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10200 (SFD)V. P.O. BOX 1504 Building t. 7&105 CALLE ESTADO Address 8-810 La Palma Drive LA QUINTA, CALIFORNIA 92253 CrB Associates, L.P. Mailing Address 1535 S. :'El" St 0200 City Zip Tel. . San .-aernard 92408. 714/381-6007 Contractor Citnturr domes Co.--tulnities Address same as above State Lic. City & Classif. 3.144`73 B1 Lic. # 2120 Arch., Engr.; Designer Prank Gonzales a Assoc. Address . Tel. 1336 E. CbaJmau dive 714/532.687 City Zip State Orange 92666 Lic. # C 0163-40 LICENSED CONTRACTOR'S DECLARATION I hereby,affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000);off� #Di�vlrsgippn 3 of the Business and Professions Code, and my license is in full force and effe kfb�+e_o� 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 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 or not more than five hundred dollars,($500). 0 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 Intended or offered for sale. If, however, the building or Improvement is sold within one , year or completion, the owner -builder will have the. burden of proving that he did not build or improve for the purpose or sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con - No. 10200 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Lot 142. Project Description Plan 3BR Phase 3 4 Sq. Ft- No. No. Dw. Size 1400 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or no4 Estimated Valuation 83,226.40 PERMIT. Plan Chk. Dep. Plan Chk. Bal Const. Mech. Electrical Plumbing struct the project. (Sec. 7044, Business and Professions Code. The Contractors License. Law does not apply to an owner of property -who builds or improves thereon, and who contracts for S.M.I._ such projects with a contractors) licensed pursuant to the Contractor's License. Law.) Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure 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,jtNo. Company Policy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 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: 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 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 REMARKS AMOUNT .00 236.81 567.50 , 55.50 y 12A.4 .6�r 6 144.00 8.40 20.00 10.00 1072.59 3,� / ( r i�fjr� inY 'L :L'✓�a�.�"�� y n. 'Y-ynyr-. .1%Lr vM'sYL 3.047.._1j. �v 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 bv: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SO. FT. ® CARP. SQ. FT. WALL SQ. 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 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, TEM/PERM 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 ® 1Vi c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 J 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 1 GARDEN WALL FINAL Phase 3, Plan 3BR, Lot 142 CITY OF u OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION P 664-2246 24-HOUR NOTICE FOR INSPECTIONS v OwnK'� `T s s oc i a t e s, L. P. Contmda Century Homes Communities P.',,* 10 2 0 0 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-810 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 T - 9 7 L47 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 PLUMBING ROUGH GAS & GAS TEST HEATING & VENT- A/C O.K._TO WRAP Vf y --- GROUT O 4' O 8' COVER NO WORK UNTIL ABOVE H S BJEEN SIGNED DRYWALL INTERIOR y - EXTERIOR LATH ;7. Vi— POOL PRE PLASTER POOL FENCE & GATE 'SEWER SEPTIC TANK FINALS ELECTRICAL FINAL GAS TEST HEATING - A/C Y ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4/88 \` C\ -6� �� -��... iii II �• � _' i1I�I �� C 4 i� �,yoF,�9� ' it !: j�;i,'� •e of utna I �� ' is � LItoin anb �Safvt 43 ill tb5ila 1 iV 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: I i it i BUILDING ADDRESS 78-810 La Palma Drive IIi I Use Classification SFD Bldg. Permit No. 10200 �. Group R3 Type Construction VN Fire Zone Use Zone SR 1I Owner of Building Address 1 c 3 5 s_ "n" st _+ # 2 n n CTR ASanClateG T. -P- � , I San Bernardino, 'CA 92408 City Mark Harold By: Doter 9/21/92 Building Official MST IN A CONe?tCUOUe PLACE — NAN/.vG Lm� No EM