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10170 (SFD)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 78-780 Sanity Dr LA QUINTA. CALIFORNIA 92253 CTB Associates, L.P.. Mailing Address 1535 S. nl$" St #200 City Zip T�714/381-6007 San Be::nardin,3 92408 Contractor Centuvi Homes Cott nunities City izip Tel.: State Ljc. Cit .# 212€ S Classif. 314473 B1 Lic Arch., Engr., Designer Frank Gonzales & Assoc. Address Tel. �a . $ Zr 1336 E Chapman Ave 7141 :4 City Zip State ' 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 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,Susiness 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 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.) . ❑-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.) 0 I am exempt under Sec. B. & P.C. for this reason a �//ice �A �,�•�- !^\ � Date �� Owner t p 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 ' _90 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 (8100) valuation 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, 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.) Lenders 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 cartlfy_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. No. 10170 BUILDING: TYPE CONST. _OCC, GRP.- GRP. A.P. Number (P(� G 0 Legal Description Lot 103 a Project Description Plan. 1 BR ;-� � : ; (! :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: Signature of applicant Date Mailing Address Validation: City, State, Zip Sq. Ft1006 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Permit does Pool not include block wall or :j "s Estimated Valuation 62,624.30 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 7 Const. 473.00—r. Mech. 55.50 'Electrical 110.53 Plumbing. 144.'00 S.M.I. 6.30 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1409.05 ._ TOTAL 2654.09 2404.09 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: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS } 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 TEMP. POLE FLOOR DRAIN MECHANICAL FEES GROUT WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER BOND BEAM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM LUMBER GR. 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 ® 1 V. c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 FORTAS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) f 17 METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) t / 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/4117,?, CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL .tCZ4"Ak�/ k -4x t 'CIS ( rpt of 14a (Quinta �Lit��YYI cllt� �5'��P� �tl�t�tilu 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 78-780 Sanita Drive Use Classification Single Family Dwelling Bldg. Permit No. 10170 Group R3 Type Construction VN Fre Zone Use Zone SR Owner of Building CTB AsGociates, . T_.. P. Address 15' 5 R_ "D" St_ 4200 City San Bernardino, CA B Bruce Pelletier Y . . Date: December 14, 1992 ng Official POST IN A CONSPICUOUS PLACE Phase 4, Plan 1$13R,.Lot 103 w._. OroCITY Of u ouINTA DE DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564- 24 -HOUR NOTICE F 1Wtft J�QNS $fp 16 199 Owner CTB Associates Contractor Century Homes Communises Permit Number 10170 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-780 Sanita Dr Permit does not include block wall or pool TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK FOOTING STEEL MAIN GROUND SYSTEM ' GROUND PLUMBING PRE-GUNITE. " DO NOT POUR CONCRETE UNTIL ALL ABOVE-H,AS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS `y ELECTRICAL GROUNDWORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST %% ✓.�%'� :z HEATING & VENT - A/C FIREPLACE ; O.K. TO WRAP 101.27122- d GROUT ❑ 4' 0 8' FRAMING / Z INSULATION ^ PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH Z POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK ,:� ., �, _.- /�, ) 1i.-•- FINALS ELECTRICAL z PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED I / 7 // j L I /%'2 TEMP POWER 6 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 11I