LA QUINTA, CALIFORNIA 92253
CTB Associates, L.P.
Address 1535 S. mDe St #200
City Zip Tel.
San Bernardii 4o 92400 '114/331-6007
Contractor
Century homes Cortunities
Aaaress
same as above
City lZip I Tel.:
State Lic. Gity
& Classif. 314473. S1 I Lic. # 2120
Arch., Engr:,
Designer Frank Gonzales & ASSOC.
Address Tel.
1336 E. Chapman Ave 714/532-6571
City Zip State 'i' eJ 4 u J q vs
�ranSe 92666 Lic. # X=%U1HJ
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 Contractors 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 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 five 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; 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
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.)
❑ 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
Date `i I e71677— Owner vlAxm
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
43 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: 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 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
IS .-
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 104
Project Description Plan 3AX Phase 4
Sq. Ft. 3606
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not 4 noluae block wall or
�c7z,17 pool
Estimated Valuation
90,056.60
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
261.73
Const.
599.00
Mech.
62.00
Electrical
127.75
Plumbing
144.00
S.M.I.
9.10
Grading
20.00
Driveway Enc.
20.00
Infrastructure .
2026.48
TOTAL
-S-1:12U.11b .idiu.Ub
REMARKS
a
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. ® $
UNITS
COLL. AREA
SLAB GRADE
BARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. @
DRAINAGE PIPING
WALL SO. FT.
HEATING (FINAL)
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
rZ
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
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, 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 ® 11/4 c
SEWAGE DISPOSAL
FIREPLACE
SO.FT.GAR ® 3/ac
HOUSE SEWER
SPARK ARRESTOR
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)
rZ
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• I
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase 4, Plan 3AX,.Lot 104
d
CITY 1W LA OUINtk
DEPARTMENT OF PLANNING,& DEVELOPMENT
BUILDING .DIVISION
'564-2246.
24-HOUR NOTICE FOR`1NSPECTIONS
Owner CTB Associates .
Contractor century'Home or cies
Permit Nu"*or 10 217
POST ON ,JOB IN CONSPICUOUSP E
INSPECTOR MUST SIGN ALL •APPLICABLE.`SPACES
J66 ADDRESS 78-790 Sanita 'Drive
Permit does not include block
a wall or pool
TYPE OF INSPECTION DATEINSP,
FOUNDATION &SETBACK'
FOOTING. STEEL l
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE ,. ,y +^ ,•
DO NOT POURCONCRETE UNTIL !ALL'AB VE` SBEEN' IGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL, GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH •PLUMBING n
ROUGH GAS & GAS TEST / Z.
HEATING & VENT-A/C
FIREPLACE
ROOF
.BONDL BEAM ;
O.K. TO WRAP
GROUT-0 4' O 8' ;
FRAMING S% L
INSULATION
PRE-ROOF
COVER NO WORK UNTIL ABOVE HA5 EEN_SIGN D -
DRYWALL INTERIOR a t r
EXTERIOR LATH
POOL. PRE. PLASTER
POOL FENCE 8 GATE > r
SEWER SEPTIC TANK it
FINALS.'
ELECTRICAL .
�Z
..PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED / C_
TEMP POWER
ABOVE'APPROVALS'DO NOT INCLUDE'RIOHTTO
TURN ON UTILITIES'OR OCCUPY BUILDING
4.88
L _ Q.
xt �c
O -rlo p
T*t t of
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 78-790 Sanita Drive
Use Classification Single Family Dwelling Bldg. Permit No. 10217
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building rTB AGGo _iat G, L.P. Address 1 535 "D" St. 4200
City San Bernardino, CA Bruce Pelletier
By:
If Date; _
POST IN A CONSPICUOUS PLACE
[ding Official
December 14, 1992