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10221 (SFD)n ' P.O. BOX 1504 No. 10221 Building 78--845 La Palma Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner CTB Associates, L.P. Mailing Address 1535 S. "W" St 0200 City Zip T San Bernardinil) 92408 Contractor Century Homes Camunities Address same as above City lZip 7 BUILDING: TYPE CONST. • OCC: GRP. - Number 7141381-6007 (Legal Description Lot 110 -- Project Description tan 4BR Phase 1 State Lic. City_ & Classif. 314473 B1 Lic. # 2124 Arch., Engr., Designer Prank Gonzales & Assoc. Address Tel. 1336 E. Chapman Ave 714/532-6878 City Zip State Orange 92666 Lic. # C 016-240 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, atter, Improve, demolish, or repair any structure, prior to its issuance also requires the applicant for.such permit to Ole a signed statement that he is licensed pursuant to the provisions ofthe 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 penafty 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-buflder will .have the burden of proving that he did not build or improve for the purpose of sale.) , ❑ 1, 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.) ❑ 1 am exempt under Sec. _,B. & P.C. for this reason Date Owner 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 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 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 it 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 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 Perm Validated by: Validation: Sq. Ft. 1567 Size No. No. Dw. ' Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Permit does not include block wall or pool Estimated Valuation 96,575.30 PERMIT AMOUNT "Plari'Chk.'Dep. 250.00 Plan Chk. Bal. 266.53 Const. 599..00 Mech. 55.50 . Electrical --129.47 Plumbing 168.80 S.M.I. 9.10- .I0-Grading Grading 20.00 Driveway Enc. 20.00 Infrastructure 2044.69 Ci l fi t t i !Iff Yit. :r- TOTAL 3552.29 3312.29 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 Perm 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 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED' GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ®c BATH TUB FINAL INSP. SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 !/,;/ at X&RGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS Qf S R ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. / Qy !! 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 $ 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 413R, Lot 117 #of CITY OF LA OUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS Owner CTB_ Associates, L.P. Contractor Century Homes Communities Permit Numter 10221 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-845 La Palma Drive Permit does not include block wall or pool TYPE OF INSPECTION DATE INSP. FOUNDATION & SETBACK 2 Z FOOTING STEEL ! MAIN GROUND SYSTEM GROUND PLUMBING lr PRE-GUNITE 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 ELECTRIC ROUGH PLUMBING ROUGH GAS & GAS TEST HEATING & VENT- A/C FIREPLACE M, njL I w ......,.. FINALS ELECTRICAL PLUMBING ' FINAL GAS TEST 97,rp59.2- HEATING ,z HEATING - A/C HOUSE NUMBERS JOB COMPLETED �p y TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING BOND BEAM O.K. TO WRAP ' Z GROUT ❑ 4' ❑ 8' rwwu FRAMING L INSULATION 2--) 1E 2 - PRE -ROOF PRE -ROOF COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH y Z POOL PRE PLASTER POOL FENCE 8 GATE SEWER SEF44G-TANK _ FINALS ELECTRICAL PLUMBING ' FINAL GAS TEST 97,rp59.2- HEATING ,z HEATING - A/C HOUSE NUMBERS JOB COMPLETED �p y TEMP POWER ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING lei ni - t 14or it At �/ (gzvt of (f )rr T -r -1. T 7Cg Tit�r of Ed(011inta lliltitbin4 ctnb s�'S"aiet� 34t*11t*'w*vn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that of 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 78-845 LA PALMA DRIVE BUILDING ADDRESS SINGLE FAMILY DWELLING 10221 Use Classification Bldg. Permit No. •I Group R3 Type Construction VN Fire Zone Use Zone SR Owner of Building CTB ASSOCIATES, L.P. Address 78-845 LA PALMA DRIVE SAN BERNARDINO CA 92408 City MARK HAROLD By; Dote; APRIL 10, (I 1992 i Building Official POST IN A CONSPICUOUS PLACE a��M�eSa'..rit vJW,fuawlw�?s.w �¢sMwa'^' -+Y. _ 1�>�}.i.�� a�.ee ,amev� _ _.,: .aa- ..aw=.:��v::w...r..0 .+srcw--- _s = �s��-' �—. - e., .� ^'b4 - a.��;^5�. e•x-^t• M:✓�nwr �Yti.. ♦' __ _ 4, �. 4�.. .a...! Si4.'f-+S#`:+VI'sR'='.,T:i9Y.s3 ""�""Y._:_.�'....""^"".n i?�_ .1:.•_.cCC:L'L.r-!.' 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