10226 (SFD)P.O. BOX 1504
Buildiri�' 7&105 CALLE ESTADO
Address 78-800 La Palma Drive LA QUINTA, CALIFORNIA 92253
Owner
CTB As8oc°3.c'X es, L.P.
Mailing
Address 1535 S. "D11
City Zip
San Bernardile
Contractor
No. 10226 -
BUILDING: TYPE CONST: OCC: GRP.
St #200 A.P. Number
Tel.
92408 . 714/381-6007 Legal Description
Century Homes CQpimunities Project Description Plan Phase
same as above
I lZip
State Lic. City
& Classif. 314473 32 I Lic. # 2120
Arcn., tngr.'-
Designer Frank Gonzales & Assoc.
Address Tel.
. 1.336 E. Chapman Ave 714/532-687
City' Zip State
Orange 926166 Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION'
I her%affi'r4that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of UU}}Wi:;iopn 3 of the Businesssra'nd'Professions Code, and my Iicenseris in (full force and A
effect.
SIGNATURE. AAS - DATE
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 rile 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 rive 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 irnprove 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
gO Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not -be completed ff the permit is for one hundred dollars ($100) valuation r
or less.) -
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any peon in any manner so as to become subject to the Workers' Compensation
Laws of Californirsa.
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 if 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
Sq. Ft. WAO No. No. Dw.
Size • Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Permit does not include block wall or
pool
�1
stimated Valuation
—*ua.e-
PERMIT
AMOUNT
Plan Chk. Dep.
2,50.00
Plan Chk. Bal.
Const.
599 .40
Mech.
Z 00;*
t
Electrical
l
Plumbing
lj(
S.M.I.
Grading
20.00 1
Driveway Enc.
20.00-q
Infrastructure
9C2
TOTAL
REMARKS
ZONE: ' BY:
Minimurn 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 Perm
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL SO. FT.
POR. SO. FT.
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM,
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
I 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, TEWPERM
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 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® Vic
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 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
Phase 3, Plan 4L�,, Lot 141
94x
a •
CITY Of u'OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
V�
#1OUR NOTICEFOR INSPECTIONS
P
Owner -Associates L.P.
Contractor Century_ Homes Co mnn i t i P.
Permit Number 10226
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-800 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN•GROUND SYSTEM
GROUND PLUMBING (,y
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB 2
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
O.K. TO WRAP
GROUT ❑ 4' ❑ S'
FRAMING Z
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS QEEN SIGNE
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
of
'��• �'� is - .j : i.I ;,F i i ; I il��'(f ), V rTr
of '14tt (Quinta
�uttbtn� anb �Safetfir 31t*V1t*/!at*jjn
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 78 -800 -La Palma Drive
Use Clossificotion SFD Bldg, .Permit No. 10226
Group R3 Type Construction STN 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
9/21/92
Building Official
POST IN A CON1i*I000Us 'LACE