11975 (SFD)r f um
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78'720 La Palma Drivel LA QUINTA, CALIFORNIA 92253
Owner
Century Homes Communities
Mailing
Address 1535 South "Dw Street
CityZip Tel.
San Bernardino 92408 1(714) 381-6,007
Ma for.
City Zip. Tela
State Lic : City
& Classif. ` 314473 Lic. # 2120
'
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirl� that I am licensed under provisions of Chapter 9 (com ncin with Section
70 ec of Division 3 of the BusiiviLssss a4gd P ofessions Code, and my licen -91s in ull force and
effect. .�r} R 1lydR � 1 -2-
_SIGNATURE 2 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, 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.)
❑ 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 No. Company
opy 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 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 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
BUILDING: TYPE CONST.
A.P. Number 604-173-002
Legal DescriptionTot 133
Project Description
No. 119T5
_OCC: GRP.
Tract 23269 Phase 5B
SFU Plan 9CX
c r '
Sq. Ft. No. No. Dw.
Size 2014 Stores Units _
New IN Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does
not include dock walls or
pool.
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
Estimated Valuation
$114j058.00
Date Permit
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
578.44
Const.
692.001
Mech.
49.00
Electrical
141.163
Plumbing
144.00
.S.M.I.
11.501:
Grading
20.0114,
Driveway Enc.
—.—
Infrastructure
` .
2,528.06
A=s in P
E: Places
35.15
. ;�`rt T��f'� .+�i >~.r -
` � d`i •.•{ ei ..QM6 Q'CS 'fti �
-
TOTAL{��+11}'tYt14`.19g•`t7$i.?t5
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:
3
13
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINQ,I:E�S
UNDERGROUND
A.C. UNIT
,
1ST FL. SQ. FT. ® $
UNITS
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. p
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
REINF. STEEL
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE:.Not to be used as property tax valuation
GRADING
cu. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1114 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 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.
CER T.OCC.
FENCE FINAL
INSPECTOR'S SIGN ATURESIINITIALS
GARDEN WALL FINAL
CITYOF LA QUINTA
oiofr DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246
24-HOUR NOTICE FOR INSPECTIONS
Owner Century Homes Communities
Contractor Same
Permit Number 11975
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-720 La Palma Drive
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL VA 72S J�z
MAIN -GROUND SYSTEM 02
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE ' A$ BEEN S CONED
CONCRETE SLAB 7iA Ai
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAPMOM
GROUT 0 4' O 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE tiAS B,9EN SIGN
DRYWALL INTERIOR
EXTERIOR LATH Z- 3
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
t'LUMtlIrvN
MUM rAC
HUUJt NUMt%t:Hb
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
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 I La Quinta
No. 112086 Permit #
Owner Name Century Homes Communities Log
No. Street See Below
City La Quinta Zip 92253 Study Area 233
APN # Tract # Lot # 0 Square Footage 28776
Type of Development I 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 Drive; 44-325,x, 265 i.as 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 lames F. Lively
Assistant Superintendent, Business Services
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature G �-c-12-1k��:. /�l,t/LZ�� .
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
I
Zvi
C�it�r
of 14a(oututa
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 La Palma Drive
Use Classification Single Family. Dwelling Bldg. Permit No. 11975
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building Century Homes Communities Address 1535 South "D" Street
City San Bernardino, CA 92408 Bruce Pelletier
By:
Dote: August 25, 1993
Building Official
POST IN A CONSPICUOUS PLACE
III
f II,m