10177 (SFD)r
P.O. BOX 1504 N o . 10177
Building7�, $15 �� P�lIIt�t �� 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
CTB Associates, L.P.
Mailing
BUILDING: TYPE CONST. OCC: GRP.
Address 1535 S. "D" St #200
A.P. Number
City Zip Tel. Lot 120
San Burnardi.nc 92408 714/381-6007 Legal Description
Contractor Project Description Phase 3 Plan 2f_.�s:.
Century Homes Communities
Address
same as above
City Zip Tela
State Licsit. 314473 BI Lemic # 2120
& Classif. Sq. Ft. „ No. No. Dw.
Arch., Engr.,
Size Stories Units
Designer Frank Gonzales & ASSOC. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
1336 E. Chapman Ave c 714/532-6878 Permit does not include block walls or
Cdrange ZI�2666 LLiict# C 016340 Pool
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I arta licensed under provisions of Chapter 9 (commencing with Section
7000) e Bu
of Division 3 of ths'(riess and Professions Code, and my license is -in full force and,.
effect
_SIGNATURE .' 'w- � DATE
OWNER -BUILDER DECLARATION 1 p
I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation.
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a ( t v ��•' `-�ti
permit to construct, alter, 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 PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 or 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 Plan Chk. Dep. 250.04
subjects the applicant to a civil penally of not more than rive hundred dollars (5500). -
❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 1-24111.13 1-9-7- G
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and . • r+
Professions Code: The Contractor's License Law does not apply to an owner of property who -_ L 0 51BI
builds or Improves thereon and who does such work himself or through his own employees,Mech. 0(')
provided that such improvements are not intended or offered for sale. If, however, the building i
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.) Electrical i -A 6
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing—1-4+- 9
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 S.M.I. C' 1t> 7-.-U
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
Grading 20.00
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc. 20.00
Date Owner Infrastructure Q iC
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent t6 self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) s� /� /� j ` jam •„ I t p/��• _.
Policy No. Company
�3 Copy is filed with the city. ❑Certified copy is hereby furnished.
TOTAL tr+3�3 2•,x.3¢+ 4 it i AtJ3)1.:.7.9 t),�
CERTIFICATE OF EXEMPTION FROM REMARKS
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 parson 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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Liner_
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.) Side Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of applicant -Date-
Mailing
ateMailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SQ. 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 APPJEQUIP.
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
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 GOND. 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
r
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase 3, Plan =? tot 120
CITY OF LA'OUINTA
a ~ DEPARTMENT OF PLANNING $, DEVELOPMENT BUILDING DIVISION
�� FOR
564-
0 ��. OUR NOTICE FOR INSPECTIONS
Owner CTB Associates, L.P.
Contractor Century Homes Communities
Pamft Number 10177
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-815 La Palma Dr
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE 'INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING - i-
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOV..E 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
44M 1.71 -
HEATING & VENT- A/C
ROOF
BOND BEAM
• ' e - I WIMAVS j/
' r✓i�ic��r/%�
COVER NO WORK UNTIL ABOVE AS BEEN SIGNED
DRYWALL INTERIOR %
EXTERIOR LATH etl---
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEFMC TANK
FI
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED G) 22 42
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4.88
(#trs
rj
of
orrrl- 1&61, *
I r,g
(t of Ka uinta
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 78-815 La Palma Drive
Use Classification SFD Bldg. Permit No. 10177
Group R3 Type Construction `N Fre 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. 9/21/92
Building Official
►O!T IN A OONSTICUOU! PLACt
iii