9531 (SFD)44
• ,��,
r• � P.O. BOX 1504 N o . 9531
Building 78-105 CALLE ESTADO V /��`
Address 44-120 Cris of Place LA QUINTA, CALIFORNIA 92253 �Y N,
Owner
Address >a� 0. Box 227
City I Zjp
Contractor
ress
City lZip I Tel.:
State Lic. City
& Classif. 5003161 Lic. # 1646
Arch., Engr.,
• Designer
..,'Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under projflslons of Chapter 9 (commencingrwith Section
70pp) of Division 3 of the Bu ess and Pro
t. esslons,G e end -my license`Is i full fo Ee and
effecf p . /
SIGNATURE /' `h- DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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
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 exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty or not more than five hundred dollars ($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 Contractor's License Law does not appy 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
orImprovement is sold within one year of completion, the owner -builder win have the burden
or proving that he did not build or improve for the purpose of sale.)
❑ 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I 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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if 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 pperson in any manner so as to become subject to the Workers' Compensation -
Laws of California.
Date Owner
NOTICE TO APPLICANT. tt, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the tabor 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
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 1 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
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description Tract 232659
Project Description Lot 213 Plan 3
Sq. Ft. 2347
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
3.23,308.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
698.60
Const.
723.50
Mech.
60.00
Electrical
126.65
Plumbing
138..50
S.M.I.
8.68
Grading
Driveway Enc.
Infrastructure
2774.43
Art in Publi - 58.27
TOTAL
REMARKS
S si i "14 { 1 Y a
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
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
i
IST FL. SO. FT. $
UNITS
A.C. UNIT
2ND FL. SO. FT. ®
SLAB GRADE
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT. ®
/�JJROUGH
LC SEWER OR SE! t Kql
DRAINAGE PIPING
WALL SQ. FT.
DUCT WORK
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. 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 ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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
ROUND PLUM135U61
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
/�JJROUGH
LC SEWER OR SE! t Kql
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF6' ���
AS (ROUGH)&7—/,?_6j/
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
OGAS (FINAL) -l0_ g
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
V FINAL INSVUc,,?q /
l
-7—/
FRAMING5'' lt/
FINAL INSP.
ROOFING 7.
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
FIREWALL
�//GAR.
/�,.
t;CTHING 7'acl• c?
MESH
CkKNSULATIONISOUND I- I /`
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
C� J �\ 1' _�.� 1'i� i -, :� '�t ;'�I �� ; �' '.: i; ! I �.:! II y • /.1�; I III
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Qu*nta
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This Certificate issued Section Uniform
I!'
pursuant to the requirements of 306 of the Building!
!
Code certifying that at the time of issuance this structure was in compliance with the various
l
ordinances of the City regulating building construction or use. For the following:
i'
BUILDING ADDRESS 44-120 Cristol Place
;
Use Classification SFD Bldg. Permit No. 9531
j
II II
Group R3 Type Construction VN Fire Zone Use Zone Rl
j
i
I I
I ISI
La Quinta Vista Prtnrs P. O. Box 227
Owner of Building dress
€I
City La Quinta, CA 92253 Richard Kirkland
Dote: 10/2/91
I
Building Official
POST IN A OONB?ICUOut PLACt
1
NNN/NC•
-
t
(..............
4sil
CITY OF LA QUINTA
OF
~- DEPARTMENT OF PLANNING & DEVELOPMENT
� A
BUILDINGDIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
MA - lily'
Ow010, aQuinta Vista Partnership
Contractor SAME
Permit Number 9 5 3 L_
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 44-120 Cristol Place
Q
TYPE OF INSPECTION DATE INSP.
i FOUNDATION &•SETBACK
1 FOOTING STEEL — -
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABO E HAS BEEN SIGNED
j CONCRETE SLAB
JOISTS & GIRDERS
I ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
1 ROUGH ELECTRIC
ROUGH PLUMBING
t ROUGH ,GAS & GAS TEST
•HEATING & VENT -A/C 1
FIREPLACE
I ROOF
t!
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING �S C
INSULATION
I PRE -ROOF
i . COVER NO WORK UNTIL ABQY9 HAS BEEN SIGNED
DRYWALL INTERIOR
1 EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
i ELECTRICAL I
PLUMBING
r
1 FINAL GAS TEST 1
HEATING - A/C !
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
t `
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/88