290437 (BLCK). BUILDING PERMIT DEPARTMENT , OF BUILDING & SAFETY
,
FIELD OFFICE
I'
PERMIT NO.
2190437
\rVV1�I 1 Vr RIYCR7IVC
OST
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1 ST Fl. SO. FT. @ $ UNITS
2ND FL. SO. FT. @ YARD SPKLR SYSTEM
FOR. SQ. FT. @ MOBILEHOME SVC. BAR SINK
GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS
CAR P. SQ. FT. @ DRAINAGE PIPING
WALL SQ FT. @ DRINKING FOUNTAIN
c -Os* . FT. @ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE: Not to be used os property tax valuation - SWIM POOL, PVT FLOOR DRAIN
MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER
VENT SYSTEM [J FAN ❑ EVAP.000L ❑ HOOD. SIGN WASHER (AUTO) (DISH)
APPLIANCE ❑ DRYER GARBAGE DISPOSAL
VALUATION
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY
DST
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK'
ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET
1
COMPRESSOR HP POLE, TEMP/PERM LAVATORY
�y -77
V
HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER
BOILER B.T.U. SOFT. @ a BATH TUB
SQ.FT. @ a WATER HEATER
SO.FT.RESID @ 11/44 SEWAGE DISPOSAL
SQ.FT.GAR @ 1/4a HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE PERMIT FEE
USE PER IT
DBL.
UTOTAL FEES
IOC'
jMOB.HM.FEEj
MICRO FEE MECH. FEE PL. CK. FEE
'•
CONST. FEE ELECT. FEE SMI FEE
0%
FEE PLUMB. FEE
I'
JOB ADDRESS SP NO
OWNER
77
COMMUNITY
VALUATION
DATE
DST
OFFICE
1
�y
$ 10, 00
�y -77
V
78
�AI� ,I Tide
@
M H PERMIT FEE
$
USE PER IT
F.C.
SU PP. O PERMIT PE
MI
NO,
OUTY
MICROFILM FEE
COPIES
$
BOOKPAGE PARCEL
LEGAL DESCRIPTION
OW
MECHANICAL FEE
DBL
$
USE NO.
ZONES
ET BACK
LOT SIZE
GRP I
TYPE
CK BY
S
S
R'Iff
.PLAN CHECK FEE
$
BOND AMT.
PLAN NO.
PLAN CHECKER
FINAL DATE INSPECTOR
J
CONSTRUCTION FEE
DBL
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LEN E.R IINNVOLVED
'r
ELECTRICAL FEE
DBL
$
ADDRESS CITY
STATE
t
t
STRONG MOTION
$
OW ER/AG€NTS SIGNATURE CONTRACTOR
INSTRUMENTATION FEE,
'SPECIALINSP
$
ADOR S: ADDRESS
DEMOLITION
FEE
/
REGISTRATION
4
6
PLUMBING FEE
DBL
$
CITY IP CODE CITY
ZIP CODE
-WA, 61 2
TOTAL FEES
$
TEL. NO. AREA CODE TEL.
NO.
AREA CODE
LICENSE 4
:CASH HECK❑M.O.❑N.C.❑
� 4
�""'
_ Jj' `
RECEIVED BYTREES
REQUIRED
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF
WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE
SEWAGE SYSTEM
T LL
P
WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY
�* l-.VMYCI`1JH I "'J"IIVJUKHIVI.0 UI'UIV MT CMI'LUT[[J. l.vmrLlHrvl nH
-c YYn I"r LYYJ Ur Inc St Air Or
CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
110--
284-208 IREV. 6-761 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIFORNIA.
Birl►#
City of La Quints
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address. '��� /11�cQ N-6
Owner's Name f �/yzk/h'16
A. P. Number:
Address/���� �QVM:;)
Legal Description: %
Contractor:
City, ST, Zip:
Telephone:
Address:
Project Description:
City. ST, Zip:
Tele one:
P h
/11�
�itl � T
T �
State Lic. # :
City Lic. #:
Arch.. Engr., Designer:
Address:
City. ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction T Pe.
Occupancy:
ect e a
Pro circle one Ne Add' e a Demo
n Alter Repair J �
P P
5e' Ft.:32 j g I # Stories: # Uni :
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LIN
N
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAM.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, readv for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
t
ok
� - s
CITY OF LA QUINTA
�cFMOFr BUILDING & SAFETY DEPARTMENT
777-7012
INSPECTION REQUEST LINE
777-7153
Owner JOHN HENDRIKS
Contractor OWNER-RIALDF.R
POS ON JO" CONSPICUOUS PLAM
INSPEC OR MUST SIGN ALL APPLICABLE SPA
JOB ADDR S 46-555 CAMEO PALMS DR.
3FT. SPLIT RAIL FENCE - 32 L.F.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK 4z 4
FOOTING STEEL not
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM loo
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
FINALS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING