04-7044 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA. 92253
T4ht
tP "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: g24-0.0.0,0704
Property Address: 53760 VIA BELLAGIO
APN: 772-510-0,59- - -
Application description:. DWELLING - SINGLE FAMILY DETACHED
k Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 385672.
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B license No.: 541336
ate: ' Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law fo th
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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 of not more than five hundred dollars ($500).:
1 _ 1 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, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1,• 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
JAY & CINDY GIOIA
53-760 VIA BELLAGO
LA QUINTA,.CA 92253
Contractor:
SAWYER, RONALD PHILIP
78525 AVENUE 41
INDIO, CA 92201
(760)200-0893
Lic. No.:' 541336
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
,_ -
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
• for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier HRH INS Policy Number 044001988704
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,
and agree that, if I shoulcVpecome subject to the workers' compensation provisions of Section
3790 of the LaborjCgde,,jLshall forthV11L comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS' O PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL I S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building'and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend,. indemnify and hold harmless the City
of La Ouinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void ' work is not commenced
within 180 days from date of issuance of such permit, or cessatio f work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above informatio is correct. I agree to comply with all
city and county ordinances and state laws relating to building c nstructio and hereby authorize representatives
of this county to jitter upon the above-mentioned property (o; fgectio urposes.
Application Number . . . . . 04-00007044
------ Structure Information 4486'SQ. FT. SFD
-----
Construction Type
. . . TYPE V - NON RATED
Occupancy Type . . .
. . . DWELLG/LODGING/CONG <=10
Flood Zone . .
. . . NON -AO FLOOD ZONE
Other struct info . .
. . . CODE EDITION 2001 CBC
# BEDROOMS
3.00
FIRE SPRINKLERS NO
GARAGE SQ FTG
736.00
af.
PATIO SQ FTG
660.00
NUMBER OF UNITS
1.00
----------------------------------------------------------------------------
1ST FLOOR SQUARE FOOTAGE
4486.00
Permit . . .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1640.50 Plan Check Fee
1066.33
Issue Date
Valuation . . . .
3856.72
Expiration Date
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
639.50
286.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
1001.00
PermitELEC-NEW
RESIDENTIAL
Additional desc .
Permit Fee . . . .
201.73 Plan Check Fee ..
50.43
Issue Date
Valuation . . . .
0
Expiration Date
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4486.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
157.01
736.00 .0200
ELEC GARAGE OR -NON-RESIDENTIAL
14.72
1..00 15.0000
----------------------------------------------------------------------------
EA ELEC TEMPORARY POWER POLE'
.15.00
Permit
GRADING PERMIT
Additional desc .
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . . .
0
Expiration Date
3/20/06
Qty Unit Charge
Per
Extension
---------------------------------------
BASE FEE
-------------------------------------
15.00
Permit. . . . . . . MECHANICAL
N
LQPERMtf
Application Number .
. . . . 04-00007044
Permit . . .
MECHANICAL
Additional desc . .
Permit Fee . . . .
139.00 Plan Check Fee
34.75
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/20/06
Qty Unit Charge
Per
Extension
BASE FEE
15..00
4.00 9.0000
EA MECH FURNACE <=100K
36.00
4.00 9:0000
EA MECH B/C <=3HP/100K BTU
36.00
7.00 6.5000
EA MECH VENT FAN
45.50
1.00 6.5000
----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
PLUMBING
Additional desc .
Permit Fee
204.75 Plan Check Fee
51.19
Issue Date . . . .
Valuation . . .
. 0
Expiration Date,.
3/20/06
�- Qty Unit Charge
Per
Extension
BASE FEE
15.00 .
22.00 6.0000
EA PLB FIXTURE
132.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
1.00 7.5000
EA PLB WATER HEATER/VENT
7.50 .
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 9.0000
EA PLB LAWN SPRINKLER SYSTEM
9.00
11.00 .7500
EA PLB GAS PIPE >=5
8.25
1.00 15.0000
EA PLB GAS METER
15.00
----------------------------------------------------------------------------
Special Notes and Comments
4486 SQ. FT. SFD. THIS
PERMIT DOES NOT
INCLUDE POOL & SPA ,
BLOCK WALLS OR
DRIVEWAY APPROACH. '11/19/04
12:02:52 PM
JJOHNSON
---------------------------------
Other Fees . . .
