11977 (SFD)t fs
,,.. 44
IOU
P.O. BOX 1504
Building 78 440 La palms. Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner Century. Homes Conmunit.les
(waning
Address
City
S
Contractor
Same •
Address
No. 1.1977
BUILDING: TYPE CONST. OCC: GRP.
1535 South ODO ' Street A.P. Number 604-173-004
l. ri'cti.�iino ZIp92409 Te€7343 381-607 Legal Description jet 3 Tract 3269 Phase 53
Project Description SFD Plan SAX
City Zip Tela
State Lic, `314473 City 2120
& Classif: Lic. #
Arch.; Engr.;-
Designer:,.
ess I Tel.
- City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
` "effect. Divigi of th us'ne sand Professions Code, and my license isfin y►1 force and
effect. - },,
7 DATEOWNER-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 rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
5 , 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 or completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
i i I, as* owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business andrProfessions 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.)
Polic No. . .Company
dopy 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 pis' 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 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. (Seo.'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
ateMailing Address
City, State, Zip
REMARKS
?,C:t3
my ..ra. 1 .., . -z.. A 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. 2010
Size
No. No. Dw.
Stories Units
New ON Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
uat incluse block walls' -or
pool.
Estimated Valuation
$114,058.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
S7$ 44
Const.
692.00
Mech.
49.00
Electrical
141.63
Plumbing
144.00
S.M.I.
11450
Grading
20. 010
Driveway Enc.
—0—
Infrastructure
2#528c.06
Arts in PM1
c places 35.15
TOTAL
4,199.78
REMARKS
?,C:t3
my ..ra. 1 .., . -z.. A 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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES"
1ST FL. SQ. FT. ® $
UNITS
J
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
I
WALL SO. FT.
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SO.FT.GAR ® VAc
HOUSE SEWER
GAS PIPING
PERMIT FEE
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.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 (y
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
' 44,,tt''��yy CITY OF LA QUINTA
tf''dEPAVTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
1`ltl� 24 -VUR NOTICE FOR INSPECTIONS
Owner Century Homes Communities
Contractor
Same
Permit Number 11977
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-740 La Palma Drive
SFD Permit does not include block
walls or pool.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
.FOOTING STEEL 5
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE _
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN 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' 19
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE IJAS JBEEN SIGNED
DRYWALL INTERIOR zzJ
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
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 La Quinta
No: 12086 Permit #
Owner Name Century Homes Communities Log
No. Street See Below
City La Quinta Zip 92253 Study Area 233
APN # 1. 1 Tract # I J Lot # 0 Square Footage 128776
Type of Development I 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
T.a Palma Drive, 44-325, 295, 265 T.as Vistas T)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 F. Lively
Assistant Superintendent, Business Services.
Fee collected /exempted by Vickie J. Durrett
Payment Received
Signature �-�Zt.C�. /�I.UI/U:.�-�
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
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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 78-740 La Palma Drive
Use Classification Single Family Dwelling Bldg. Permit No. 11977.
Group R3 Type Construction VN Fire Zone. Use Zone SR
Century Homes Communities 1535 South "D" Street
Owner of Building Address
City San Bernardino; CA 92408 Bruce Pelletier
By l .
Dote: August 25, 1993
Building Official
(�ppgT IN A CONSPICUOUS PLACE