11965 (SFD)• ��
TAh
A'
44
P.O. BOX 1504 N o , 11965
Building 78-720 S3+ltc� !)rive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Century 110mes Cs upities BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 1535 South "DQ Street A.P. Number 604-172-002
City Zip Tel.
San. Bernardino 92408 ;714) 381-6007 Legal Description_
Contractor Project Description
Same
Address
ty lZip
State Lic. 314473 (City 2120
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby�aDivlfirm that I am,licensed under provisions of Chapter 9 (commencing with Section
7000) of thejBusinegs and Professions Code, and my license 's in fyll force and
effect. e lji
SIGNATURE A�rlil �Ex✓f...��.rY' " " I�'Y 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 thathe 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.) .
0�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 contractors) 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 1$0. Company
Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 thV 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 properly filled out, signed and validated, and is subject to
expiration it 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
Lot 97 Tract 23269 Phase 5A
SFD Plan 5x
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:
Sq. Ft. 20.50
Size
No.
Stories
No. Dw.
Units
New (X Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include blo--k
walls or
pool.
Estimated Valuation
$114,058.00
PERMIT
AMOUNT
Plan Chk. Dep.
2{'SO.00
Plan Chk. Bal.
328.44
Const.
6929 00
Mech.
49.00
Electrical
14i.63
Plumbing
144.00
S.M.I.
11. 50'
Grading
20.00
Driveway Enc.
Infrastructure
2,.528.06
Ams an PURR
c Places
35.15
I. I c-: all- [7,1":72 ".._4"d_. It.? 7_ 4
�h.e9
�"" i
7"f r � o ' 3?49 - i°8 —
TOTAL
I e, 4 a 93.78
3,949.78
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. SQ. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD gPKLR SYSTEM
2ND FL. SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SQ. FT. @
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. @
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
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
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ac
HOUSE SEWER
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)
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 /
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201 ,
Document Cannot Be Duplicated (619) 347-8631
Date 3/17/93 Type of Permit I La Quinta
No. 112086 Permit #
Log
Owner Name Century Homes Communities
No. Street See Below
City La Quinta Zip 92253 Study Area 233
APN # Tract # Lot # 0 Square Footage 128776
Type of Development Single Family Residence I No. of units 45
Comments 78-710 720 730 740 750 Sanita Drive 78-745 735 725 715 705 710 720 730 740
T.a Palma Thrive -44-325, 295, 265 Las Vistas Thrive
At the present time, the Desert Sands Unified School District does not collect fees on
garages/ carports, covered patios/ walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 x 28 776 or $ 45,466.08 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of .Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Century Homes Telephone
Name on the check
By James E. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature ��`z�'� Check, No. 104924
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
CITY OF LA QUINTA
\ °
of DEPARTMENT OF PLANNING & DEVELOPMEt
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owr*r Century Homes Communities
Contractor Same
Permit Number 11965
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-720 Sanita Drive
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE;HAS BEEN SIGNED,
CONCRETE SLAP
.JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS ,F , S TEST
HEATING &. VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8' `
FRAMING %- 7 F 3 J_
INSULATION I >1 A
PRE -ROOF
.COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED „
DRYWALL INTERIOR
EXTERIOR LATH,
_
POOL PRE PI_�^.STER
/
POOL FENCE A GATE
SEWER SEPTIC TANK
FINALS
ELECTRICA_
PLUMBING
FINAL GAS TEST_ 71 f/I 5
HEATING - A/C
HOUSE NUMBERS 17
JOB COMPLETED ZV
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
'99
zt
A i. pztnj�g
Tit� of 14ttI�uinta
lluitbin4- dub '*rzfet� 34illirmhM
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 78-720 Sanita Drive
Use Classification Single Family Dwelling Bldg. Permit No. 11965
Group R3 Type Construction VN Fre Zone
Owner of Building Century Homes Communi tie
sAddress _
Citv San Bernardino, CA 92408
By;_
Date;
Use Zone SR
1535 South "D" Street
Bruce Pelletier
July 19, 1993
POST IN A CONSPICUOUS PLACE