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10202 (SFD)r Addrdess 78-755 Sanita Drive Owner CTB Associates, L.P. Mailing Address 1535 r � 'D0 5t #200 San Bernardino Zfp92408 �ntractor _ntury Romps Communities same as above City lZip I Tel.: P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 4/381-6007 City &tClassif. 314473 B1 ILic.# 2120 Arch., Engr., Designer Fratlk Gonzales Assoc. A1336S E. Cba�aa a Ave T714/532-6878 Ity Zip State iange X2666 Lic. # C 016340 LICENSED CONTRACTOR'SDECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of . I'vision 3 of th Buskin@{ss a4d Professions Code, and my license is in fdlllaforce and effect. VA A.�..A �..4.a..�lnS) SIGNATURE v I T DATE 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 repairs 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 penally of not more than rive 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.) ❑ 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.) Poymcyy No. Company d 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: It, 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 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 No. 10202 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Lot 92 Project Description Pian 3D Phase 4 Sq. Ft. 4 Q Size No. 10 No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or 000l Estimated Valuation 83, 226.E PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal. 236.81 Const. 567.50 Mech. 55.50 Electrical 124.66 Plumbing 144.00. S. M.I. 8.40 Grading 20.00 Driveway Enc. 20.00 Infrastructure 1€372,59 ' T: TAL 3299.46 3049.46 REMARKS C ''.�.'.a.;r3;t�::r..I�. ,tvtt�kr,e .��""rx+A.en .tt 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. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CARP. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. ® OTHER APPJEQUIP. 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 FRAMING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM REMARKS: 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER MESH 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 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) 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- NSPECTIONCERT. CERT.OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Al� OF- ' I, - �• - 3 t., ♦, ♦ �• — i\ .C- •• ♦• is li :4f * ' � ; i ,', I a I :y:. .x �, 7K " tl'" .;* 4; '� '� s .7 `1 / ce_ :.Y ♦, j�. 1„ : �ThisrCertificate issued ' ur5ua.nt to`the requirements of Section 306 of*the=;Uniform Bullding Code- certifying `thot of the, time •of �ssuonce is." structure was in comp once with; the various- Code - of the City `reguloting. building construction or Use.,., For. Me following. \ �'' ` ( I I BUILDING ADDRESS 78-Z55' Sarita Drive I 4, Use.clossificotion Single Family Dwelling ''Bldg. hrmit No. 10202 j Group R3 Type Construction � Fie Zone Use Zone I Owner of Building _C'Ma_nl�r-ooiateS 1 12 Address 1535—S "n -Street t i.l City San Berna 92408 9y; Mark Harold �= I Dote; November 17, 1992 Building official POST IN A CONSPICUOUS PLACIE _ Phase 4, Plan 3B, Lot 92 #of CITY•OF u OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-22 24-HOUR NOTICE FOR i kqe A f��""C�� 1 199 Owr>�r_CTB Associates, L.�A�,f 2 Contractor Century Homes Co muni ti es Permit Numter 10 2 0 2 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS 78-755 Sanita Drive Permit does not include block wall or pool TYPE OF INSPECTION I _ (�4TE 4 IN2P. FOUNDATION & SETBACK 4 MAIN GROUND SYSTEM GROUND PLUMBING PRE-GUNITE_ DO NOT POUR CONCRETE UNTIL ALL OVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST p L HEATING & VENT -A/C FIREPLACE ROOF GROUT ❑ 4' ❑ 8' G FRAMING INSULATION p ' PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE ELECTRICAL " 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 4!88