10232 (SFD)Building 44-4.15 Las Vistas Drive
Address
CTB Associates, L.P.
Mailing
Address 1535 S. -D- St #200
City Zip .
San$ernaXdino 92408
Contractor.
Century Homes Communities
same as above
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. * 10232
WING: TYPE CONST. OCC: GRP.
P. Number
14/381-6007 ILegal Description
State Lic. City
& Classif. 31.4473 X31 Lic. # ?120
Arch., Engr., (
Designer Frank Gonzales ".soc.
Address Tel.
1336 E. Chapman Ave 7.14/532-6878
CityZip State
Orange X2666 Lic. # C 016340
LICENSED CONTRACTOR'S DECLARATION
I herebyra film that I am -licensed under provisions of Chapter 9 (commencing with Section
7000) f Di, spt 3, fir; Business and Professions Code, and my license is in full force,and,
effect1,11 r'{ A I (_ t%"/ 1
SGNATURV— DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors 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 hie 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
th
Business and Professions Code, or at. 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). '
O 1, 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, Butsness and
Professions Code: The Contractor's License Law does not appy 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. n however, the building
or, improvement is sold within one year of completion. the owner-0mdder will have the burden
of proving that he did not. build or Improve for the purpose of sale.)
b 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 bu*b or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Conbactoes License Law.)
❑ 1 am exempt under Sec. R, & 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
Workers Compensation Insurance, ora 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 (E 100) valuation
'or less.).
I certify that in the performance of.thgwork for which this permit is issued, I shall not
=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.)
Lenders Name
Lenders Address
This is a bullding permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that 1 have read this application and state that the above information is correct.
1 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
Lot 246
Description Plan 4CRX Model
Sq. Ft.g73� No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolitiori ❑
Permit does not include block wall
or Pool
Estimated valuation
96,353.30
PERMIT
AMOUNT,
Plan Chk:'Dep.
250.00
Plan Chk. Bal.
286.45
Const.
626.00:
Mech.
55. 6 Q,
Electrical_,... ._ .
-131..94
Plumbing
13 168. QQ. •
S.M.I.
9.70
Grading
20.00
Driveway Enc.
20.0
Infrastructure
2167.95.
TOTAL
3735.54 348.5.54
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
IST FL SO. FT. ® $
2ND FL SO. FT.
POR SO FT ®
GAR. SO. FT. ®
CAR P. SO. FT. ®
WALL SO. FT. ®
SOFT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
%
YARD SPKLR SYSTEM
BAR SINK
I ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE Not to be used as property tax valuation
ROUGH PLUMB. BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FOUND. REINF
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
HEATING (FINAL)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
LUMBER GR.
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
/
cZ-f F
lVv O C Z� �( �l v Lw
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. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE ',oe- PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
.n
SETBACK
GROUND PLUMBING �l 2A NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANM 017 UGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF
GAS (ROUGH) / METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEELIttl'GAS
(FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ --plus-x$_=$
LUMBER GR.
FINAL INSP. Y
FRAMING !a 2 GA
` /
FINAL INSP. / a� 2
ROOFING
/
cZ-f F
lVv O C Z� �( �l v Lw
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
FIREWALL / '1t `/J
LATHING p� 140
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION- L/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL