10240 (SFD)P.O. BOX 1504
Buildin78-745 �a3�i tc`i Drive 7&105 CALLE ESTADO
Aririrac9 LA QUINTA, CALIFORNIA 92253
Owner
CTD Associates, L.P.
Mailing
Address 1635 S. "D" St. x#200
City Zip Tel.
San Bernardin i 92408 .
Century glomes Communities
Address
same as above
State Lic. I City
& Classif. 314473 B1 Lic. # 2120
Arch., Engr.,
Designer Frank Gonzales s Assoc.
Address Tel.
3336 E. Chapman Ave 714/532-6878
CityZip State
Ora ga . 99261506 Lic.# 016310
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commenc)ng with Section
7000 of Di is on, of t e Business Id f rofessions Code, and m lic nns_e is -in full force and
effect. W fa�Af:
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,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 ofnot 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.)
O 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, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
1b 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 ($100) valuation
or less.)
I certify that in the performance of lhg 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
JILDING: TYPE CONST
P. Number
Description
Lot 93
No. 10240
OCC: GRP.
Project Description Plan 4CRX Phase 4
Sq. Ft. 1'32 No.
Size Stories
No. Dw.
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
IPermit does not include block wall or
Pool
IEstimated Valuation . 96,353.30
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const. .
Mech.
Electrical
Plumbing
250.00
AMOUNT
286.45
626..00
55.5,0
131.94
168.00
S.M.I.
9.70
Grading
20.00
Driveway Enc.
20.00
x
Infrastructure
2167.95
Y,
i
TOTAL
3735.54 3485.54
REMARKS
n.;:c r. nr. A-,\ 4 Yr -? n-1_ Wit._ s3 e =s
J. 1, ... T k Sf-rr J.— i 11 f 1AL' 1 ; ai l:> . r l3 -
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. ;r�UMBINrwBEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT 'WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE ___JCONST.
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)
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
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
•
Phase, Plan 4CRX, Lot 93
CITY OF u OUINTA
o. DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTI E FOR INSPECTIONS
[[iillTY OF JA WINTA
Owner CTB AssociateFF0 squt.���ppi 1992
Contractor Century Hit4i1�' i Pg
Permit Number 10240
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-745 Sanita Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DAJE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL A OVE HAS BEEN SI NED
CONCRETE SLAB
JOISTS & GIRDERS `
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
f G -
PLUMBING
ROUGH PLUMBING
FINAL GAS TEST
ROUGH GAS & GAS TEST
p _
„
HEATING & VENT- A/C
HOUSE NUMBERS
FIREPLACE
JOB COMPLETED
ROOF
c
/L
BOND BEAM
V
O.K. TO WRAP
;^ •
�'=l /I/� -
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED----'
DRYWALL INTERIOR
F
, . , j ;--
EXTERIOR LATH
lozl
Ae
POOL PRE PLASTER
'
POOL FENCE & GATE
SEWERS
1 / 7
�i2 7. -
ELECTRICAL
f G -
PLUMBING
;
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
L
TEMP POWER
V
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
A
%;Zkx r
r u (outnta
it t*tb in an afet t I tJC4jtj3R
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 78-745 Sanita Drive
use. Classificatign Single Family Dwelling .84dg.'Paim'it No. 10240
Group RT Type Construction UN -17ire Zone Use Zone RR
Owner of Building CTB, A.-__c;nt-_iat_t-_c; T. -P- Address is'n q n,. St'
City San Bernardi hn 'CA 924ng
BY: Bruce 'Pelletier
Data; November _18, 1992
Building Official
POST IN A CONSPICUOUS PLACE