10181 (SFD)P.O. BOX 1504
Building78-105 CALLE ESTADO
Addrasc '*—*775 Banita Drive LA QUINTA, CALIFORNIA 92253
Owner flyB a 7so4 Lp�
CTsciaEesR L.P.
Mailing
Address 1535 S. "W" St 0200
City Zip Tel.
San Bernardino 92408 1714/381-6007
Contractor
Century Bores. Communities
Address
s-wte as above
City lZip Tel.:
State Lic. City
& Classif. 314473 BI Lic. # 2120
Arch., Engr.,
Designer Frank Gonzales & Assoc.
Address Tel.
1336 E. Chapman Ave 714/532i66878
_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 �usm sand°Profegsiops Code; and my license is in full f4ce and
effect. . It a r BA�{ . �'-4t IQ 7
SIGNATURE �-�i 7r 1 i! QATE
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, 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or the Business and Professions Cade, 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 civilpenalty 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, 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 such
or offered for sale. -If. however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
or 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 or 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
DXCopy 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 ($100) 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, after 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 property 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-.
R� mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 14181
BUILDING: TYPE CONST. • OCC: GRP.;
A.P. Number
Legal Description Lot 90
Project Description. Phase 4 Plan 2'C
Sq. Ft. 1262 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit dols not include black mall or
pool
Estimated Valuation 72,496
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
197.56
Const.
5? $ . 00
Mech.
49.00
Electrical
115.77
Plumbing
144.00
S.M.I.
7.30
'Grading
20.00
Driveway Enc.
20.00
Infrastructure
1631.16
TOTAL
79
2952.79 2702.79
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
'
2ND FL SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS' (ROUGH)
DRAINAGE PIPING
WALL SD. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
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 ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® V/ac
HOUSE SEWER
LATHING
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) I
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
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING =
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH. GRADING
FINAL INSPECTION-
NSPECTION
CERT.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
-
,(II I• G �''W ��. _ ':�j'�' III _
I I � j, I .. ♦" . .aw c � ^ n ' •� ai� V r/,, rY �?.' .. O .lC. 'ti' K' .
'ai Iii - :- •e • "c .L` ., a OF-
!/)zttt� �tP tt tun x
This Certificate, issued -. rsuant to`the-requirements of'Secti6ki"., of 'the- Uniform, Building
`Code --certifying that.at the time` of -issuance thls,structure.-yas 'In complignce with the various
ordinances of.the City -regulating building construction or use. Fdr the following:
BUILDING ADDRESS 78-775 Sanita.Drive
t !!,
. Sin le Family Dwelling. 10181Use81dg. Permif No.
.Claisification
Group' R3 Type Construction VN Fre Zone Use Zone $R
Owner of Building CTB Associates,Y T. -'P- Address 'a 5 3 s c r) 5t—.
�!
City San Bernardino, CA '.92408, By; Bruce Pelletier
'Date; November 19. 1 a 42
Building Official, POST IN A CONSPICUOUS PLACE
�t I�
P* -an 2C, Phase 4, Lot 90
L*
OF
CITY LA OUINTA
11 *Of DEPARTMENT OF PLANNING & DEVELOPMEN
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner CTB Associates, L.P.
Contractcx.-.. CentiLr-y- Homes Commi-inities
Permit Number 10181
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACE
"ADDRESS 78-775 Sanita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DTE INSP.
FOUNDATION & SETBACK
A 2—
FOOTING STEEL
MAIN -GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALLAI(MOW BEEN'SIGNI
CONCRETE SLAB`7
Yj
JOISTS & GIRDERS
ELECTRICAL GROUNDWORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNS
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
BOND BEAM
.O.K. TO'WRAP '
GROUT 0 4' C1 8'
'A'
FRAMING
INSULATION
-----------
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED—
DRYWALL INTERIOR
TEMP POWER
EXTERIOR LATH
POOL PRE PLASTER_
POOL FENCE & GATE
SEWER St4M4a5WW
77tz
. FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
-----------
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
E
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING