002384 (RER)P.O. BOX 1504 No.
Building 77-307 ASS Few78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner ,
k'
Address
City Zip
C _- �, F f
Contractor
LWN*Mk LWId Cbmtt.
Address .. P 10
00
city Zip
!a eta 92253
Tela ' ' '
002384
BUILDING: TYPE CONST. OCC: GRP:
A.P. Number 6U-361-021.
Legal Description lot 21
Project Description Temisa Villas . '
.116 18
State Ljc.
ZONE:
BY:
' subject to the Workers' Compensation provisions -of -the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
& Classif.413636
a
Li # 333
Sq. Ft.
No. No. Dw.
Size
Stories Units
Arch., Engr.; " "
Side Street Setback from Center Line
hereby affirm that'there is a construction lending agency for the performance of the
Designer
New ❑ Add ❑
Alter ❑X . ' Repair ❑ Demolition ❑
Address
Tel.
Lender's Name
Lender's Address
FINAL DATE
_
INSPECTOR
City
Zip
State
_
Lic. #
I certify that I have read thisapplication and state that
t the above information is correct.
Issued
LICENSED CONTRACTOR'S DECLARATION
I agree to comply with all ciy and county ordinances and state laws relating to building
hereby affirm that l 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
construction, and hereby authorize representatives -of this city to enter the above-
effect.
mentioned property for inspection purposes. ft
Validated by:
SIGNATURE' --'" DATE
Signature of app licant+JDate
f �'
'
J - OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License. Law for the following
Estimated Valuation
/} }�
reason: (Sec. 7031.5,Business and Professions Code: Any 'city or :county which requires .a
City, State, Zip
V�s�i
.,
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that.he is licensed pursuant to
-
f PERMIT
AMOUNT '
the provisions or the Contractor's License Law, -Chapter 9 (commencing with -Section 7000) or
Division 3 of'the Business and Professions Code, or' thathe is exempt therefrom: and the basis.
Any Section 7031.5 'any
Plan Chk. Dep.
.-.
for the alleged exemption. violation of by applicant for a permit
-subjects the applicant to a civil penalty of not more than five hundred dollars ($500). '
Plan Chk. Bal.
❑ 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, Buisness and
Const...
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,
Mech.
.
provided that such improvements are not intended or offered for sale. If, however, the building
..
or improvement is soldwithinone year of completion, the owner -builder will have the burden
Electrical
of proving that he did not build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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 +
S.M.I.
'
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt. under Sec.. B. & P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
I WORKERS' COMPENSATION DECLARATION
hereby affirm that I -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
O Copy is filed with the city. ❑ Certified copy is hereby furnished..
TOTAL
iC�. i
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is for one hundred dollars ($100) valuation
j
or less.)• - -
I certify that in the performance of thg 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 Owrier
REMARKS -
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ZONE:
BY:
' subject to the Workers' Compensation provisions -of -the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
1
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY.
Side Street Setback from Center Line
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.)
Side Setback from,P[Operty Line
Lender's Name
Lender's Address
FINAL DATE
_
INSPECTOR
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.s.
22-AE
I certify that I have read thisapplication and state that
t the above information is correct.
Issued
Date5" Permit
I agree to comply with all ciy 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. ft
Validated by:
Signature of app licant+JDate
f �'
Mailing Address
Validation:
City, State, Zip
A5555
5 23. 20.00 CK
HARD COPY
' T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND, REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. I SO. FT.
HEATING (FINAL)
WALL SO. FT. ®
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING
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/ic
HOUSE SEWER
SPARK ARRESTOR
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
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 APPJEGUIP.
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.
FRAMING
FINAL INSP.
ROOFING
TV
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
May 22, 1986
City of La Quinta
P.O. Box 1504
La Quinta, CA 92253
Attn: Building Inspector
This letter authorizes you to issue a building permit for
77-307 Ave. Fernando, in La Quinta Hotel Tennis Villas.
We are aware of the construction and structural changes
taking place to add a window to the south side of the unit.
Thank you for your help.
Sincerely,
&JJL
Marcia Carle
Customer Service/Relations
MC/ljt
Customer Relations/ Service
LANDMARK LAND COMPANY, INC., P.O. Box 1000, La Quinta, California 92253 (619) 564-3338 / 345-5665
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