10239 (SFD)P.O. BOX 1504
Building78�'; �7&105 CALLE ESTADO
E5 �
AddresLA QUINTA, CALIFORNIA 92253
Owner
CTB Associates, L.P.
Mailing
Andress 1535 S. "DO St #200
City Zip Tel
San Sernardinm 92408 1714/381-6007
Contractor
Century Homes Communities
Address
same as above
City lZip Tel.:
State Lic. City
&Classif. 3.4473 Bl Lic.# 2120
Arch., Engr.,
Designer FrankGonzales & Assoc.
Address Tel.
1336 E. Chapman Ave 714/532-6373
CityZip State C 016340
Orange, 92666 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that l am licensed ynder provisions of Chapter 9 (commencing with Section
7000) of Division 3"'of the Business ndtProN ins Code, and my license is i full force and
effect. j�Ii SA4 l�� 1i1
SIGNATURE ter- A'�( r�AG47 DATE! r'-7
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 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, Bulsness and
Professions Code: The Contractor's License Law does not apply to an owner of properly 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
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
ol'
❑ Copy is filed with the city. O 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 (5100) valuation
or less.)
I certify that in the performance of the 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, 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 car Illy 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
No. 10239
LDING: TYPE CONST. OCC: GRP.
P. Number
Description
Lot 89
Project Description Plan 441= Phase 4
36K
Sq. Ft. ? •� A -CN -0. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
IPermit does not -include block wall or
1
Estimated Valuation
,��.- �.. �`} ry
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
/
2&6-:�
Const."
Mech.
. v U
.55.0
Electrical
v 4
4 41
9 4
Plumbing,
Y�
9e.5
-.0.0 j
S.M.I.
9159-*,;
Grading
20.00
Driveway Enc.
20.00
Infrastructure
TOTAL
3 4'85-e*4
REMARKS
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:
7
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
r ,•
2ND FL. SO. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
DRINKING FOUNTAIN.
SO 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
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.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
FIREPLACE '
SO.FT.GAR ® V4c
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEECONST.
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) I13
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-
NSPECTION
CERT.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
WA
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This Certificate ",issued pursuant to the. requirempntsrof Section 306,,of the Unifor'm Building
Code certifying tPatvt thetime of issuance structure com I'ih'ce*'vith the.vdrious
ordih I ancds .of the City. regulating building construction or use. For the -follo - Widg,
BUILDING ADDRESS 78-785 Sanita Drive
Use Classification Single, Family Dwelling Bldg. Permit No. 10239
Groupr g,3 Type.- Co e
6struciion IM -Fire Zone Use Zone
Ownsi of Building ('TR 'A---- h -r- i ataa T. P Address -1535 r, VID11 st
City San J;P_rna-rrjjno:'- CA 9940P By; Bruce Pelletier
Data". Mnupmhpr 12 1992
Building 'Official POST IN A CONSVICILIOUS PLACE
11
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7 77
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WA
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t �cx,�
77ea,.
This Certificate ",issued pursuant to the. requirempntsrof Section 306,,of the Unifor'm Building
Code certifying tPatvt thetime of issuance structure com I'ih'ce*'vith the.vdrious
ordih I ancds .of the City. regulating building construction or use. For the -follo - Widg,
BUILDING ADDRESS 78-785 Sanita Drive
Use Classification Single, Family Dwelling Bldg. Permit No. 10239
Groupr g,3 Type.- Co e
6struciion IM -Fire Zone Use Zone
Ownsi of Building ('TR 'A---- h -r- i ataa T. P Address -1535 r, VID11 st
City San J;P_rna-rrjjno:'- CA 9940P By; Bruce Pelletier
Data". Mnupmhpr 12 1992
Building 'Official POST IN A CONSVICILIOUS PLACE
11
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a
7 77
Phase 4, Plan , Lot 89.
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CITY OF LA OUINTA
•a DEPARTMENT OF PLADEVELOPMEN"
BUILDINGDIV aV�mA
564-2246
24-HOUR NOTICE WeN6PECTIO S
f � aft
1JJ
Owner CTB Associates L.P.
Contractor Century Homes Communities
Permit Number 10239
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACE-_
j JOB ADDRESS 78-785 Sanita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DTE INSP.
FOUNDATION 8 SETBACK L
FOOTING STEEL 2
MAIN GROUND SYSTEM
GROUND PLUMBING 7 2
UO NOT POUR CONCRETE UNTIL ALL A59VE4AS BEEN SIGNC
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
j DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNf
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST D • Zo p s -
HEATING 8 VENT -AJC
FIREPLACE
BOND BEAM
O.K. TO WRAP'
GROUT ❑ 4' ❑ 8'
PRE -ROOF
COVER NO WORK UNTIL ABO BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE b GATE
SEWER S6FW404W 1(
FINALS
ELECTRICAL �T
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED Z
TEMP POWER I-
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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