11972 (SFD)q i �
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-715 La Palma I3riwe LA QUINTA, CALIFORNIA 92253
No. 11972.
Owner
Century Homes Communities BUILDING TYPE CONST OCC' GRP
Mailing
Address 1,535 South "DI'l Street A. -P. Number 604-172-009
.City Zip Tel.
;an. Bernardi -no 9240 (71411381-500' Legal Description Lot 130 Tract 2.3269 Prase 5�
Coritractor $FD Plan 3LY
Address
IZip I Tel.
State Lic. City
&.Classif. 314473 Lic. # 2120
Arch., Engr.,
" Designer"
' Address Tel.
,City Izip I State
�. ,: • Lic. #
LICENSED;CONTRACTOR'S DECLARATION
' I hereby affirm thatlI pm licensed under provisions of Chapter 9 (commencing with Section
' 7000) of Division 3 ' he usin s afrd'Professions Code, and my license is in f' II fo1'ce and
effect.
SIGNATURE - i ATE
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, 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 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.)
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. 6.1 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
GLCopy 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 tha 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 Date
Mailing Address
City, State, Zip
Project DescnpUon i
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 Add O
Alter 0 Repair ❑ Demolition ❑
Permit sloes
not include block walls or
t
pool.
Estimated Valuation
$93,,171.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
�1
Const.
fid. r
Mech.
4, 9U
Electrical
1 , .1�1
Plumbing
14 4. tf
.S.M.I.
9.4U
Grading
T. tv,)#
Driveway Enc.
---
Infrastructure
t •
TOTAL
♦ •
REMARKS
lS--e'yy1Y,-4. {�R .gCGt7•'. !�!y'-7.'... 21'1
f�.R+. 'Lr s,y �t
r0 •� -VAS" 7 1 1 t7 j�i'ei... 1 • We a R.'lltl � L'
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
N0.PLUMBING FEES .
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
CY
'
ROUGH PLUMB.
YARD SPK SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
k
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
TEMP. POLE
WALL SQ. FT.
DRINKING FOUNTAIN.
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DIS H)
APPLIANCE DRYER
FINAL INSP. 7
6
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.
SO. 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/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
k
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. 7
6
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
,
GARDEN WALL FINAL
?':iia !f "f' `�S w:..' Y ; �} fid,. �' • Ca
��y•,,t; �A� �� A:v 'p)l,r�i34 .1 LT: �• i'" 32♦ �"�
Tit�r of (Quinta
�utl�Yn� r�n� �sttfet� �i�i�iun
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 78-715 La Palma Drive
Use Classification Single Family Dwelling Bldg. Permit No.
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Century Homes Address 1535 South "D" Street
City San Bernardino, CA 92408 Bruce Pelletier
By ; .
Date: August 3, 1993
Building Official
POST IN A CON>:?ICUOUS PLACE
11972
CITY"' IA OUINTA
r
Z,
`*o► . `� DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246
24-HOUR NOTICE FOR INSPECTIONS
LA uJINTA /30
401OCentury Homes Communities
Etq&;WQkjvi(. iSame
-nn Number 11972
POST ON JOB IN CONSPICUOUS PLACE
VSPECTOR MUST SIGN ALL APPLICABLE SPACES
8 ADDRESS
78-715 La Palma Drive
__
FD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
JNDATION & SETBACK
)TING STEEL
'WGROUND SYSTEM
)UND PLUMBING
NOT POUR CONCRETE UNTIL ALL A OVA HAS BEEN> IGNED
VCRETE SLAB
STS & GIRDERS
ZTRICAL GROUND WORK
NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
JGH ELECTRIC
JGH PLUMBING
JGH GAS & GAS TEST
kTING & VENT- A/C
VD BEAM
TO WRAP 3
)UT ❑ 4' ❑ 8'
MING
JLATION Z 1,77,qf
:-ROOF 1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALL INTERIOR l
ERIOR LATH
)L PRE PLASTER
)L FENCE & GATE
fER SEPTIC TANK
-TRICAL
MBING
►L GAS TEST
TING - A/C
ISE NUMBERS
COMPLETED
IP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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 #L— LLI
Owner Name Century Homes Communities Log
No. Street See Below
City La Quinta Zip 92253 Study Area 233
APN # 1 1 Tract # Lot # 0 Square Footage 128776
Type of Development Single Family Residence No. of units 45
Comments 78-710, 720, 730, 740, 750, Sanita Drive, 78-745, 735, 725, 715, 705, 710, 720, 730, 740
La Palma i)rivP, 44-325,295 i.as Vistas i)rivP
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 jams _ Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature
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