10186 (SFD)P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address d-4--385 Las Vistas Drive LA QUINTA, CALIFORNIA 92253
Owner
CTB Associates, L.P.
Mailing
Address 1535 S. *D" St #200
City Zip
Sara Berna_dirisc 92408
Contractor
Homes Communities
No. 10186
BUILDING: TYPE CONST. OCC: GRP.
Number
"ei.
7.4/381-6007 Legal Description Lot 247
Project Description Model 2XA
Address
sate as above
City
Zip
Tel.:
State Lic.
& Classjf. 314473 B1 . '
f
City
Lic. # 2120
Sq. Ft. 1262
Size -
No. No. Dw.
Stories Units
Arch., Engr.,
Designer Frank Gonzales & Assoo.
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
1336 E. Chapman Ave
Tel.
.714/532--6878
Permit does
not include block wallssor
City
Orange
Zip
92666
State
Lic. # C 016340
pool
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70pp) of Division`3 of the Business and Professions Code, and my license is in full force and
effects' ( t� jV P_ L4 —I'(—
1<DATE
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 rile 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 or 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' fora' permit
subjects the applicant to acivil penalty of not more than rive hundred dollars .(S500). '
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 employees,
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 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.)
❑ I am exempt under Sec: B. 8 P.C. for this reason
Estimated Valuation
75 R .0
PERMIT
AMOUNT
Plan CW. -Dep,
250. 870_7 -
Plan Chk. Bal.
_� ��7
Const.'
�3, . Q.
Mech.
- �. 00provided
Electrical
v ; �, ��•,
Plumbing
, 144.. 00
S.M.I.
CC tf
- 7.60
Grading
20.03'
Driveway Enc.
20.8 0 , -
Date Owner
Infrastructure
106.10
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.)00
Policy No. Company
] Copy is filed with the city.. ❑ Certified copy is hereby furnished.
c
_
c: • • *..
—'"�;��'f
_
TOTAL
6�3U�.i31
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, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions . or 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
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 Permit
Validated
Validation:
A
r
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. ®
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
HEATING (ROUGH)
FLOOR DRAIN
MECHANICAL FEES
SEWER OR SEPTIC TANK fi
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
METER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REIN F. STEEL
LAUNDRY TRAY
AIR HANDLING UNIT CFM
IKITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POI E,
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
FRAMING i1 (t
,C
SO. FT. ®c
IWATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
REMARKS:
SO.FT.GAR ® V4c
HOUSE SEWER
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 (,01NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK fi
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINGAS
(ROUGH) 1/�
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REIN F. 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 i1 (t
,C
FINAL INSP. Ila
ROOFING
c / 'n
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
"li VFIREWALL191Oj0 ( h
LATHING
MESH
INSULATIONISOUND / (e.
FINISH GRADING
FINAL INSPECTION -
v
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL