1072 (SFD)-41
414 a
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 78-8751 La Palma Drive LA QUINTA, CALIFORNIA 92253
CTB Associates, L.P.
Mailing I
Address 1535 S. "Un St #204
City Zip Tel.
San BernardinC 924.08 1714/381-6007
Contractor
Centum Hates Communities
Address
same as above
City lZip I Tel.:
State Lic. City
& Classif. 314473 Bi Lic. # 2120
Arch., Engr.,
Designer Frank. Gonzales & Assoc.
Address Tel.
. x.336 E. Chapman Ave 714/532•-6878
_. City112666
State
Orange Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am J
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. _ nl 6 t/
�GNATURE 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, 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 Cotle: 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.)
O 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date 1` 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 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—
Mail! ' n
ateMailing Address
City, State, Zip
No. 14172
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Lot 114
Project Description Plan 2B, Phase 1
Sq. Ft. 1262 No.'
Size Stor
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit dries not include block gall.
Im
1
mated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal. _
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
72,496.00
R ryAMOUNT
250.00
297.56
518.00
g 4 9 . X0,0
1 115. ! f
144.00
/7.30 0.00
20.00
1631.16
2952.79 2702.79
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:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
I
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
Y 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,TEM/PERM
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 ® 11A 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 PLCK.FEE
CONST. FEEELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING 6 V q
/,�*DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEER 313 REFFIS
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
/
FOUND. REINF. Ll /g�
!!!
Y 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
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
Plan 2B,•Phase 1 Lot 114
CITY OF u QUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
OwriK CTB Associates,
L.P.
CoT11Tackv Century
Homes o munifiPc
Pwnlil NunAw 10172
POST ON JOB IN
CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-875 La Palma Dr
Permit does not
include block
wall or pool
TYPE OF INSPECTION
DATE M8►
FOUNDATION d SETBACK
FOOTING STEEL
PLUMBING
U>111
JOISTS & GIRDERS I I-1 --
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN s1GNE6
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS A GAS TEST
HEATING A VENT -A/C
L
O.K. TO WRAP y y L
GROUT ❑ 4' ❑ 6'
FRAMING 1, z
INSULATION
COVER NO WORK UNTIL ABOVE HAS BEENSIGNED
DRYWALL INTERIOR _
LArtFuUH urrl - .2;.
POOL PRE PLASTER
POOL FENCE A GATE
SEWER SEP=tHK / 5 7
FINALS
ELECTRICAL
FINAL GAS TO
HEATING - NC
HOUSE NUMB
JOB COM PLO
ABOVE APPROVALS DO NOT INCLUDE RIGHT 70
TURN ON UTILITIES OR OCCUPY BUILDING
4/88
im
W e A��/
(4trT
of
Orr T -k -S..,
ulg
(rite of �a 011inta
'Nitilbin� rind �afvt�r 31t*11t*,!5t+011
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
BUILDING ADDRESS 78-875 LA PALMA
SINGLE FAMILY DWELLING
Bldg. Permit No. 1072
Group R3 Type Construction VN Fire Zone Use Zone
Owner of Building CTB ASSOCIATES, LP Address 1535 S. "D" STREET
City S ernardifio, CA,,. �___ MARK HAROLD
•By.
Dote:
APRIL 3, }992
Building Official
` POST IN A CONSPICUOUS PLACE
SR
#200
r<�N!-acrd-ysy,.._�.r.. .. µ p,_,,,;`......: -c Y.n��.�_"�:. -'�. Y=:. •rar ..�d4�.xli�;: ,� ..:��:•eax�e.�.a.,:r+,^�,
3'" ` t
..' !it +1.,LL Esc G, d n