13514 (SFD)4
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 79-785 Tangelo LA QUINTA, CALIFORNIA 92253
Owner J.H. Peters Co. ' I
mauing
Address
City
Newport
Contractor
Same
Address
No. 13514
BUILDING: TYPE CONST. VN OCC: GRP. R3
3501 Jamboree Road 769 -560-027
A.P. Number_
Zip Tel.
Bt�aCF CA 9265$ (714) 854-250 Legal Description
Zip I Tel.
State Lic. B-1 310868(City 1503
& Classif. Lic. #
Arch., Engr:, Berku s Group
Designer
Addws Corporate Way Tel( 714) 261--826
City Zip State
irvineo CA 92714 Lic.# 06885
LICENSED CONTRACTOR'S DECLARATION
I hereby -affirm that I am licensed under provisions of Chapter 9 (commencing with Section
000) of Division 3 of he[Business and Professions Code, and my license's in full force and
ffect. { i f. j _-_
_SIGNATURE 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, 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 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 thereirom, 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 (8500).
O 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, Bussness and
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,
provided that such 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 did not build or improve for the purpose of sale.)
❑ 1, 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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
f;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 (8100) 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
subject to the 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
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it 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
Project Description
Citrus
%t 27 Tract 24890-'-3
SFD Pian 4
Sq. Ft. 3710 No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation $288,273.00
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
.Arts in Publ
TOTAL
REMARKS
aces
AMOUNT
1,(358 lye
1001.00
102.58
204.9?
204.0#
28.90
20.€34
.00
6000.00
4'70.68
"9.390.15
Minimum Je1DaCK ul5iance5:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
Issued by:_
Validated by:
Validation:_
INSPECTOR
Date Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1SrFL. SO. FT. ® $
UNITS
c
t r �i t~ r
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. ®
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. p
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. p
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
_
-
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ. FT. ®
FINAL INSP.
FRAMING
ESTIMATED 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
FIRE ZONE ROOFING:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRYTRAY
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 a 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.
SO. FT. RESID ® 1'/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
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
ROCKSTORAGE
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$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
- BEYOND ENGI NEE R 1 N G
r
September 27, 2007 P.N. PDBO10600
Douglas F.. Henderson - Fax Letter
79785 Tangelo (760) 771-5378
La Quinta, CA 92253
Attention: Doug Henderson
Re: Tract No. 29894-2
City of La Quinta
Hideaway Lot 199
Y
Dear Doug:
On September 26, 200.7, representatives of this firm visited the above -referenced
project site for the purpose of checking the as -graded pad elevation. -
It was determined that this pad was graded in substantial conformance with the precise .
grading plan done by Essi Shahandeh Civil Engineer, as to line and grade as follows:
Lot 'Plan Actual '.
No. Pad Elevation Pad Elevation Differential
199 1016.50 1015.42 70.08.
.
The compaction reports should be submitted to us and- to the Building Official by you,
and should be approved prior to: construction:
Yours very truly,
ell
By: Neil McAnally Q �P�e G SUq
Professional Land Surveyor �5k GFS
cv i�c��-��,ily
NM:dg
~ 4820
G
NOLTE ASSOCIATES, INC: - I
73-185 HIGHWAY I 1 I, SUITE A
PALM DESERT, CA 92260-3929
760.3'41.3101 TEL 760.341.5999 FAIX • °
WWW.NOLTE.COM
a •
CITY OF LA OUINTA
°+OFn� DEPARTMENT OF PLANNING &DEVELOPMENT
BUILDING DIVISION
24-HOUR NOTICE FOR INSPECTIONS
777-71j9.yIJI':LAU IIA,
Owner J.M. Peters Co. ^j�.�,
Contractor Same v
Permit Number 13 514
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-785 Tangelo
'SFD Lot 27
TYPE OF INSPECTION DATE INSP.
FOUNDATION 8 SETBACK- -
FOOTING STEEL _
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO P40T POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST�
HEATING 8 VENT - A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP v z
GROUT ❑ 4' ❑ 8'
FRAMING f L
INSULATION C i
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR L
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL I
i I
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON. UTILITIES OR OCCUPY BUILDING
4!88
A-1