15011 (PAT)P.O. BOX 1504
Buildipg P T���O 78-495 CALLE TAMPICO
Address_
LA QUINTA, CALIFORNIA 92253 '
Owner. Gar Holt
No. 15.0111
Mailing -
Address Same
BUILDING: TYPE CONST. OCC: GRP. -
A.P. Number
Legal Description
Pat10 C over
Project Description
City
La . Qui nta r
Zip
92253
Tel.
564-6268
Contractor
owner f Builder
Address
PERMIT
City
Zip
Tel.:
Plan Chk. Dep. -
State Lic.
& Classif.:
City
Lic. #
Sq. Ft. No. No. Dw.
Size Stories : -Units
190 • • '
Arch., Engr., ' � _
- Designer :.
New ❑ Add' ❑ Alter ❑ Repair ❑ .Demolition ❑
Address
Tel.
Side Street Setback fro er Lin
• City
Zip
State
Lic. #
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,"
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.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST; AND
SIGNATURE DATE
OWNER -BUILDER DECLARATION
1 hereby that I from the Contractor's License Law for following
Estimated Valuation 9
$v 527 V 0
affirm am exempt the
.. reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requiress-a
•
t,527.00
permit to construct, after, improve, demolish• or repair any structure, prior to its issuance also
S.M.I. - -
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)'of
Infrastructure
' Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 'any
Plan Chk. Dep. -
alleged exemption. violation of by applicant for a permit.
suWects the applicant to a civil penalty of not more Man five hundred dollars ($500)..
`f5
Front Setback from Center Li
Plan Chk. Bat.
I, as owner of the property, or my employees with wages as their sole compensation, will
REMARKS
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and C t
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.)
O 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)'Ucensed pursuant to the Contractor's License Law.)
0 d am exempt under Sec. -•^+' B. 8 P.C. for this reason
. Jv '
ons .
Mech. -
Electrical '
Plumbing
S.M.I. - -
Grading
Driveway Enc.
Dates `-' —Owner
Infrastructure
Y '
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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.. O Certified copy is hereby furnished.
e CERTIFICATE OF EXEMPTION FROM
• - -• WORKERS! COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars (S100) valuation
' or less.) '. - .
I certify that in the performance,Of;thp work for'which„ttlis•p mit is issued, I shall not
Front Setback from Center Li
TOTAL
REMARKS
-
-
AMOUNT
35.10
54.00
.3a
employ any person in any manna so to become.sybject to the Workers' Compensation
Laws of California '
Date Owner
,NOTICE TO APPLICANT: Huffer makiniFthis Cer(ffIcate of Exemption you should become
ZONE:
BY:
/'ssuibject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances: - -
Front Setback from Center Li
Rear Setback from Rear Pr i
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
-
Side Street Setback fro er Lin
SHALL SUBJECT AN EMPLOYER TO.CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,"
Side Setback from Pro Line1-1
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST; AND
ATTORNEY'S FEES.
This is a building peimit•when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
FINAL DATE
INS�ECTOR A
I certify that I have read this application and state that the above information is correct. -,
Issued by:
Date �y
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..
Q
mentioned property for inspection purposes.
Validated by:
f r
Signature of applicant Date
Mailing Address
ValldatlOn:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES*"
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
i
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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 6 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.
�j
FRAMING 7
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
A 4 -
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
+ See lout,{ Gots 2416V
4tter.lsae a 1peciy
specify loetlea a shenthiee et Aee lattice .
Zj—
+' H - - . •
�— too! ►,ttt+
�Costlaooms LRdarr
Q,+�� /
•ss &elle step
Size
o gpp,cE_3G ,�I t=i
'
v hl! a •slls N telt t .
Quoaf
Wter
Ioi!p.e — - MA*.'
O.ert aolplacileetlltJtl�_�
-
i•.—
4t"aa• peat. �
2000 0.94. On �
Ilia.
3ootiat 12"
3/8"23- lag serf" isto •teas •t 167 S.C. Wow Craig
Q a cmtia.w ledger A trop or
le
doctor
C1 1 —__ •`•'� -
-Provide
Man carr«i.._' sesta
n ? learanc Q �' p •_• �s I�
ftt To
Concret 1 •. y�tl�
1 joist tlsager or fella slocklsl -? �I « ••' j��
�L O hail tat tar to liatkkha •• •� •,• y
l+ll C>?.��LTtoT: 4 • If a asil• K colt ••. ' 1
• �! Crate �'a •, �' �L
M6. 1 am:vg- 70 v
IDMM WDIT IM Simi= lobed &•cler• f is come. T
it C
2 'c amc " ED.
1 Kai dW6' .
Siam ;IIp•Tt sh:� . 'i�1•�
267
Wimm SM IN=
10 In 64
Qadi-q twat..• >-• >• d `• •
115 20-:0 1 +` , *6 �� .ti •i 7
(feet: a fscAas) F'aS R. f b �� �� 4u10.....�ia' •.e
,\ 4.14...... 20' y "q ty
Q 2x4 lE' a.c. 11-2 10-I 7-li 6- N
(� 24 • f- H 6-5 H 5-2 4'. b%f !2
\1 ` 2x5 u" c.c. 1�-10 17-5 3=0 13-7 10-0 Wo... - 1!' baso ty
_Q 16• 16-3 15-1 1-3 11-9 H
24• 13-3 12-4 9-2 9-7 7-1 . lbtsrirq Sece
32• 10-10 I`ll 7.4 7.4 S -s •. 4bed stakes 4112 pitch (3112 sift. pitch with 301
felt ardr:l"I class A
2xE 16• o.e. 2]-S 1l-10 14-10 •154 u-6 b- w=d. ca:pmiticr. *=files 4,112 pirxsh 13/12 char•.
24• 17-6 16-3 12-1 12-5 f-4 pitch w:tlh 164 telt tsde:lay). [lass A
_ 32• 14-5 134 104 104 1.4 e. iL-.it w raved raof sicpe to dra_..
_ d. Rzi rso: 3L12 p= h.
ZYPICAL pNTM CM71R
r
\
FORMAL
awry
- - -
MOR1`BNG
ROOM — -- —
.
—
— - — — —
Plan 3
KITCHEN
' BEDR OM
� =
Wnkp LINING ROOM i ;fes
1980 SQUARE FEET
T
THREE BEDROOMS THREE BATHS •
\ i
FORMAL DINING ROOM •KITCHEN
HALL
T �I ENTRY-
WITH NOOK • ATTACHED GARAGES.
_=
WALK IN
CLOSET
C',
-
C
=
THA ,
---
MOISTER(tub)
'�. STH
_
;
--.
In the interest of continuous improvement,
/•� viL
Laguna de la paz Association reserves the right
i -
BEDROOM *2
BEDROOM
to make modifications to plans, exterior
designs, prices, materials and specifications
at any time without prior notice.
All maps, plans and elevation renderings are
'
artist's conceptions and not necessarily to
scale, All square footages are approximate.
Fencing and walls will vary according to size
and location of lots.