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10169 (SFD)44a 9 P.O. BOX 1504 N Q , 1016 Building 78-105 -78-7 75 La Palma Dr. . LA QUINTAC Address " CALIFORNIA 92253 Owner v CTB Associates, L.P. Mailing Address 1535 S. "D" St 0200 CityZip Tel. San Sexnardin) 92408 714/3€31-6007 Contractor CeutubV Homes fWfJ2tltYtunit es Address same as above Tel.: State Lie. City & Classif. 3.14473 31 I Lie. # 2120 Arch., Engr., Designer I;'Zcank Gonzales & Assoc. Address Tel. C 1336 E. Chapman Ave 714/ 'CityZip State Orange 92666 Lic. # C016340 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that,l &n licensed,ti6der provisions of Chapter 9 (commencing with Section 7000) of Division.3 Ue Buslnes's and Professions Code, and my licenseris Null force and effect. h i I . {1 I Lf — ! -1 _&" ,T R. 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, after, 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 civil penalty of not more than five hundred dollars.($500). O 1, 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. It, 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.) O 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.) O 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 • OCCopy 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: It, 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 Ihereby 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. 1 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 is BUILDING: TYPE CONST. OCC: GRP.- A.P. Number Legal Description Lot 124 Project Description Plan im �� . �� 0 Sq. Ft.:.d No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ Permit does not include block wall or pool d Estimated Valuation � � C o D j &0 PERMIT AMOUNT Plan Chk. Dep. 250. 00 J Plan Chk. Bal. Const. Q?! Mech. J�-e1r•..a Electrical Plumbing / :. 1-4<n-04. S.M.I. 6, -34 - Grading 20.00 Driveway Enc. 20.00\ Infrastructure 'Da a.r�•. TOTAL ��/ .sT. 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: s* Validation: +° CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. $ 2ND FL SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. 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 ® 1% c SEWAGE DISPOSAL SQ.FT.GAR ® V4c 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 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 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Phase 3, Plan TM, Lot 124 d . CITY OF LA OUINTA o. 4DEPARTMENT OF PLANNING & DEVELOPMENT 4� BUILDSN�G-22 9 C� �IOUR NOTICE FOR INSPECTIONS Owner. C%,Ass.ociates, L.P. Contractor Century 'Homes Communities Permit Number 10169 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-775 La Palma Dr Permit does not include block wall or pool TYPE OF INSPECTION I DATE, I INSP. FOOTING STEEL MAIN GROUND SYSTEM DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ` CONCRETE SLAB NJ04STS & GIRDERS ELECTRICAL GROUNDWORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING 8 VENT- A/C FIREPLACE ROOF�— O.K. TO WRAP O L 1 lP7f-- GROUT 0 4' O 8' FRAMING -2 [ QZ PRE -ROOF I I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED EXTERJOR LATH I �/1/t� ' POOL PRE PLASTER FINALS ELECTRICAL /p PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED 7 TEMP POWER .11 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 .\\ / :>or i -\\pct' .� I I - . •,//. ! pq �!� :'f ILII i _ ��i// ��- tog 1 I I� gAlt �✓ �o �° is % - o c �s 1 0F TK6� i. I I 1 1.�i� i. ill r It ♦ / /N� • of ~ K Utnta � I l �� I it j '. I ,;' : This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building 41 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: l b BUILDING ADDRESS 78-775 La Palma Drive I Use Classification SFD Bldg. Permit No. 1016 9 Group R3 Type Construction �71J Fire Zone Use Zone- SR iI I l Owner of Building CTB Associates, L.P. Address 1535 S. "D" St #200 � l City San Bernardino, CA 92408 ey; Mark Harold i i Dote: 9/15/92 77&A' ! Official COST IN A OONe?IOUOU! PLACE NANiNG J