10211 (SFD)P.O. BOX 1504 N Q . 10211
Building 78-870 La Palma '.Dr 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
CTS Associates, 1.s. P.
Mailing
Address 1535 S. "D" 5t 0200
City Zip Tel.
. Sari. Bernardi 92408 714/381--6007
Contractor
Address. _.
same as above
City lZip I TeL
NG: TYPE CONST. OCC: GRP.
P. Number
Legal Description Lot 148
Project Description Phase 1 Plan 3CRX
State Lic.
& Classif. 314473 BI
City
Lic. # 2120
Sq. Ft. 1606
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer Frank Gonzales � Assoc.
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
1336 E. Chapman Ave
Tel.
714/532-6878
Permit does
not include block wail Or
City,
range
Zip
.92666
State
Lic. # C 016340
P601
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 Contractors License Law for the following
reason: (Sec. 7031.5,Bustness 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 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 live hundred dollars .(E500).
O 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 empbyees,
provided that such improvements are not intended or offered for sale. Il, -however, the buildingMech.
• or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or anprove for the purpose of sale.)
Estimated Valuation
,
_
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bel.
. 73
'Const.
h
• V 0
62.00 A
62 a 0 .
Electrical
i G7• 75 .
Plumbing
❑ 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.)
. ❑ I am exempt under Sec. f / g -gig P.C. for this reason
't _a ,P'(.—`___ j;.j ,
S.M.I.
9.. 1.0
Grading
20.00
Driveway Enc.
20.00
Date 1 ! Owner y>�
Infrastructure
`%. 2026.48
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 co
copy is hereby furnished.
€�(z° t r. ti p
SMO 1
6 5 t ?s t . 4; ti'r• , $ , } 1
TOTAL
3_` U • ,4 ! . Q b
CERTIFICATE OF EXEMPTION FROM
- WORKERS' COMPENSATION INSURANCE
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:. ft, after making this Certificate of Exemption you should • become
compect to the ly ply with such provisions Compensation
tld permit hall be deemed revokrovisions of the er code' .you must forthwith
ZONE: BY:sub'
Minimum Setback Distances:
. 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
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. r PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FJ ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
I K 11
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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
IKITCHEN 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.
SQ. FT. ® c
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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 /A 0
/;�INDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE / o 9i—
ROUGH PLU B.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL G -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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Phase 1, Plan 3CRX, Lot 148
s• ,
CITY OF LA OUINTA
a DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner CTB Associates, L.P.
Contractor Century Homes Communitips
Permit Number 10 211
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-870 La Palma Drive
Permit does not include block
wall or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION 8 SETBACK
FOOTING STEEL 1 j
MAIN GROUND SYSTEM
GROUND PLUMBING Z% If Z -
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE S BEEN SIGNED
CONCRETE SLAB 3O Y
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
HEATING 8 VENT -A/C
FIREPLACE OF JA
ROOF L �
O.K. TO WRAP •2 7 y
1119;0 -
GROUT -0 4' ❑ 8' r
FRAMING
INSULATION cZ
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR p
EXTERIOR LATH y
POOL PRE PLASTER
POOL FENCE & GATE
SEWER S&PTKMW
ELECTRICAL 1
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/88
I
z - t�; It Ak�/
of Ozrrt...
ug
of fat Quinta
� � I
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:
BUILDING ADDRESS 78-870 La Palma Drive
Use Classification SINGLE FAMILY DWELLING Bldg. Permit NJ 0211
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Build' CTB ASSOCIATES, L.P. Address 1535-S. "D" ST. 4200
City SAN j'fR ))-MO, CA 92408
By, MARK H R&ZD
w1-6,ft
i,Dote: APRIL 22 1992�� -
Building Official 40*
POST IN A CON9PtC0009 PLACE