06471 (SFD)Building
T4hf 4 4 a"
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner I
La Quinta Azoociate$
Address 43-875 wTashl
City izip
Contractor I
E. 0. Willi=S Dov. Corp.
Tel.
SCytate
493941t1 Licit. # 1231
Arch. Eng
Designer
Address Tel.
City I
Tip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 affirm Unat 1 am iced oder provsiars d Chapter 9 (commencing with Section
7000 di ion 3d the Business aM Pro(essiore Code, and my license is in full force and
e!{ecL
Sii—WTrfE DATE
Ot•11ER4RMJ R DECLARATION
I hiseby aN'ign that 1 an eme pt icor. the Contractors License Law for the following
nsaor . (Sec. 7OOt-5� and F1d�essima Codw Any city or county which requires a
pans?
In aaamr I alts r , denw I In or repair any structure. prior to its issuance also
relies the Meant for sm:6 perrrnI to 4 a sipled statement that hes licensed pursuant to
The pray — of the Qmlaceur'S Lserse taw, Chapter 9 (commencing with Section 7000) of
6vWm 3 at the tib and Rabs9va Code, or that. he is exempt therefrom, and the basis
/or the alleged e>®pfox Any wohfer of Section 7031.5 by any applicant for a permit
siEjectt Be atter b a aripemty of nd mre than fee hudred dofars (5500).
0 1, as owner of the property, or my employees with mages as their sole compensation, will
do the want and the sbrrrltle is not or offered for sate (Sec. 7044, f3uisness and
Aufessiea Code The Carrrar� Lke se Law does not apply to an owner of property who
bride or igows /mrean and dno does such work himself or through his own employees,
prorrided tot sir iwproneme� am not kdermbd or offered for sale. ll, however, the building
err i¢asar I is mold win one
ar d
yeeoepletion, the owner -budder will have the burden
ofprori{q EW he didnot how or Aupiurre for Ore pupose of sale.)
0 k as owner of the property, am exclusively eontmcting with licensed contractors to con-
struct the project_ (Sec 7040, Husimm and Rofessio s Cade: The Contractor's License Law
does nap aPPry b an omrer d property wbo hulls or ixproves thereon, and who contracts for
such pratjecls vii a oorOrrJorjs,j tcersedprwsraY [o the Contractors License Law.)
0 1 am eT®rpt oder Sec R E P.C. for this naso
Date owner
wORKERS' CONP®SATION DECLARATION
1 hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
wakens Compensation I nswaroe. or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
17 Copy is tied with the city. 0 Certified copy is hereby furnished.
CERMICATE OF EXEMPTION FROM
wOld COMPENSATION INSURANCE
saca n need not be complalled i fie pom it is for one hundred ddars ($100) valuation
or AMM)
1 certify that in the performance of the wok 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 at Caifornim
W07X3= 70 APFLCAMr- f, altar ■olig Otis Ceafhae of Exemption you should become
sutl ct b e Nbrim ' Cmpeosdm pro.ltrs d iothe Labor Code, you must forthwith
comply wib Or
srdr prate or the peed shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affrtm that there is a construction lending agency for the performance of the
wak for which the permit is issued (Sec. 3097, Civil Code.)
Lenders Mare
Lenders AdA�s
This is a buddig permit where properly filled out, signed and validated, and is subject to
e:p- .. it wak thereunder is suspended for 180 days.
I certify that 1 have read this app8rab n and state that the above information is correct.
1 agree to comply with all city and county orlinarces and state laws relating to building
eauctiart and heer
rby authorize repverratines of this city to enter the above-
, , sod property for r PaPase y
Sgrxatu e al anniunl Date
Main9 Address
Q ly. stark cin
No. 06471
ILDING: TYPE CONST. OCC. GRP.
P. Number Tract 22982 Phrase III
Legal Description_
Project Description
Plan 5C8 Lot 66
Sq. Ft. 2134 a No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
REMARKS
.�,t1;.,.�t1:•t'll 1' (trt(�t _ z ,..rl�....
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
1013!89
Issued by; Date Permit
Validated by:
Validation:
Estimated Valuation
$113,413
PERMIT
AMOUNT
Plan Chk. Dep.
\
Plan Chk. Bal.
$ 570.32
Const.
588.54
Mech.
53.50
Electrical
120.17
Plumbing
138.50
S.M.I.
7.98
Grading
Driveway Enc.
Infrastructure
2:551.79
TOTAL
$4.130.75
REMARKS
.�,t1;.,.�t1:•t'll 1' (trt(�t _ z ,..rl�....
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
1013!89
Issued by; Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLABGRADE ,(J �/ r/�
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
AS (ROUGH)1q4e
ETER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
MP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT. ®
GROUT
WATER HEATERSERVICE
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ FT ®
=$
LUMBER GR. FINAL INSP eG0 7/
ESTIMATED CONSTRUCTION VALUATION $
ROOFING (Z
VENTILATION r
FIRE ZONE ROOFING'
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING/9 IV �66
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
WATER PIPING
NOTE: Not to be used as property tax valuation
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
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. 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
A4,
SETBACK
f C77
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLABGRADE ,(J �/ r/�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ,j�e r
'
AS (ROUGH)1q4e
ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
MP. POLE
GROUT
WATER HEATERSERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP eG0 7/
FRAMING I �� FINAL INSP.
ROOFING (Z
VENTILATION r
FIRE ZONE ROOFING'
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING/9 IV �66
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
N /"
REMARKS:
SIGNATURESIINITIALS
GARDEN WALL FINAL