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10210 (SFD)
P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 78-825 La Paimin Dr. LA QUINTA, CALIFORNIA 92253 M,Associates, L.P. Mailing Address 1535 S. nD" St #200 City Zip Tel. San ZernardidD 92408 1 714/361-6007 Legal Description Loo' 119 Contractor Project Description Pian 3AFX Phase 1 Century Homes Communities Address same as above City . Zip Tel.: No. 10210 ILDING: TYPE CONST OCC: GRP Number State Lic. City & Classif. 33947.3 B1 Lic. # 2120 Arch., Engr., Designer Frank Gonzales & Ansocm Address Tel. 1336 E. Chapman Ave 71.4/532--6877 City Zip State t3raile2 92666 Lic. # C €316340 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,80shess and Professions. Code: Any city or county which requires a permit to construct, after, 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 o 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). r ' . 0"1, as owner of the property, or my employees with wages as their 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, or property who Ixolds 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. lf,.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 purposeof,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 ofrproperty.who builds or improves thereon, and who contracts for such projects with a cant= ficensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec B. & P.C. for this reason r / Date' L' !r Owner Y / l'.�✓� WORKERS' COMPENSATION DECLARATION 1 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.) Pol1cy No. Company .© Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed B the permit is for one hundred dollars (8100) 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 Califrnioa Date Owner " NOTICE TO .APPUCANT: ft, 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 1 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 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. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does mat include block walls or Pool Estimated Valuation 90., 055. 60 PERMIT AMOUNT Plan Chk. Dep. 250.00 Plan Chk. Bal.. 261.73 Const. 599.00 Mech.' 62.50 Electrical .• ", A' 127.76 Plumbing 144.-00 S.M.I. 9.10 Grading 2-0. QO Driveway Enc. 2(0)16 00 Infrastructure 2026.48 i% L:: 6 -0 4 ft f lei l"1. i.'{ -.•e i.. Ci� '�, d4 TOTAL J.5:_IU.ob J72 U. U b 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 -f EES 1ST 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 r YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING : ti D 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, 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 ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3Lc HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7 NST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING 1af/ AUNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWE ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. / 1 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 SIGNATURESIINITIALS GARDEN WALL FINAL Phase 1, Plan 3ARX, Lot i19 c all CITY OF LA OUINTA A OF ~ `� DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2146 24-HOUR NOTICE FOR INSPECTIONS Owner CTB Associates, L.P. Contractor Century Homes Communities Permit Number 10 210 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-825 La Palma Dr Permit does not include block wall or pool TYPE OF INSPECTION • DATE INSP. FOUNDATION d SETBACK -� FOOTING STEEL L MAIN GROUND SYSTEM Z GROUND PLUMBING 7- PRE-_GUNITE DO NOT POUR CONCRETE UNTIL ALL 4BOVE HAS BEEN SIGNED CONCRETE SLAB y JOISTS 8 GIRDERS POOL PRE PLASTER ELECTRICAL GROUND WORK POOL FENCE 8 GATE DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED ROUGH ELECTRIC j Z y ROUGH PLUMBING ROUGH GAS 8 GAS TEST HEATING 8 VENT- A/C FIREPLACE LA 11�1111A, ROOF 1 .2 2� a, O.K. TO WRAP GROUT ❑ 4' ❑ 8' FRAMING Z Z L INSULATION Z Z PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH ' POOL PRE PLASTER POOL FENCE 8 GATE SEWER SEaft& ANK j Z y 5� ELECTRICAL 9� PLUMBING FINAL GAS TEST 1, HEATING - A/C HOUSE NUMBERS f JOB COMPLETED Z TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4!88 lbor ..7 of a (rite of 14a Ruin#a llillitbin!l aitb �safvt� 34t*11t*'w*0H 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: Use Classification Group R3 BUILDING ADDRESS 78-825 La Palma Drive Single Family Dwelling Type Construction VN Owner of Building CTB Associates, L.P. City San Bernardino, CA 92408 zt Bldg. Permit No 10210 Fire Zone Use Zone _ Address 1535 S. "D" St., #200 By, Mark Harold Dote; April 9, 1992 SR Building Official - POST IN A CONSPICUOUS PLACE •a':a�. �ar�.,-.r.er�umaa�x�e�a_ _ .::�...'""�.._. .�._.__ _.r:_. _s+-wwc _ 3�awt5�ww..�nsiteLa'ru�h9S-��"_.. _-r-ie3.•. r r.F.r iy�^e=.:�'.= _*- ' x�} ..�• vac_ - —t- - �F =i "-_ _ _ - a.._ � —�-._ A_' �.. � _ -'. �_�._._._. � 6�c t �'�"" :`. �.__ 's+•! F .c.:.r 40. -, i � .5i.. � �'t.: � � - �. !.`.. s� C: _. ,'f`__. s _� d.:'. -, '�i`""`y =_� - '. —tan .....•t..��^ �s,+r.>!�t ypt:,.: I r Ir � f #�� r r• k . � � C'.� .�`.� =-t•�^a?r• = �`Ya - - a,t�.�h?" a-' �eK. '.�_-�_ ►� -- - :.k. r. ,..:�1 :'YNi�►},�tt.t�::-'cs445.. ;:s:3�1 _ �fC.Ka..�� .: C