10225 (SFD)Building
Address 7$_750 La Palma Drive
CTB Associates, L.P.
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address 1535 S. a0o St 0200
CityZip Tel.
San Berriard$nc 92403 1714/381-6007
Contractor
Century Howes Communities
Address
same as .above
State Lic.
& Classif.
Arch., Engr.,
Designer
Address
1336 Eo
City
Orange
I here
7000)1
effect.
Zip I Tel.:
BUILDING: TYPE CONST.
Number
No. 10225
OCC: GRP. -
Legal Description Lot 136
Project Description Plan c Phase 3
qy4 ki
314473 B1Lic. # 2120 Sq. Ft. 1567 No. No. Dw.
Size Stories Units
Frank Gonzales .& Assoc.
Tel.
Chapman Ave 7.141532-6878
Zip State
Lict# C 016340
LICENSED CONTRACTOR'S DECLARATION
I I am licensed under provisions of Chapter 9 (commencing with Section
f the Business and Professions Code, and my license is in full force and
�/1� ,, 12-1 rE1-111
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, atter, improve, demolish, or repair any structure, 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 dollers.(8500).
0 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 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 '
ip Copy 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 thg 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 1 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
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Permit does not include block wall or
pool
k
Estimated Valuation
90F 875.30
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
266.53
Const.
599.00
Mech.
55-50
Electrical
129.47
Plumbing
163.00
S.M.I.
9.10
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2044.69
TOTAL
356.2.29
3312.29
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
IST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT.
GAR. SO. FT, ®
CARP. SQ. FT.
WALL SQ. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
ARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN,
URINAL -
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11K c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3'io
HOUSE SEWER
REMARKS:
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. ya.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase 3, Plan 4"%, Lot 136
10 7ylh
CITY OF U OUINTA
f RTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
0��q� 584-2246
A� •�$ � H NOTICE FOR INSPECTIONS
Owrw YCTB Associates, L.P.
Contractor Century Homes Communities
Pwmit Number 10225
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-750 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION I DATE I INSP.
FOUNDATION d SETBACK
MAIN GROUND SYSTEM I I
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB I 777/73?_ k --
ELECTRICAL GROUND WORK I I
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING d VENT - A/C
B
GROUT ❑ 4' ❑ 8'
"
FRAMING
INSULATION
L
PRE -ROOF
_
COVER NO WORK UNTIL ABOVE HAS-BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
Z
y
POOL PRE PLASTER
POOL FENCE a GATE
'SEWER SEPTIC TANK
PLUMBING
FINAL GAS TE:
HEATING - A/C
HOUSE NUMB
JOB COMPLEI
TEMP POWEI
4/88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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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
ordinances of the City regulating. building construction or use. For the following:
BUILDING ADDRESS 78-750 La Palma Drive
Use Classification SFD Bldg. Permit No. 10225
Group R3 Type Construction �1N Fire Zone Use Zone SR
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Owner of Building CTB Associates, L.P. Address 1535 S "D" St #200
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city .San Bernardino, CA 92408
By; Mark Harold
I j
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Dote: 9/21/92
Building Official
�09T IN A OONe?ICUOU! PLACt
—_
MEN