10194 (SFD)L a
�
P.O. BOX 1504 Vim/
Building 78-105 CALLE ESTADO
Address 78-640 bra Palma Drive LA QUINTA, CALIFORNIA 92253
Owner t►a y� g L.P.
CTS Associates,
Mailing
Address 3535 S. nDn St u200
CityZip Tel.
San. 3er�nardi n 9240 714/381-6007
Contractor .
Century Homes Communities
Address
same as above
City lZiD I Tel.:
State Lic.314473 BT ILicy# 21.20
&Classif.
Arch.; Engr.,
Designer xvrank Gonzales & ASSOC.
Address Tel.
1336.E., Chapman Ave 714/532--6878
Cjt raZip State
t3'�sge 9266�i Lic. # C 016340 -
LICENSED CONTRACTOR'S DECLARATION
I 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 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, alter, 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, of 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).
❑ 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 of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
Cl 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.)
O 1 am exempt under Sec. rJB. & P.C. for this reason
Date
} I S O nw er
WORKERS' COMPENSATION DECLARATION
Ihereby ,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
.Copy is filed with the city. O 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 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 .
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 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
n
No. 10194
LDING: TYPE CONST: - I OCC: GRP. -
F. Number
Description
Description
Lot 145
Plan 3B Phase 1
Sq. Ft. No.
Size 140 Stories
New ❑ Add ❑ Alter ❑
No. Dw.
Units
Repair ❑ -Demolition ❑
'Permit dohs not include block ovalis. or
. pool
Estimated Valuation
83,'226.40
PERMIT
AMOUNT
Plan Clik. Dep.
250.00
Plan Chk. Bal.
235.81
Const:
567.50
Mech.
.55.50
Electrical
124.66
Plumbing
- 144.00.
S.M.I.
8.40 .
Grading
20.00
Driveway Enc.
20.00-
0.00.Infrastructure
Infrastructure
1872.59
4.4
TOTAL
32991:W -L t;4Y?!I._ 30497V46+'Vkp
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. SQ. FT. (d $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. 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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
FINAL INSP.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+A c
SEWAGE DISPOSAL
SQ.FT.GAR ® Vbc
HOUSE SEWER
VENTILATION
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 //ryZ%
DERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE yy
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
T
SEWER K
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL Ila '42_
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 3B, Lot 145
d
CITY OF u OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner CTB Associates, L.P.
Contnidor Century Homes C'ommuniti-c
Permit Number 10194
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-840 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL / ;L L liter
MAIN GROUND SYSTEM
GROUND PLUMBING / 9 L /u--
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE AS BEEN SIGNED
CONCRETE SLAB
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
BOND BEAM v v
O.K. TO WRAP
GROUT ❑ V ❑ 8'
FRAMING z
INSULATION
COVER NO WORK UNTIL ABOVE HAS BEEN SI NEE)
DRYWALL INTERIOR G�
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER 9CRii@'hlffK / 3r� 9y
ELECTRICAL
PLUMBING
FINAL GAS TE;
HEATING - A/C
JOB COMPLETI
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
'. '.'e�eAt�
0 1 Orr 'rt -%-
ul�
TitLl- of 14d (Quinta
llillilbin allb �Sdfv 3141t*�ijjll
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that of the time of issuance this structure wos in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-840 LA PALMA
Use Classification
SINGLE FAMILY DWELLING Bldg 10194
Permit No.
Group R 3 Type Construction
Ownerof Building CTB ASSOCIATES, L.P.
SA ERNARDINO CA 92408
VNIFire Zone
Address
Use Zone SR
1535 S. "D" STREET, #200
Clty N_� f MARK HAROLD
Building Official
Byi
7 Date; APRIL 6, 1992
POST IN A CONSPICUOUS PLACE
�1�•i'Y�.1� R 2:v .w n^'�•7�.._'i.';.'�.^'Y.�"-xr,'.•.':.`�.n3sa4".,.z2i.