13123 (SFD)P.O. BOX 1504 N o . 13123
Address 79-740 Tangelo LA QUINTA, CALIFORNIA 92253
Owner
J.M. Peters Co., inc. BUILDING: TYPE CONST. OCC: GRP.
MailinAddress 3501 ,Jamboree Road, #230 769-590--301
A.P. Number
Cityzip Tel.,�}t Tract 24890-3 Phase 1
Newport Reach Cly 92660 (714)854-2500 Legal Description
Contractor SFA Plan 3
Same Project Description
Address
City Zip Tela
State Lic. 31080-8 :B, City 1503
& Classif. Lic. # Sq. Ft. 3400 No. No. Dw.
Size - Stories Units
Arch., Engr., neck s Group P New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Aldrre s elate dark T 1'10261-8262Permit doe's not include any block walls
�e
Ci y, Zip State or pool.
rvine, CA 92714 Lic. # C6885
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
x/7000) of Divi on 3 of the Bus' ss�and Professions Code, and my license is in full force and
peffect. jJS! - �
�GNATURE �a�� 1 f�.•� DATE
OWNER -BUILDER DECLARATION" Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $265,481.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit,tp construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is Jcensed pursuant to PERMIT AMOUNT
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 Plan Chk. Dep. [s /� f y�
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk. Bal. 7 t3 . 4 3
❑ 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 offeredifor sale. (Sec. 7044, Buisness and Const. — I Z • 5�
Professions Code: The Contractor's License Law does not ;apply to an owner of property who c� ff 0
builds or improves thereon and who does such work himself or through his own employees, Mech. 7. • V
provided that such improvements are not intended or offered for sale. If, however, the building '2t (� ww �9 0
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical i7@.4
of proving that he did not build or improve for the purpose of sale.) a
❑ 1, as owner of the property, am exclusively contracting with licensed contractors,to con- Plumbing 1813. 001
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law - y C G [�
does not apply to an owner of property who builds or improves thereon, and who contracts for .S.M.I. 26. 60
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading 24.(,00
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc. —0—
Date owner Infrastructure - 5,907.49°
Ya Vie' 1 Places 413.70i
WORKERS' COMPENSATION DECLARATION
I he eby affirm that I have a certificate of consent to self -insure. or a certificate of
Worker' Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polio o. Company -
O opy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL , O+>EB. Y30'
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dohars ($100) valuation '
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 Owner
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 Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property 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.
I certify that I have read this application and state that the above information is correct. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST.Fl,.- SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC. TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
I ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. Sp. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN,
SQ ®
FT.ESTIMATED
WATER SYSTEM
URINAL
CONSTRUCTION VALUATION $
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(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER AX B.T.U.
SQ. FT. ® c
BATH TUB
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a 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 PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
0 PLUM BI 3
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 APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -plus-x$--$-
lusx$-$ROOFING
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
r
CERT. OCC.
{kfENCE FINAL
l7
INSPECTOR'S SIGNATURES11NITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
LMWTMENT OF PLANNING & DEVELOPMENT
BUILDINGDIVISION
0
UUN 2 8 f99�'-HdUR NOTI56CE4FOR INSPECTIONS0
no . r- J.ml.",;'Peters Co., Inc.
corit ctorJSame
23'1'31.
Permit Number '•`
POST OWJOB IN CONSPICUOUS PLACE
INSPECTOR -MUST SIGN ALL APPLICABLE SPACES
`JOB %1DDRESS,9740 Tangelo
�SFD�! Pern�IT7aZ_es not include any
bloc"'k":q'V'a1`ls or pool.
I `t: TYPE OF INSPECTION
DATE INSP.
FOUNDATION & SETBACK
"FOOTING STEEL:k!_,'_._
14�1�___
MAIN GROUND SYSTEM
GROUND PLUMBING
,PRE-GUNITE
DO NOT POUR CONCRETE UNTIL AjL
ABOVE HAS t3EEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
`DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ABOVE;APPROVALS DO NOT INCLUDE RIGHT TO
r. I
TURNON UTILITIES OR OCCUPY BUILDING
.4/8.8