11970 (SFD)Y
P.O. BOX 1504 No. 11914
Building 78-105 CALLE ESTADO
Address 78-735 La Palma Drive LA QUINTA, CALIFORNIA 92253.
Owner
. Century Homes Co=unitie:
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 1535 South "Do Street A.P. Number 604-172-007
City lZip Tel. Lot l2�
• San-Bi•Lrhardino 92408 1010381-6007 Legal Description Tract 232 9 ,aha zee
Coritractor SFD plan 2A
S2 Project Description
Address
City Zip Tela
State Lic. . 3.14473 City 212fl
& Classif. Lic. #
Arch., Engr.,
Designer
.'Address Tel.
City ( Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am,li ensed under p visions A Chapter 9 (commencing with Section
7000) of Division 3 of themB�irfess and Pro a sio s LCode, and my license is in fu I forc and
effect. t ms's i
_SIGNATUREy ° p(vTE
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 orcountywhich 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) or
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
r of proving that he did not build or improve for the purpose or 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 or property who builds or Improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 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. ACompany
'r -copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is for one hundred dollars ($100) valuation
Of less.)
I certify that in the performance of lhg work for which this permit is issued, I shall not
employerany pson 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 or Exemption you should become
subject to the Workers' Compensation provisions or 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.
lagree 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
Maung Address
City, State, Zip
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Sq. Ft.�2�t
Size
No.
Stories
No. Dw.'
Units
New 8 Add ❑
Alter ❑
_
Repair ❑ Demolition ❑
Permit does
not include
block walls or
pool.
Validated by:
Validation:
Estimated Valuation
$751,328.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
451.25 AM96
Const.
531150
Mech.
49.00
Electrical
115..87
Plumbing
144.00 I
S.M.I.
7.60
Grading
20.00
Driveway Enc.
—0—
Infrastructure
1 r 656.164
TOTAL
2;,981.86
REMARKS
f '�".y5Q , ,. �?'. i t�
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Sice Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
r
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. p $
UNITS
SLAB GRADE
ROUGH PLUMB. -
t'
YARD SPKLR SYSTEM
2ND FL. ` SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS`(ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
I
DRAINAGE PIPING
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SQ. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I IKITCHEN 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
GAR. FIREWALL
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.,
Ad
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
< . wi,
CITY OF LA OUINTA
Evor ~�`y DEPARTMENT OF PLANNING & DEVELOPMENT
IN BUILDING DIVISION
564 -2246
-HOUR NOTICE FOR INSPECTIONS
Owner: ury Homes Communities
Contractor Same
Permit Number 11970
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-735 La Palma Drive
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL / 3
MAIN GROUND SYSTEM
GROUND PLUMBING f 3
PRE-GUNITE _
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB �= /•;%
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 WRAP
GROUT ❑ 4' ❑ 8'
FRAMING •
INSULATION 7 ri ,/V
PRE -ROOF I r / 1
COVER NO WORK UNTIL ABOVE AS BEEN SIGN D
DRYWALL INTERIOR
EXTERIOR LATH 195
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK L .�
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
va8
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 # I Tract #1 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
T.a Palma Drive, 44-325,295- 265 T.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 James F.. T.iv ly
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 cop} 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!
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 78-735 La Palma Drive
Use Clossification Single Family Dwelling - Bldg. Permit No. 11970
Group R3 Type Construction VN y Fire Zone Use Zone SR
owner of Buiiding Century Homes _ Address 1535 South "D" Street
City San -Bernardino. CA 92408` Bruce Pelletier
By: .
Date: August 3, 1993
Building Official
POST IN A 00NIMI000US PLACE
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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 78-735 La Palma Drive
Use Clossification Single Family Dwelling - Bldg. Permit No. 11970
Group R3 Type Construction VN y Fire Zone Use Zone SR
owner of Buiiding Century Homes _ Address 1535 South "D" Street
City San -Bernardino. CA 92408` Bruce Pelletier
By: .
Date: August 3, 1993
Building Official
POST IN A 00NIMI000US PLACE