-----------------------------------------
. . . . ART IN PUBLIC PLACES -RES
199.50
DIF COMMUNITY CENTERS -RES
97.00
DIF CIVIC CENTER - RES
366.00
ENERGY REVIEW FEE
106.63
DIF FIRE PROTECTION -RES
97.00
GRADING PLAN CHECK FEE
22.50
DIF LIBRARIES - RES
225.00
DIF PARK MAINT FAC - RES
5.00
DIF PARKS/REC - RES
502.00
STRONG MOTION (SMI) - RES
27.98
DIF STREET MAINT FAC -RES
15.00
DIF TRANSPORTATION - RES
1098.00
11.
LQPERMIT
Application Number
. . . . .
04-00007044
Fee summary,
Charged
----------
Paid
----------
Credited
Due
---------
-----------------
Permit Fee Total
.2200.98
.00
-----------
.00
2200.98
Plan Check Total
1202.70
.00
.00
1202.70
Other Fee Total
2761.61
.00
.00
2761.61
Grand Total
6165..29
.00
.00
6165.29
i
LQPERMIT
A
City of La Quinta
Building S Safety Division
P.O. Box 1 SO4, 78-495 Cale Tampico
Permit N U Quinta, U 92253 - (760) 777-7012
e7oL4 Building Permit Application and Tracking g Sheet
Project Address: 53- w c) eONrer's
Name� 1�1 A. P. Number — 5�v 05- -'-?2 --Z Address:
Legal Description: ' ._._' 3'z ^ Z;(city.
ST. Zip. An—
Contractor�
�G. t J w /Z h,
Address: -78S-: ; VE
f Telephone: (tom
Project Description:
City, ST. Zip: vp�j (,tn$ C
Telephone.
State Lic. 0:
City Lic.
Arch.. Engr.. Designer.
Address:
City. ST. Zip:
Telephone:
State Lic. k:
_?-�, _..- -
10C) q.3 D
Construction Type: Occupancy: P cy:
Project type (circle one): ew Add'n Alter Repair Demo
Name of Contact Person:
U i
q. Ft.:
Pstimated
w Stories:
a Units:
Telephone X of Contact Person: 341,e ` � �
Value of Proicct:
APPLICANT: DO NOT WRITE BELOW THIS LINE
s
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plaa Sets
002—
Plan Check submitted
li 3
Item
Amount
Structural Csles.
Reviewed. ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calc L
Plans picked up
Construction
Flood plain pias
Plans resubmitted
Mechanical
Grading pias
P' Review. ready for eorrectionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"Review. ready for correctionsftssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
i
Scbool Fee
Total Permit Fees
Coachella Valley Unified School District
83-733 Avenue 55, Thermal, CA 92274
(760) 398-5909 — Fax (760) 398-1224
This Box For District Use Only
DEVELOPER FEES PAID
AREA:
AMOUNT
LEVEL ONE AMOUNT:
LEVELTWOAMOUNT:
MITIGATION AMOUNT:
COMM/IND. AMOUNT:
DATE:
RECEIPT:
CHECK #:
INITIALS:
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name:Jay & CindyG`pia (Residence at -the Hideaway_) Date: September 7, 2005
Owner's Name: Jay & Cindy &ia Phone No. (760) 200-0893
Project Address: 53760 Via Bellagio, La Quinta, CA 92253
Project Description: 1 Single Family Dwelling
APN: 772-510-059 Tract #: Lot #'s:
Type of Development: Residential Commercial Industrial
Total Square Feet of Building Area: 4,486 Sq. Ft.
Certification of Applicant/Owners: The person signing certifies that the above information is correct and makes this statement under
penalty of perjury and further represents that he/she is authorized to sign on behalf of the owner/developer.
Dated: 09/07/05
Signature:
1� rf
v L� 2
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code
17620 65995
Number of Sq.Ft. 4,486
Amount per Sq.Ft. $ 2.88
Amount Collected $ 12,919.68
Building Permit Application Completed: Yes/No
Project Agreement Existing Not Subject to Fee
Approval Prior to 1/1/87 Requirement
By: Carey M. Carlson, Asst. Supt., Business Services
Certificate issued by: Leticia C. Torres, Facilities Clerk
NOTICE OF 90 DAY PERIOD FOR PROTEST OF FEES AND STATEMENT OF FEES
Section 66020 of the Government Code asserted by Assembly Bill 3081, effective January 1, 1997, requires Ibirthis District provide (1) a written notice to the
project appellant, at the time of payment of school fees, mitigation payment or other exactions ("Fees"), of the 90 -day period to protest the imposition of these
Fees and (2) the amount of the fees. Therefore, in accordance with section 66020 of the Government code and other applicable law, this Notice shall serve to
advise you that the.90-day protest period in regard to such Fees or the validity thereof, commences with the payment of the fees or performance of any other
requirements as described in section 66020 of the Government code. Additionally, the amount of the fees imposed is as herein set forth, whether payable at this
time or in whole or in part prior to issuance of a Certificate of Occupancy. As in the latter, the 90 days starts on the date hereof. This Certificate of
Compliance is valid for thirty (30) days from the date of issuance. Extension will be granted only for good cause, as determined by the School District, and up
to three (3) such extensions may be granted. At such time as this Certificate expires, if a building permit has not been issued for the project that is the subject
of this Certificate, the owner will be reimbursed all fees that were paid to obtain this Certificate of Compliance.
