SFD (13352)51055 Mandarina
13352
Building
Address
51-055 Y4.andarina
J.M-. Peters Co.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 350. Jambtired Road
City Zip Tel.
NeWport Bea4, CA 9265$ (714)854-250(
Contractor
Same
Address
Zip I Tel.
State Ljc.B-1 31b8f 8 ( City 1503
& Classif. Lic. #
Arch., Engr.,
Designer Berkus Group
Addy4sCorporat:e Way Tel171411261-826
CityZip State
Irvine, CA 9214 Lic. # C5885
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed underrrovisions of Chapter 9 (commencing with Section
7000) of DTvl ion of the Business d P ofes(sions Code, and my license is infullforce and
effect. T . i Y 1J--' "'a"" L " 2 -194
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, atter, 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 for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
0 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,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year or completion, the owner -builder will have the burden
of proving that he did not build or Improve for the purpose of sale.)
0 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.)
0 1 am exempt under Sec. B. & 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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. .Company
0 Copy is filed with the city. 0 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, alter 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
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
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 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
N'o. 13352
BUILDING:.. -TYPE CONST. VN OCC. GRP. R3
A.P. Number 769-570-015
Legal Description Lot2l Tract 24890-1 Phase 2
Project Description SPD Plan 4
Citrus Course
Sq. Ft. 3710 No. No. Dw.
Size Stories Units
New 0 Add O Alter O Repair O Demolition 0
Estimated Valuation $288,273.00
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
808.10
Const.
1,301.00
Mech.
142.50
Electrical
204.97
Plumbing
204.Q0
.S.M.I.
28.90
Grading
20.00
Driveway Enc.
00
Infrastructure
6,000.0€;
Arts in Public Places
470.16840
TOTAL 9,390.15
9,1.40.15
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
I
Side Street Setback from Center Line
Side Setback from Property Line
(^ FINAL DATE IN
Issued by: Date
i
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
IROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT.
GROUT
WATER HEATER
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN,
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT .WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SO. FT. ® c
BATH TUB
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
r-4; ,A.
F]
f
A
ft a CITY OF. LA OUINTA ?
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION .
24-HOUR NOTICE SPECTIONS
777=31.53.IA.UINTA
Owner .M Peters CO. AFIR 2 G l9q,{ I
o v Ill
Contractor Same '
Permit Number 13352
POST ON JOB IN CONSPICUOUS PLACE.
INSPECTOR, MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 51-055 Mandarina
SFD Lot 21
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL - 'q
MAIN GROUND SYSTEM
GROUND PLUMBING Csc /
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
G.azefGLS
DON T POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING p pci S'
ROUGH GAS & GAS TES
HEATING & VENT - A/C
FIREPLACE
ROOF Ile
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8' .
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOff HAS B99N SIGNED
DRYWALL INTERIOR
EXTERIOR LATH G
POOL PRE PLASTER
POOL FENCE & GATE '
SEWER SEPTIC TANK
FINALS
ELECTRICAL 77 177 G il.
PLUMBING i
FINAL GAS TEST _
HEATING - A/C i
HOUSE NUMBERS I
JOB COMPLETED
TEMP POWER I
4!88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING