10214 (SFD)-_;No. 10214
P.O. BOX 1504
Address Building 78-785 ' Palma D Ve LA QUINTA CAL FORNIA 92253
Owner
CT3 Associates, L.P.
Mailing
Address 1535 S. ODO St.#200
City Zip ITel
San Berna,rdil io 92408
Contractor
Century "Homes Com -unities
same as above
BUILDING: TYPE CONST
A.P. Number
_OCC: GRP.:
714/381-6007 Legal Description Lot =23
Project Description Plan 3CRX Phase 3
Tel.:
State Lic. City
& Classif, 314473 Bl Lic. # 2120
Arch., Engr.,
Designer Fra—k Gonzales & ASS€ C.
Address Tel.
1335 E. Chapman Ave 314/532--687
City a,^ m Zip State
�� 926661 Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm,` toall: I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 df the Business and Professions Code, and my license ifln fulF,force and
effect. 141 .. J Y .,r=
.11 — --V. 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.pemrit to rilea 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 'anyapplicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars.($500).
❑ 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. 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.) '
❑ 1, 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.)
Polip.&No.7 Company '
Ilao-py 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 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: d, 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 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 Address
City, State, Zip
r
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:
Sq. Ft. 1606
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition
Permit does
not include
block gall or
Pool
Estimated Valuation
90 ,056.60
PERMIT
AMOUNT -
Plan Chk. Dep.
250.00
Plan Chk. Bala
261.73
Const.
599.00
Mech. -
62.00
Electrical
127.75
Plumbing
144.00
S.M.I.
9.10
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2026.48
' rifiF'STa tC`= .: Y';#r'"'ek 5•�:T {i: G'A?r.'�.,'?f Mi�,— ��d. "!+'i `iris Fir .tb
TOTALtfo'Utl,,
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. SO. FT. $
2ND FL SO. FT.
POR. SO. FT. p
GAR. SO. FT. ®
CARP. SD. FT.
WALL SO. FT. ®
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEMS'
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 APPJEOUIP.
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE, DISPOSAL
SO.FT.GAR @ V4c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE t 'PLUMB. FEE
_s
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
'
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION•
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Phase 3, Plan 3CRX, Lot 123
a
CITY OF u QUINTA
F DEPARTMENT OF PLANNING ✓3< DEVELOPMENT
BUILDING DIVISION
Q(/04Z 5642246
SAY �,C 04 -HOUR NOTICE FOR INSPECTIONS
s,ya, 199?
Owner CTErwAssociates, L.P.
Contractor Century Homes Communities
Permit Number 10 214
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-785 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION I DATE . I INSP.
FOOTING STEEL �y
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB p
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST }L
HEATING 8 VENT - A/C
ROOF
BOND BEAM
O.K. TO WRAP Z
GROUT ❑ 4' ❑ 8'
FRAMING
PRE -ROOF . I I _
COVER NO WORK UNTIL ABOVE IJAS BEEN SIGNED
DRYWALL INTERIOR y
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER Ste- z7*— y _
r.
4!88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
of
f
Orr it x }
l�
Ttot�1 of Kin Ouinta
jluitbin� anb �safet�r
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 _
Use Classification SFD Bldg. Permit No. 10214
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building CTB Associates, L.P. Address 1535 S. "D" St #200
City San Bernardino, CA. 92408
By: Mark Harold
Date,- 9/15/92
Building Official _
POST IN A OONeTICUOUS'PLAC[
78-785 La Palma Drive