07542 (SFD)P.O. BOX 1504N O . `t.. ,
Building - 78-105 CALLE ESTADO
Address- 79.845' Sandia CA QUINTA, CALIFORNIA 92253
Owner
41M, PeGI"S BUILDING: TYPE CONST. . OCC: GRP. '
Mailing
Address . "
A.P. Number I
City Zip T;7_7
, CtY'tiSCove
i v • ft 3 Legal Description
Contractor 1A�l `Plan 2A
- Project Description
Address
City Zip Tel.. .
• State Lic. City
& Classif, 31(*85 Lic. # Sq. Ft. No. No. Dw.•
Arch., Engr.; "
Size 3069 • Stories - Units
'• .' - _ .
Designer. New ❑ Add -O Alter ❑ Repair ❑ Demolition ❑
Address o..c s Tel. ,
y
City Zip State
l Lic. # .
' t1 LICENSED CONTRACTOR'S DECLARATION
I hereby affirm tbaglam licensed under provisions of Chapter 9 (commencing with Section
7000) of Divis�l/iiyn 3.oR t e Busine`s:s and Professions Code, and license is in full force and -
effect.
s SIGNATDRE""•'•,+�Y -1 - 9'-v "'%111 DATE
! OWNER*BUILDER DECLARATION
}
11 hereby affirm at I' am exempt from the Contractors License Law for the following
reason: (Sec... 17031:5;Buslness and Professions Code: Any city or county. which requires a
to const((uct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the apl5licant 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 rexemption. 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 (5500):
❑ 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, Bussness 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,'
t.•1 provided that such -improvements are not intended or offered for sale. If, however, the building
p, 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
-
- 1220,181
PERMIT
- AMOUNT
- +
Plan Chk. Dep.- *
LR p�-
250.00
Plan Chk. Bal.
_618.24 `
Const.
`��
A�!9
2080.. ,
Mech. •
-'
Electrical _
' 15.22,-•. --' •-i • -
O I,`as owner•of the property, am exclusively contracting with licensed contractorsto con-
slruct the project.•(Sec. 7044, Business and Professions Code: The Contractor's License Law•
r does'not apply to an owner of property who builds or improves thereon, and who contracts for
'1. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
' ❑ dam exempt under Sec- -- B. & P.C. for this reason
'
r
Plumbing�
S.M.I.
- -
Grading
,
Driveway Enc.
Date owner
Infrastructure
°'`'J,ti(�>.%
�.
WORKERS' COMPENSATION DECLARATION
t
I hereby affirm that I have a certificate yo conseto el�4�j,,Insure, or a certificate of
Worker's Compensation Insurance, or a cerlifi co'p" lli1h reof. (5 3800, Labor Code:)
Policy No. Company �i1 4, r Tom` ..
r v v= �s :< .. —
❑ Copy Is filed, with the city. Ortified 1Copy s hereby furmshed.
CERTIFIGATEOFE)EMPTIONFROM
- WORKERS' roMPENSATION•INSURANCE
i
ti
TOTAL
7,431.85S a 8 •.
REMARKS
, kt�;4#ia
w e
(This section need not be completed ii -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 pparson 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.
ZONE: BY:_ - _
Minimum Setback Distances: .
Front Setback from Center Line -
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.
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, I -
Rear Setback from Rear -Prop. Line V
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
4/13/90
Issued by Date Permit
Validated by:
1.
Validation:
t
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. $
UNITS
A.C. UNIT
2ND FL. SQ. FT.
SLAB GRADE
YARD SPKLR SYSTEM
POR. SO, FT, ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
W SEWER OR SEPTIC TANK
DRAINAGE PIPING
WALL SQ. FT.
DUCT WORK
DRINKING FOUNTAIN
SO FT ®
%�
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REIN F. STEEL
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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.
SQ. FT. ®c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ec
HOUSE SEWER
FIRE ZONE ROOFING:
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
OUND PLUMBIN(?r� 9t�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
W SEWER OR SEPTIC TANK
O ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.S 4
%�
GAS (ROUGH)` /�� 6P
'7
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REIN F. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. V
FRAMING G
FINAL INSP. C� d�
7
ROOFING 61
��
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
RING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
w
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Certificate of Occupancy
City of La Quinta.
Building and Safety Department
This Certificate issued pursuant to the requirements of Section ' 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 79-845 SANDIA
Use Classification: SFD Bldg. Permit No.: 07542
Occupancy Group: R3' Type of Construction: VN Land Use Zone: RL
Owner of Building:, JM PETERS
Building Official
Address:
12526 HIGH BLUFF
City:
SAN DIEGO CA 92130
By:
LONI DAY
Date:
11-14 90
I POST IN A CONSPICUOUS PLACE I