10234 (SFD)Buil
in
Addrdes2 76--830 La Palma Drive
Owner
CTB Associates, L.P.
Address 1535 S 'D' St 0200
City Zip
San Bernardino 9240;
Contractor
Century domes Communities
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
14/381-6007
same �as above
City . lZip Tel.:
State Lic. City
& Classif. 314473 . B1 Lica# 2120
Designer'•' Frans Gonzales & Assoc.
Address Tel.
1336 E. Chapxraan Ave 724/532--6878
Cit r�ge 91666 State C 016340
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7tof Division 3 of the Business and Professions Code, and my license is in full force and
effec
SIGNATURE DATE
OWNER•BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractors License law for the following
. ` reason: (Sec. 7031.5,Business and Professions (lode: Any ray of 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 fr7e a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencingwith Section .7000) of
Division 3 of the Business and Professions Cade, 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 intended.or -offered for sale. n however, the building
or Improvement is sold within one year of conpletion, the owner-buider wig 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 com.
struct the project. (Sec: 7044, Business and Profession 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 Contractors License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner 'l '+`+ -✓
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy. No. Company
O'Copy is filed with the city. ❑ 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 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 California.
Date Owner
NOTICE TO APPLICANT: 1f• alter making this. Cer6Ncate of Exerrp0on you should become
subject 'to the Workers' Compensation provisions of the Labor Cade, 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 far which this permit is issued. (Sec. 3097, QvifCode.)
Lenders Name
Lenders 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
A]
No. 10234
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 144
Project Description Plan 4CRX Phase 1
Sq. Ft. ��32
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Permit does not include block
tall or
pool.
Estimated Valuation
'§6,353.3#0
PERMIT • -
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
286.45
Const. -
-
626.00'
Mech.
55.50
Electrical
31. . 9 4
Plumbing
168.00
S.M.I.
9.70 '
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2167.95
TOTAL
3735.54
3485.54
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 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
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
oL
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ic
HOUSE SEWER
FRAMING
FINAL INSP.
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 //, �%
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ' 21f
oL
ROUGH PLU B.
4 AA
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
171,
SEWER
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL f L
-2
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 1, Plan 4CRX, Lot 144
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR (NOTICE FOR INSPECTIONS
Ownw CTB Associates, L.P.
Contractor Century Homes Communities
Pwn* Number 10234
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-830 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION PATE INSP.
FOUNDATION & SETBACK Z
FOOTING STEEL •J
MAIN GROUND SYSTEM
GROUND PLUMBING //-j -7 G',
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB XZ 5r�
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 LA UUMM
FIREPLACE
ROOF /,
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING Z
INSULATION
PRE -ROOF AH
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR /p -2 „�-
EXTERJOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SE TleTARR Ci ,,i —17,—,
.
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST Z
HEATING -A1C
HOUSE NUMBERS ti
JOBCOMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4.88 -
(4,tvTng
Tit�r of 14d (Quinta
1111HN114 rind �dfvt� 31illtb51*1111
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 78-830 LA PALMA DRIVE
SINGLE FAMILY DWELLING
Type Construction VN Fre Zone
Owner of Building CENTURY HOMES, CTB ASSOC 1535 1535 S.
City SAN BERNARDINO, CA 92408
By;
Bldg. Permit No. 10234
Use Zone SR
"D" ST., 4x~200
LONNIE DAY
Dote: APRIL 15, 1992
— Building Official
POST IN A CONSPICUOUS PLACE
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