10178 (SFD)Building -78- La Palma. Drive
Address
C1^S Associates, L.P.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Address 1535 S. nDa St #200
CityZip Tel.
San Bernardin ; 92408 714/391-6007
Contractor
Century Viomes Communities
Address
Zip
State Lic. City
& Classif. ' 314473 B1 , Lic. # 2120
Arch., Engr., `
Designer Frank Gonzales & ASSOC.
Address Tel.
1336 Es. Chapman Ave 714/532--687
City Zip State
Orange 32666 Lic. # C 466340
LICENSED CONTRACTOR'S DECLARATION
I hereby affi rm tfi t I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Div'islon 3, f he Business and Professions Code, and my license is in full force anda
effect. I fi7 � i` <+'!. x_ it.,
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, aiter, 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 dollars.($500).
❑ 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.lntended 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.)
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.)
❑ I 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
Copy is filed with the city. O 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: n, after making this Certificate of Exemption youshould 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 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
No. 10178
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 122
Project Description pease 3 Plan 2B
P
ZONE:
BY:
Minimum Setback
Distances:
Sq. Ft. 1262
Size
No. No. Dw.
Stories Units
New ❑ Add El
Alter ❑ Repair ❑ Demolition ❑
Permit dopes
not include block wall or
pool
Side Setback from Property Line
FINAL DATE
„r
Issued by:
Date Permit
Validated by:
Estimated Valuation
72,496
PERMIT
AMOUNT
Plan Chk. Dep.
2650.00
Plan Chk. Bal.
197.56
Const:
518.00
Mech.
49.40
Electrical
115.77
Plumbing
144.00
S.M.I.
7.30'
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1631.16
TOTAL
2952.79 2702.79
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
1ST F,f. SO. FT. ® $
2NDFL SO. FT.
PqR. SO. FT. ®
GAR. SO, FT. @
CARP. SO. FT.
WALL SO. FT. ®
SO. FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
r �+
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 APPJEOUIP.
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID a 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® 31'ic
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 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 SIGNATURESRNMALS
GARDEN WALL FINAL
Plan 2B, Phase 3, Lot 122
a
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
a�. BUILDING DIVISION
564-2246
�qf �G7**HOUR NOTICE FOR INSPECTIONS
199,
Owner Associates L.P.
Contractor Century Homes Communities
Pwmk Number 10178
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 7877967La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION PAiNSP.
FOUNDATION & SETBACK
FOOTING STEEL Z
MAIN GROUND SYSTEM
GROUND PLUMBING /lr-
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN 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 7 ti y
O.K. TO WRAP
�i1/L`1L�F�r%�/,1•
PRE -ROOF .1 -
COVER NO WORK UNTIL ABOVE MASB EN SIGNED
DRYWALL INTERIOR 71"74717 1 �, -
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
.7 -
ABOVE
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
�rl�l 1 irI 11
``� `\\} _ •I 'tel 6:.1 � I'��
v
OF 'k
of 1a (Quinta
1
Butt]'Dtn��tnS'�1P tb�t. tun
1
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
i
6 :
Code certifying that at the time of issuance this structure was in compliance with the various
1
ordinances of the City regulating building construction or use. For the following:
•i
j
BUILDING ADDRESS 78-795 La Palma Drive
Use Classification SFD Bldg. Permit No. 1017 8
I '= I
i li
'
I
I!i
j i�'
111
1
i Group R3 Type Construction `1N Fre Zone Use Zone SP,
i
11i
!ii
i�
Owner of Building CTB Associates, L.P _Address 1535 S "D" St #200
III
City San' Bernardino. CA 92408 By; Mark Harold
Date: 9/15/92
Bui ding Official
POST IN A aaNe?ICUOUS 'LACt