h1l :c/m� lnc�rc, vfcesici° tif'Ic:iir i+f u�mplinncc f mn i:ibli+s`R:) tiSF.ilc c 1/16/03 T
CITY OF LA QUINTA - PUBLIC WORKS/ENGINEERING DEPARTMENT
GREEN SHEET (PUBLIC WORKS CLEARANCE) FOR BUILDING PERMITS
Form updated & effective 8/25/2005
Please DO NOT submit the Green Sheet (Public Works Clearance) . Packet to the .Public
Works/Engineering Department until ALL requirements listed below are complete. Incomplete
applications or applications which cannot be processed will be returned to Applicant. Green Sheet
approvals will be forwarded to the Building Department directly by Public -Works.
Date: Developer: _
Tract No.: Tract Name:
Address(s): P,r f Llr; n
-Sci wye � Cnnsfv�r c�i � n
G1 [ � % Lot No.(s): '37—S
The following are the requirements for Public Works Clearance to authorize issuance of a building
permit from the Building/Safety Department.
#3
._._.,__......._.._____._---- J
TRACT HOMES: PROVIDE ITEMS #1, #2, #3, #4 (AS APPLICABLE) AND #6 BELOW.
COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3 AND #5 BELOW.
1.
M1
re
I
Attach Pad Elevation Certificates in compliance with the approved design elevation for
building pad (maximum allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must
be current (within 6 months of current date). If a precise grading plan creates the pad for
approval, please withhold green sheet submittal until a Pad Elevation Certificate can be
provided.
Attach geotechnical certification of grading plan compliance.
Attach recorded final map showing proposed building locations are legal lots.. 'tl�i� �
Attach a completed <1 acre per lot or infill project Fugitive Dust Control pi f' informafio�i��`��'�
form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set
reference number or hard copy plan. PM10 plans for commercial and residential developments
(beyond 1 lot) are submitted separately with grading plans and are subject to. additional
requirements.
Attach an approved precise grading plan for the building location `s). AO flood zone
developments will require an approved flood plain development plan. t./� �
Attach an approved rough grading plan for the building location(s). ort- r:-43 _
I have reviewed and confirmed the requirements listed above as presented and find the improvements
to be sufficiently complete f const tion of e proposed building(s)/structure(s) on the subject
lot(s). Purs ndin , th a ov pro' c ay be released for building permit issuance.
Recommended by: Dated: 6
I �o
Declined for approval for reason(s) as follow(s), please c/rrect and
TAPWDEPT\STAFF\Goble\Green Sheet PW Release\050824GREEN SHEET COVER.doc
Dim
l -tirw_ -
r"
'bo L4=5 &Or CVI JFt_./ LT'.
W I TX- F�e_Z GAJ c r
Pole
- PM 10 Project Information <1 age eLot or Infill Project * Page 1 of I.
Clt Of L a uinta
Form updated & ettectrve 8/2512005
•y� r
Pr oj ect'Contractor:
Project Information
Phase
cnl � y C0N P' -LA�01�
Project
Project Phase01
ProjectName:
(Check One):
`
Project Tract q
Construction
Number:
Demolition
Lot Number(s):.
��Lg
Anticipated Start Date:
.
Project Street `
o p
Anticipated Completion:
o
Address:
Lto.
Total acres in active
construction (<1 acre per
Lot):
project ect Contact
Please Note: Dust control is required 24 h below�islrespons responsible for
listed
• Information
regardless of construction status. Person
dust control durin business and non- business.hours.
Name:
Title:„ y
Com an Name: bttl kWOL
Mailin Address: 1 5?_,f �uE
µups
Cit
State: '
Zi Code: q t
Primary �°
1 tea, '
Telephone
Number:
1 lOD,Zi00'0 3
Fax:
24 Hour
Access/Emergency„
Phone:
Cell Phone: 1 Le 0 `
PM10 Certificate _ .l
03. ` 1
Number:
* PM10 for commercial and residential developments >I acre are required -by the F
Ex anded plans
p
City of La Quinta.
