10237 (SFD)r I , r • ��
6 I
P.O. BOX 1504
Building 79--755 La Palm, Drive78-105CALLEESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
CM Associates, L.P.
Address 1535 S. OD" St #200
CityZip Tel.
San Sernardin 92.408 1714/381-6007
Contractor
Century Homes Cormunities
Address
sane as above
City lZip Tel.:
State Lic.
& Classif.
314473 B1
City
Lic. # 2120
Arch., Engr.,
Designer
Frankk Gonzales&
ASSOC.
Address
1336 2.
City
Tel.
Chap�tali Ave 714/532
Zip�2�6& Lic.State
Orange # C 016340
LICENSED CONTRACTOR'S DECLARATION
I am licensed under provisions of Chapter 9 (commencing with Sec
the Business and Professions Code, and my license is -i
n full force
OWNER -BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,13usiness 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 ale a signed statement that he is licensed -pursuant to
the provisions o/ 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 there/rom, and the basis
/or the alleged exemption. Any violation o/ Section 7031.5 'Dy 'any applicant /or a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (5500)-
.. O 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, 13uisness 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 wig have the burden
. of proving that he did not build or Improve /or 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 Contractors Ucense 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.)
O I am exempt under Sec. B. 8 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
.C� Copy is filed with the city. p. Certified copy is hereby furnished:
- CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
•
(This section need not be completed it the permit is /or one hundred dollars ($100) valuation
or less.)-
Icertify that in the performance of lhp work for which this permit is issued, I shall not
employ any person In any manner so as to become subject to the Workers' Compensation
Laws of California.
' Date Owner
NOTICE TO APPLICANT: If, ager making this certificate o/ Exemptionyou should become'
subject to the Workers' -Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance
of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lenders Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to ,
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and -state laws relating to building
construction, and hereby authorize representatives sof this 'city to enter the above-.
mentioned propert
y for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 1237
BUILDING: TYPE CONST. OCC: GRP.
Number
Legal Description i'Qt 325
Project Description -,Plan 4$RX Phase
, 353.30
PERMIT AMOUNT
Plan Chk. Dep. -250.00 -
Plan Chk. Bal. 286.45
Const. 626.00
Mach. 55.50
Electrical 131:94
Plumbing . 166.00
S.M.I. 9.70
Grading 230.00
Driveway Enc. 20.00
Infrastructure 2167.95
TOTAL 3733.54 348
Sq. Ft. 1732 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does npool
ot i-nclude black wail or
Estimated Valuation 96
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 Propert
5.54.
REMARKS
y Line
FINAL DATE INSPECTOR
Issued by: —Date—Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
y
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM. FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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.
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
Plan-4BRX, Phase 3, Lot 125
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246
24 -HOUR NOTICE FOR INSPECTIONS
Ow CTB Associates, L.P.
Contract Century Homes Communities
Pwmit Number"-'/ 10237
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-765 La Palma Dr
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL —
MAIN GROUND SYSTEM I'
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED S
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
O.K. TO WRAP 7?9 '
GROUT ❑ 4' ❑ 8'
FRAMING
PRE -ROOF _ I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
SEWER
FINALS
GLGV I tlIV/9V
JUD wm rLC i cU
TEMP POWER
rs
`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
Code certifying that at the time of issuance this structure was in compliance with the various
I '
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-765 La Palma Drive
II i,
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II
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Use Classification SFD Bldg. Permit No. 10237
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R3 VN SR
Group Type Construction Fre Zone Use Zone
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CTB Associates, L.P.535 S "D" St #200
Owner of Building Address
I Icity*
San Bernardino, CA 92408 Mark Harold
By.
..............
Dots: 9/21/92
Building Official
POST IN A CONS"CUOUS PLACE
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