05455 (SFD)Building
Address 77-070 Peruando
Owner
La Quinta Joint Venture
Address P.O. Box 780
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip Tel.
La Q%Onta 92253 619/464-1,315
Contractor
P.O. Box 1540
City lZip Tel.
State Lic. - I City
& Classif. 378318 Lic. #
Designer
Address I Tel.
CityY
ip I 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 Contractors License Law for the following
reason: (Sec. 7031.5,Business avid Professions Cade: Any city or county which requires a
permit to conflict, after, arprove, demolish, or repair any structure, prior to its issuance also
rsuant to
three provisioes ns of for such ConLado�License taw, Chapter signed
�oommennrt that�g with Section is licensed 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any vfatarion of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penally of not more than rive hundred dog= ($500).
❑ 1, 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 Contras License Law does not appy to an owner of property who
buidds or improves thereon and who dbes such work hmself or through his own employees,
provided that such ii provements are not intended or offered for safe. If, however, the building
or improvement is sold within one year of cornplebon, the owner-bulider wig have the burden
of proving that he did not build or improve for the purpose of safe.)
r3I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Gus -mess and Professions Code: The Contractor's License Law
does not appy to an owner of property who lids or reproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec_ R. & P.C. for this reason
Date Owner i
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
. ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Date - i `= "Owner l
NOTICE TO APPLICANT: ff, after making 0ris Certificate of Exemption you should become
subject to One Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lenders Address
This is abuilding permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes
Signature of applicant Date -
Mailing Address
City, State, Zip
V,
No 05455
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Santa Rose Cove
Legal Description Plat "C" Lot 6
Project Description Si$
REMARKS
.r'�''"'p°i.Yt #.YI`i' :£"'f .►I 40 JP?
"'t37 .a:1
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
3/6/89
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. �93� No.
Size • . Stories
No. Dw.
Units
New O Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation $206,305.00
PERMIT
AMOUNT
Plan Chk. Dep. _y
Plan Chk. Bal.
828.23
Const.
1*014.00
Mech.
88.50
Electrical
148.41
Plumbing
176.00
S.M.I.
14.4+
Grading
Driveway Enc.
Infrastructure
4,641.87
TOTAL
REMARKS
.r'�''"'p°i.Yt #.YI`i' :£"'f .►I 40 JP?
"'t37 .a:1
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
3/6/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SD. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT, ®
�GAS (ROUGH)
METER LOOPHEATING
GAR. Sp, Fr. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
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(AUTOXDISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.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 7LUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND UM I
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 LOOPHEATING
(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.
�FAmING Zl
t�
FINAL INSP.
ROOFING p f
� )�
Gt/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
R. FIREWALL
THING 7
7SH
SULATIONISOUND `
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL