RPL (13316) + PBLG (13319) + BLCK (13298) + SFD (9474)44965 Malia Cir
13316
13319
13298
9474
r, t No. 1.331.6
G. P.O. BOX 1504
Building t >' 78-105 CALLE ESTADO
Address 44-965 Mal.ia Circle ----CA QUINTA, CALIFORNIA 92253
Owner ,:, ,; Lee Ro- with
Mailing, BUILDING: TYPE CONST. - OCC: GRP. y
Address
A.P. Number
City Zip Tel.
La Qui nta, CA 92253 .345-5953. Legal Description
Contractor '-pool and Spa
Steffe Dodson Construction,- Inc. _
Project Description
31 ore end side" yard setback
Address
68-805 A Perez Road, E-9 adjus n'aPprbVe'd per Setback
CIE:yatbedral Cit ; CA 9223 Tel.324-12 Adjustment 94--239.
State Lic. City
& Classif. : K-574127 Lic. # 1044. Sq. Ft. No. .'s,. No. Dw.'
Arch. • Engr.,
Size Stories Units i
Designer ; , New ❑ Add ❑ .'Alter ❑ ,N,,, Repair ❑ -Demolition-D -
Address Tel.
City Zip State ° f
Lic. #
LICENSED CONTRACTOR'S DECLARATION r Y
I hereby affirm that I am,licens-erg u der provisions of Chapter 9 (commencing with Section
7,,000) of Division 3 of thw Busne pssrand Professions Code, and my license is in fug,force and
p
S! ey; I Y
'SIGNATURE - ! - ,a•-•` ^'•r .•' DATE
OWNER•BUILDER.bECLARATION '
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 oricounty which requires a
permit to construct, alter, improve, demolish, or repair any structure, t 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 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 of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose. of sale.) - f
;
contracting with licensed contractors to con-
struct s owner of the property, am exclusivelystructhe 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 Owner
_a
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, tabor Code.)
Policy No. .Company
0
&0py isfiled 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 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: 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 1
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 1 Date "
Mailing Address
City, State, Zip
r'
YI
4
ZONE: BY: '
Minimum Setback Distances: ", r
Front Setback from Center Line
-Rear.Setbac " rom - ar Prop. Line
9 e -S S bac;om Center Line
' Side Setback from tyrd `erty Line
I
FINAL DATEII MAR 2 9 199,jSl„i OR
Ju
Issued by: Date °f r 0 Permit
By
Validated by:
Validation:
— I”
3timated Valuation- $1.6#5()0,00
PERMIT '.
AMOUNT "=
Plan Chk. Dep.
Plan Chk. Bal.
117.00
Const.
IOU. 00-
Mech.
24.00
Electrical
45.00 ,
Plumbing
27.00
.S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
4
ZONE: BY: '
Minimum Setback Distances: ", r
Front Setback from Center Line
-Rear.Setbac " rom - ar Prop. Line
9 e -S S bac;om Center Line
' Side Setback from tyrd `erty Line
I
FINAL DATEII MAR 2 9 199,jSl„i OR
Ju
Issued by: Date °f r 0 Permit
By
Validated by:
Validation:
— I”
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING F'
IST FL. SO. FT. ® $
UNITS
COLL. AREA
y
ROUGH PLUMB.
2ND FL. SQ. FT.
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
DRAINAGE PIPING
CARP. SQ. FT. ®
OTHER APPJEOUIP.
REINF. STEEL
WALL SQ. FT.
DRINKING FOUNTAIN
SQ. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
�J
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 % c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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
ROCKSTORAGE
FOUND. REINF.
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
r/tA
�J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
r
78495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
March 28, 1994
Dodson Pools
68805 Perez Road
Cathedral City, CA 92234
Dear Mr. Dodson:
SETBACK ADJUSTMENT: 94-239
LOCATION: 44-965 Malia Circle
(Quinterra)
This letter is to report approval of your recent application for a setback adjustment,
pursuant to Chapter 9.188 of the City of La Quinta Planning & Zoning Regulations.
The following setback adjustment has been approved subject to conditions and in
accordance with attached Exhibit A.
SETBACK ADJUSTMENT:
Reduction of rear and side yard setback from 5 -feet to 3 -feet, and pool equipment
from 5 -feet to 3 -feet in the side yard.
FOR: Pool/Spa equipment.
CONDITIONS
1. Obtain a building permit from the Building Department.
2. The fencing requirements of the R-1 Zone shall be met.
After review it was determined that:
1. This adjustment is consistent with the intent and purpose of the Zoning
Ordinance.
2. There are special circumstances applicable to the property,' including such
factors as size, shape, topography, location or surroundings that justify
approval of the adjustment. These special circumstances are: small size of
rear yard.
3. This adjustment will not be detrimental to the health, safety, and general
welfare of the community or be detrimental to property in the vicinity of the
parcel for which the adjustment is requested.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
LTROT.179
,
T
If you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING AND DEVELOPMENT DIRECTOR
6TEG TROUSDELL %
Associate Planner
G T : kaf
Attachment: Exhibit A
cc: Building & Safety Department
APPR 08 PUNNING &DEVELOPMENT DEPARTMENT
BY 7tBk DATE Z? -22L2 --::.2Z
CASE NO. -2
GENEIL
S12E
RAISED
LITE 10 WATTS
TRI LEVEL SEATS
22" 24' 27"
DAMWALLWIDTH
SPILLWAY SIZE: x
SPILLWAY a. & -
0-m
Al. -7.-1 1 :
;?4
1 R/4 r -fo- a A
CONTFU
response
-PIMA ly 0,0-/Cx
curbs. 3a
-.m!
-by ADA/40w-
Lawro.tm
waft. sp
at shrUb:
through;
understo
have tha
and asu
QU.-A
MAR 2 5 19194
C 15-1 =Fi JA—GU,, 1, v* r A
dame: Loa
SHOWROOM
BBA PER
CATHEDRAL
PHONE (619
LIC 8 A -574i:
P.O. BOX 1504 No. 13319
Building 78-105 CALLE ESTADO
Address 44-96-5 Nalia Circle LA QUINTA, CALIFORNIA 92253
Owner
R.H. Rowlett
z
Mailing. BUILDING: TYPE CONST: OCC* GRP..
Address Same -
A.P. Number
City Qu' , zip
,2_J7e
LaintaCIV 92 345-5953 Legal Description
Contractort, Reloc3t.6- misc. -
Project Description plumbing
Ot-'xi er/Buric er
f ixtures and r, at
witch locion, add bidet.
Address . N- .',
City Zip Tel.:
State Lic. # City
& Classif. Lic. #
-,--Arch;, Engr.-,
Designer
Address Tel.
City Zip, State
Lic. #
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 Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city ori county, which requires a
permit toconstruct, after, 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 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).
a's 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 of 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.) z 1-.
0 1 am exempt under Sec. B. & P.C. for this reason
a,te rOwner
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 _piirmit 'is for one' hundred' dollars ($100) valuation
or less.) -
I certify that in the performance of thp work for wDichthi6*`pe—rmiti_s1issued, I shall not
employ any person in any manner'sb, as to become- s0oject to the Workers' Compensation
Laws of,,California.,
Dke - 'f Owner -t r- '
`%QTiCE TO APPLICANT: If, after making this Certificate of Exemption you should become
/sAlect 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 it 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
Sq. Ft. s.No No. Dw.
Size Stories: Units.
New 0 Add 0 Alter El . Repair 0_,:.. Demolition ❑
ZONE:— BY:
Minimum Set . back,Distanc6s':
Front Setback from Center Line
fdear_Se.tbadLLLo_ELRear _P cop. Line
Side .1 setbJ& fro rin i nter LinB4v"
i d e? ne!
. Ptb, t fro Prop r Line
ATE RA A D_cA 416-
FINAL D
U
Issued by: Permit
tis By
Validated b
Validation:
3timated Valuation 2t ,$500.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan'Chk. Bal..
Const.
Mech.
Electrical
15.00
Plumbing-,
.21.00
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE:— BY:
Minimum Set . back,Distanc6s':
Front Setback from Center Line
fdear_Se.tbadLLLo_ELRear _P cop. Line
Side .1 setbJ& fro rin i nter LinB4v"
i d e? ne!
. Ptb, t fro Prop r Line
ATE RA A D_cA 416-
FINAL D
U
Issued by: Permit
tis By
Validated b
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
H
ING
HEATING (ROUGH)
2ND FL. SO. FT. ®
FORMS
YARD SPKLR SYSTEM_ 1
FOR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. Ff.
TEMP. POLE
WALL SO. FT. ®
GROUT
DRINKING FOUNTAIN
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM ' I
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FRAMING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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 GOND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. g
ING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
ER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) `
TEMP. POLE
GROUT
WATER HEXER'
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM ' I
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
P.O. BOX 1504
Building ` 44-965 ,Malia"Circle 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner R.B. Roi`ilett
Mailing BUILDING: -TYPE CONST.;
Address`s
A.P. Number-
City
umberCity Zip Tel.
La QUinta, CA 92253 - 345-5953 Legal Description
No. 13298
_OCC: GRP.
•1
Contractor
Owner/ ui.lder
Project Description
- 651`.-'6f3 ¢ 6u block 't 1all
-
Address
City
Zip
Tel.:
,
State Lic.
City
.
& Classif..
Lic. #
Sq. Ft. ,
Size
N6.1 No. Dw.
{Stories Units
--Arch., Engr:,
_.._.
New ❑ Add ❑.,- `Alter ❑ Repair ❑ Demolition ❑
Designer
Address i.
Tel.
w•
City
Zip
State
. -
Lic: #
LICENSED CONTRACTOR'S DECLARATION
r..
• I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) 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 Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Ccjoe: Any city or;county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I 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 rive hundred dollars ($500).
EY(I as owner of the property, or my employees with wages as their'sole compensation, will
<dthe 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 of completion, the owner -builder will have the burden
of proving that he did not build or Improve for the purpose of sale.) .
Estimated Valuation
•
'
PERMIT .
AMOUNT
Plan Chk. Dep.
-
.
Plan Chk. Bal.
,
'Const.
5 '
' •' • '
Mech.
S
a
Electrical
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.)•
r
❑ I am exempt under Sec. Bd8 P.C. for this reason
A '
/ f< "
bate r f B % Owner +'-- - --' '
fi
S. M. 1.
Grading
Driveway Enc.
Infrastructure
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.
TOTAL
.25.00
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/.thp work for which this permit is issued, I shall not
employ any person in any manner so as to become subibct to the Workers' Compensation
Laws of-Califorrii
Nate _. '.1 '=✓c Owner
OTICE'TO APPLICANT: If - aRer making this Certificate of Exemption • you should become
subject - to the Workers' Compensation provisions of Ihe, Labor Code, you must forthwith—
comply with such provisions or. this permit shall be deemed revoked.
REMARKS _y
- . ° :;':<`•' =4='»
ZONE: -' BY: r
A" - _
Minimum Settack`Dl stances:• -•-_ ;z'r- -
Front Setback ffrro_rn-Ce nter Line"
etb rom e r Prop. Line •a
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.) s'
Lender's Name
t Si21
iI `
FINAL DATE I
1
Issued by: i '
t
y
Validated by:
$ eet S361 '1 Center Line
Side Setback from PL erty Line
q ^
R— 8" `y(1 [J}$ tT`OR
41 `
/.~ 1
••Date , Permit
e:.z_ •-.b-_ -
_
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
i
Validation: L
`
'
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. Q. FT.
OTHER APPJEQUIP.
DRAINAGE PIPING
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
_$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR p 3/ac
HOUSE SEWER
MESH
Y
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
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 5
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
yd.
$ plus x$
_$
LUMBER GR.-cu.FINAL
INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
Y
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
, , • u GitrCv .
F.O. BOX 1504 4 1'''+, No. 9474,
Building 78-105 CALLE ESTADO
Address fi6—G r%g TVIA 14 n i ref I ch LA QUINTA, CALIFORNIA 92253^
Owner , •
Windsor P r. oiectsTne. BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 2937.7 Rancho California 4204. A.P. Number
City Zip Tel.
Temecula 32 90 724 676—$4(10 Legal Description Lot 93. Quinter>:•' it 2391.3
Contractor -Platt 1$A•
.. Project Description
i 1R cnr r n 4• ^ eta ` m a v
Address
same.