T:\PWDEPT\STAFF\Goblc\Green Sheet PW Releue\050824MINI PM 10 PACKET GREEN SHEET.doc
City of La Quinta - Site Specific Construction Phase PM 10 Agreement. Page 3 of 3 ���-;; .4,•
Agreement updated & effective 8/25/2005
The signature of the property owner (or authorized representative):
• Shall act as his/her acknowledgement of dust control requirements and their enforceability,
pursuant to AQMD Rules 403 and 403.1;
• Shall constitute and agreement to comply with all project. conditions as identified in the -
approved dust control plan;
The property owner (or authorized representative):
• Acknowledges that dust control is required 24 hours a day, 7 days a week, throughout the
period of project performance, regardless of project size or status;
• Shall ensure that each and every contractor/subcontractor and all. other persons" associated-'
with the project shall be in continuous compliance with all requirements of the,approved dust
control plan;
• Shall take all necessary precautions. to minimize' dust, even .if additional -measures beyond
those listed in the dust control plan are necessary; 4 .
i
• Shall authorize representative of the City/County to enter upon the above mentioned property M -
for inspection and/or, abatement purposes; and ;
• Shall hold harmless the City/County and its. representatives from liability for .any actions.. T
related to this dust control plan or any City/County initiated abatement activities:."
Signature of ro erty Owner or Authorized.Representative ,
KAP,i.�;, AIrV7_
RIVERSIDE COUNTY
FIRE DEPARTMENT
112-4/5 Highway lo, FaX V60) 363-7072
September 29, 2005
Craig E. Anthony New Asia, Inc.
Fire Chief 1830 S. San Gabriel Blvd.
Proudly serving the San Gabriel, CA 91776
11IIincorporated Re: Non -Structural Building TA Plan Review
areas of Riverside LAQ-05-TI-084 /Jagmetia:ioah a= a�
County and the
Cities of: Q9O�iwY� 14—Ster10!�
Banning Fire Department personnel have reviewed and approved the plans you submitted for the above referenced
c• project. Please be advised the following conditions apply as a part of the conditions for the issuance of a
Beaumont building permit
.o
Calimesa 1) Fire sprinkler system plans for the tenant improvement area must be submitted to the Fire Department
Canyon Lake for review, along with a planAnspection fee. The sprinkler system will have to be modified and designed
%, in accordance with NFPA 13,1999 Edition. A licensed C-16 contractor shall do all sprinkler work and
Coachella certification. The approved plans, with Fire Department Job card must be at the job site for all
s. inspections.
Desert Hot Springs
s• 2) Provide keys to the tenant space for inclusion in the main building Knox Box. Key(s) shall have durable
Indian Wells and legible tags affixed for identification of the correlating tenant space.
Indio 3) Install portable fire extinguishers per Title 19, but not less than 2A1 OBC in rating. Contact a certified
Lake Elsinore extinguisher company for proper placement and spacing of equipment
�e
La Q„inta 4) Install a Hood/Duct automatic fire extinguishing system. System plans must be submitted, along with a
o plan checkrnspection fee, to the Fire Department for review.
Moreno Valley
1% 5) Approved building address shall be placed in such a position as to be plainly visible and legible from
Palm Desert the street and rear access if applicable. In multi -tenant buildings, businesses shall post the business
%% name and suite number on backdoors as well as the front Suite numbers or letters must be a
Pers minimum of 6° in height All addressing must be legible and of a contrasting color with the background.
Rancho Mirage
e• Please contact the Fire Department Planning 8Engineering staff for final Inspection prior to occupancy.
•
San Jacinto
%% Requests for inspections are to be made at least 72 hours in advance and may be arranged by calling
Temecula (760) 863-8886.
All questions regarding the meaning of these conditions should be referred to the Fire Department Planning
Board of supervisors & Engineering staff at (760) 863-8886.
Bob Buster,
District 1
Sincerely,
John Tavaglione,
District 2 FRANK KAWASAKI
Jeff Stone, Chief Fire Department Planner
District 3
Roy Wilson,
District 4
Marion Ashley, BY
District s Walter Grandes.
Fire Safety Specialist
Cc: City of La Quinta — Building Dept.
KV42 wawa 71 -MA=
EMERGENCY SERVICES DIVISION • PLANNING SECTION • INDIO OFFICE
82.675 Highway 111, 2- FI., Indio, CA 92201 • (760) 863-8886 • Fax (760) 863-7072
CITY OF LA QUINTA
PLAN CHECK CORRECTION LIST
JMA Architecture & Engineering
73-995 El Paseo #201
Palm Desert, CA 92260
PLAN CHECK NO
ADDRESS
SCOPE OF WORK
04-7044
53-760 Via Bellagio
New SFD
4486(R)/736(U)
May 16, 2005
APPROVED
OCCUPANCY R3/U1 .
