11974 (SFD)Building
Address
Owner
Mailing
Address
City
"San -B�
Contractor
same
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P.O. BOX 1504 No, 11974
7€3. 710 La Palm Drive LA QUINTA, CALIFORNIA 92253
Century. domes Communities
1635 South 1ip1Street
Zip Tel. _ ,
ra�trdla o 92408 1010381-6007
11
ty Zip Tela
State Lic. 31.4473 City 2120
& Classif. Lic. #
Designer
Address Tel.
• City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby a tirin that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of ivisiin of th eusifiie s aqd P fessions Code, and my licep [s6n fu force and
effect. 41 / f !
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SIGNATURE '� % DATE
OWNER -BUILDER DECLARATION
I hereby affirm that l am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city orjcounty which requires a
permit to construct, alter, improve, demolish, or repair any structure, I 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 bast
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.)
❑ I, asownerof:She property, am exclusively contracting with licensed contractors to con-
struct,.ilie.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
t 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
-dopy 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.)
1 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 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 Dale
Mailing Address
:City, State, Zip
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 604--•173--001
Legal Description Lot 1.32 T. -act 23269 Phase 5B
Project Description 'AFD Plan 3AX
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. -
Size 1606
No. No. Dw. '
Stories Units
New -6 Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include block walls or
Pool •
Estimated Valuation
$93,171.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
-518.13
Const.
612.50
Mech.
49.OU
Electrical
127.75
Plumbing
144.00
S.M.I.
9.40
Grading
20.00 "
Driveway Enc.
—0—
Infrastructure
2,058.10
TOTAL
4-r,
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
"
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CARP. SO. FT. ®
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SO FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL "
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SQ. FT. ® c
BATH TUB
LATHING
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.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 APP./EQUIP.
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
_ — carr oF.u► OUIN -
o, DEPARTMENT OF PLANNING & DEVELOPMENT
-BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS /
�V
Owner Century Homes Communities
Contractor Same
Permit Number 11974
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-710 La Palma Drive
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING - C --
PRE-GUNITE I '/ / I
DO NOT POUR CONCRETE UNTIL ALL A OV AS BEEN SIGNED
CONCRETE SLAB - ) >
JOISTS 8 GIRDERS I / I
WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP RIAT rI,
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION 1 7 7 S
PRE -ROOF I l l
COVER NO WORK UNTIL ABOVE HPALS BF,,XEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER -
POOL FENCE & GATE
SEWER SEPTIC TANK
FINAL GAS TEST r
HEATING - A/C
HOUSE NUMBERS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
_ DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated
(619) 347-8631
Date 3/17/93 1 Type of Permit La Quinta
No. 112086 Permit #
Log
Owner Name Century Homes Communities
No. Street See Below
City La Quinta Zip 92253 Study Area 233
APN # I Tract # I I Lot # 0 Square Footage 128776
Type of Development Single Family Residence INo. of units 45
Comments 78-710, 720, 730, 740, 750, Sanita Drive, 78-745, 735, 725, 715, 705 710 720 730 740
La Palma Thrive, 44-325, , 265 Las Vistas Drive
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 714-381-6007
Name on the check
By Tames F. Lively ?
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
• Paymen Rece� ed s f
Signature
,'Check„No.104924
Collector: Attach a copy of county or city plan check application form to distric cony for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/ Receipt Copy - Accounting
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
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Code certifying that at the time. of issuance this structure was in compliance with the various.
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ordinances of the Cit regulating building construction or use. For the following:
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BUILDING ADDRESS 78-710 LA PALMA DRIVE
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Use Classification Single Family Dwelling Bldg. Permit No. 11974
Group R3 Type Construction VNFre Zone Use Zone SR
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Century Homes Communities 1535 South "D" Street
Owner of Building Address
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City San Bernardino, CA 92408 Bruce Pelletier
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By:
August 25 1993
Dote: g
it
E
Building Official
P09T IN A COiV0ICU0U'9 PLACE
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