10187 (SFD)Building
Address 78-850 La Pc.lMa Drive
Owner
°:TR AssoCiates , L.P.
Mailing
Address 1535 S. nDr St #200
City Zip T(
Spin Bernardin ) 92408
Contractor
Century Hornet Communities
P.O. BOX 1504
78-105 CALLE ESTADO .
LA QUINTA, CALIFORNIA 92253
714/381-6007
No. 1®187
LDING: TYPE CONST: OCC: GRP.
P. Number
Description riot 146
t Description 12hase 1 Plan 2XAR
same as above
City
Zip
Tel.:
State Lic.
& Classif. 314473 Bl
City
Lic. # 2323
Sq. Ft.''62
Size 12
No. No. Dw.
Stories Units
Arch., Engr.,
Designer Frank Gonzales ASSOC.
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition O J
Address
1336 B'. Chapman Ave
Tel.
714/532-6879
Permit does
of include block wails or
City,
Zip
State
Pool
Orange
92666
Lic. # C.016340-
LICENSED CONTRACTOR'S DECLARATION '
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700T of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
_
• S_IGNATURE DATE
OWNER -BUILDER DECLARATION
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, 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, Bulsness 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 workhimself 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.)
Estimated ValuationI
75!826.60
-
PERMIT
AMOUNT
Plan Chk'. Dep.563.�63€3
Plan Chk. BHI.
• i. 6
COnSt.
-'� . t}
Mech.
4.9. 011
Electrical
: e 5
Plumbing
144 d . 00
O I, as owner of the property, am exclusively contracting with licensed contractors to con-,
strucl 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.)
❑ I am exempt under Sec. x B. & P.C. for this reason
". S.M.I.
_
% . 60 -
Grading
20.63(3
Driveway Enc.
20.00
Date 1 Owner s
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate'of.consent to'self•insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Polic No.
rs7 Copy is filed with the city.om❑ Certified copy is hereby furnished.t/
t <�y �'
lt7r1�3 �31�� 14�1�i'
TOTAL
J V 5 J-0 0 .r ..
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
REMARKS
(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: 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line "
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
FINAL DATE
Side Street Setback from Center Line
Side Setback from Property Line
INSPECTOR
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.
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. I SQ. FT.
WALL SO. 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.
ILAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
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 COND. SOLAR -
SETBACK
GROUND PLUMBING
U ERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE Z
ROUGH P MB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL % 1
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 SIGNATURESlINITIALS
GARDEN WALL FINAL
Phase 1,,Plan 2XAR, Lot 146
CITY OF u QUINTA
or ~ `S DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
584-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner CTB Associates, L.P.
Contractor
Permit Number 10187
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-850 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL y
MAIN GROUND SYSTEM
GROUND PLUMBING Z
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVEHAS 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 CITY IIE!
ROOF 1 -7_i U i ,
O.K. TO WRAP
GROUT ❑ 4' ❑ 8' r
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR o
EXTERIOR LATH
FOOL PRE PLASTER
POOL FENCE & GATE
SEWER SEIK
LS
ELECTRICAL
PLUMBING
FINAL GAS TEST
rW411f
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
y
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
- it'vo, r-'gA �/
('4kril
of
(f ).rrr-r -S..' -
ng
Tit�J of 14M Quinta
lliltilbin!j altb �dfvt�r 31411'!51*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:
BUILDING ADDRESS 78-850 LA PALMA
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10187
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building CTB ASSOCIATES, L. P. Address 1535 S. "D" STREET, #200
City SAN BERNARDINO, CA MARK HAROLD
APRIL 6 1992
..t•�1.-i„ Dote• �
Building Official � �.
�dT IN A CONSPICUOUS PLACE
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