TYPE -OF -CONST. V -N
The submitted plans and specifications have been reviewed by the VCA CODE GROUP. In our
professional opinion the plans are in substantial conformance with the building codes and regulations
adopted by the CITY OF LA QUINTAand the State of California Amendment.
APPROVAL FORA BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING
APPROVALS/CLEARANCES FROM ALL APPLICABLE CITY DEPARTMENTS, AGENCIES, AND
ASSOCIATIONS.
Plans checked by:
Y
ue C: Luu, PE
VCA CODE GROUP
2200 W Orangewood Ave, Ste 155
Orange, CA 92868
(714) 363-4700 ext.#752
1
VCA File No. LQ -16981
911
a •�
0
s cl F
T
of TFC'°w BUILD & S 9EPARTM
777-70 2 2045
I PEC T LIN
L"Nra
wner'M/'M GIOIA
Pr.
Contractor RON SAS R'CONST
�I
Permit Number 04-7044
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JC,, ADDRESS ..3760 VIA BE.LLAGI.O
44:36 SQ. FT. SYD. THIS PERM.:IT DOES NOT
INCLUDE POOL & SPA, BLOCK WALLS OR
NRIVEWAY APPROACH.
'I TYPE OF INSPECTION
DATE IN 1
TEMPORARY POWER
SETBACKS
U/G PLUMBING /WASTE
U/G ELECTRICAL / GROUNDING Q;+ —
FOOTINGS / STEEL 2� S
CONCRETE SLAB
O NOT POUR CONCRETE UNTIL ABOVE SI NED
ROOF NAIL / PRE -ROOF
III OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL / -
INSULATION' L
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL _
EXTffII,OR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
' `FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER - 3—
ELECTRICAL p
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPI FTFn
ABOVE APPRnVAI (Z nn ninr w^,
-S,- .- DEPAEc,T1V E1�
RANCE) FOR B�UILDING'.'PERMIri,
echvC 8/25130058
blic 1eWorks C�learan6' Packet to the; Public
ements list ed below azeq complete Irie�ornplete
ssed wrll ;be returnedt to Applicant Green Sleet
;ent'directly byPubhc, Works: •, , . "
-
LotiNo
rks `Clearance to authorize >ssuance of a buiidirig;
y:
CEIVIS #2 #3 #4 ANDS#5 BELOW..;
43 :#4 AS; APPLICABLE ,AND .#6.BELOW.
OVIDE.ITEA4 #1 .#2' #3.iAND.,#`'•BELOW..
phance with the; approved design: elevation for
n of+/ ,0:1 foot): Pad Elevation~Certificates :mu'st ..:
te)� ::-If a precise, graduig plan creates the:pad.- for
brnittal until a _Pad Elevation gCerfi 6iite, can be
plan.comph nce:; >
d bulding,locafions areriegal lots
11 prode,c .Fugitr< e Dust; Control profi t m orm o
alternative & valid Crty approved PM1Q"-plan set
plans for commercial °and resdentiralydevelopnierits
with -grading pians aril are subs ect to ,additional
an for the; buil`din'g �location(s)R AO flood zone
04,plain- development plan �G�t✓.*u�t.
thefbuilding locat%�x��s)r X' °� . aCS-777
'`'
hsted:above': as presented: and find the' improvements
e proposed rbuilding(si)/sti uctu .6(s): ,bn the subject ..
ay;be released for building' pe 1 issuance
>>� >
please c rrect d'.
i> a 101
y.
t ?k A h k
7.
own
''
Mcer..tiricate-of.®ccu ahc.
Y
.� .;Building & Safety Department - =
This. Certificate is. issued pursuant to, the requirements of Section 109 of the California Building
Code, 'certifying that, at the time of issuance, this structure was in compliance with the
provisions of the Building .Code and the various ordinances,of the City regulating building
construction and/or use.
BUILDING ADDRESS- 53760 VIA BELLAGIO
Use classification- SFD – Building Permit No.- 04-7044
Occupancy Group: R3 Type of Construction` VN Land Use Zone. RL
VN —
Owner of Building- M/MGOIA s Address: 53760 VIA BELLAGIO
City, ST, ZIP. LA QUINTA CA 92253
3
By: EDDIE MUIR
_ ;
d Date: 1-16-2007
Building Officia
POST IN A CONSPICUOUS PLACE