Zip Tel.:
State Lic. Cityi
& Classif. - , q, Lic. # 1? Sq. Ft. No.. No. Dw.
Arch.; Engr;, size • kn-7-2 Stories Units ° ~
.Designer: Sxstets -ArehitactLral Group* New ❑ Add a Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
a>Y-;vii J- Anon" n 1, fel a o ins i ren view l w nP *s00'
City Zip State •- -
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
.7000) of Divisionn,3 of the Business and, Professions Code, and my license is infu fore>end
effedt:✓.'a , C ' f' f `, .rrc•^ g►a.._. j^,
SIGNATUflE V / DATE
OWNER -BUILDER DECLARATION Estimated Valuation ,
1 hereby affirm that I am exempt from the Contractor's License Law for the following '.1. n ••10
reason: (Sec. 703 1.5, Business and Professions Code: Any city or, county which requires a -i
'-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 PERMIT
the provisions of the Contractor's License Law; Chapter 9 (commencing with Section. 7000) or -/
Division 3 or the Business' and Professlons Code, or that. he Is exempt therefrom, and the basis -
for the alleged exemption: Anyviolation of Section 7031.5 by'any applicant for, a permit Plan Chk•. Dep:` -
subjectsthe licant to a civil enalt of not more than five hundred d ll $500• -
app p y a oars.( W.
❑ I, as owner of the property; or my employees with wages as their sole compensation, will _ Plan Chk. Bal.
do the work, and the structure.is.not intended or offered for sale. (Sec. 7044; Bufsnessanda -
Professions Code: The Contractor's License Law does not apply to an.owner of property who COrISt.'.
• buflds or Bnproves thereon and • who does such work himself or through .his own employees, Mech. - • - ' • '"
.provided theI 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.) ElectrlCal „
:❑ I, as owner of the property, am exclusively: contracting with licensed contractors to con- Plumbing r
.•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 S.M.I.. '
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. • - B: ti P.C. for this reason
Grading
AMOUNT.
Driveway Enc. `'"'vv
nn
Date owner Infrastructure
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.
r CERTIFICATE OF EXEMPTION FROM '
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100), -valuation `
I certify that in the performance of'thp work for which. this permit is issued, l shall not -
employ any person in any manner so as to become subject to the Workers'- Compensation
=any 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.'
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
Cid. \. ..i _ W - k .. !. • .J 4 .. '
TOTAL 4231.08-
-REMARKS 231.08 -REMARKS
r AAR) Q') 46 1)74 tr oyz_"X4 --4t a Ail
_ ] V'._.Yi.r_RNK `;k ...d[,t 1 AL. _V - 'f J1 nL.ft. '
ZONE:. BY:.
Minimum Setback_ Distances:
Front Setback. from Center Line -
f 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:
AMOUNT.
Driveway Enc. `'"'vv
nn
Date owner Infrastructure
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.
r CERTIFICATE OF EXEMPTION FROM '
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100), -valuation `
I certify that in the performance of'thp work for which. this permit is issued, l shall not -
employ any person in any manner so as to become subject to the Workers'- Compensation
=any 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.'
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
Cid. \. ..i _ W - k .. !. • .J 4 .. '
TOTAL 4231.08-
-REMARKS 231.08 -REMARKS
r AAR) Q') 46 1)74 tr oyz_"X4 --4t a Ail
_ ] V'._.Yi.r_RNK `;k ...d[,t 1 AL. _V - 'f J1 nL.ft. '
ZONE:. BY:.
Minimum Setback_ Distances:
Front Setback. from Center Line -
f 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
1ST 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
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
METER LOOP
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REINF. STEEL
LAUNDRY TRAY
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
3
in
FRAMING alot I LV
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
REMARKS:
SO.FT.GAR ® 3Ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
ERMIT FEE
PPLCK.FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING 6 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
,/2j/%;'U NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE toi M
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) I LI /
(((( 1
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.
3
in
FRAMING alot I LV
FINAL INSP. 2) 2
ROOFING 3 (,5 -IOL( L
/'/ /
`Cl/ 1
, N
cam✓
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING G
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION- ' y
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES1INTT1ALS
GARDEN WALL FINAL