13117 (SFD)Building
Address 79-80
T 4
4ht 4
P.O. BOX 1504
78-105 CALLE ESTADO
to LA QUINTA, CALIFORNIA 92253 `
J.H. Peters Co.# Inc.
Mailing
Address 3501 Jamboree Road
CityZip
'Newport Beach, CA 92660
Contractor
Same
Address
No. 13117
BUILDING: TYPE CONST. OCC: GRP.
#200 A.P. Number 769-590-007
Tel. Lot 7 Tract 24890-3 Phase I
(714) 8.54--25QO Legal Description
Project Description , SFD Plan i
ity lZip I Tel.
State Lic. B 31088 (City 1503
& Classif. Lic. #
Des nergr' Berkus Croup
9
A"I"borporate Park 0.14) 26108262
Cit rZip State
'�ritte, CA 92714 Lic. # C 6885
LICENSED CONTRACTOR'S DECLARATION
I hereby @ffirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of D,ivof the Busi ess an rofessions Code, and my license is in full force and
effect. L►J � `r ( ` A
SIGNATl1RE 111 i !. �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 :o 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 of not more than five hundred dollars ($500).
O 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
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
or proving that he did not build or improve for the purpose or sale.)
O 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 or 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 ereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worke s Compensation Insurance, or a certified copy thereof. (Sec. 3806, Labor Code.)
Pol4No. Company
opy is filed with the city. O 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 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 if 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
Sq. Ft. 3469 No. No. Dw.
Size - Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolitioo ❑
Permit. does not include a_rny blacks walla
or pool.
Estimated Valuation
$241,445-00
PERMIT
AMOUNT
Plan Chk. Dep.
`(
Plan Chk. Bal.
I,�,.
923-41
Const.
Mech.
1
96. O
Electrical
182.22
Plumbing
1 ; -(% / i
165.0
S.M.I.
24-20
Grading
20.00
Driveway Enc.
r
—0 --
Infrastructure
5, 346.34
Arts in PublIc
Places
TOTAL,2
REMARKS
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
1ST FL,
n P' h r
2ND FL.
FOR.
GAR—
Sp. FT. $ s
UNITS
LAB GRADE
SO. FT.
YARD SPKLR SYSTEM
SO. FT. ® MOBILEHOME SVC.
BAR SINK
._SQ., FT. ®, POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
WALL SO. FT.
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
SEWER OR SEPTIC. TANK
DRAINAGE PIPING
_ DRINKING FOUNTAIN,
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROCK STORAGE
FLOOR DRAIN
MECHANICAL FEES
GAS (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (FINAL)
GARBAGE DISPOSAL
FURNACE UNIT- WALL' FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
WATER HEATER
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
J SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
ROOFING
- SO. FT.® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/a c
SEWAGE DISPOSAL
t
SO.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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
BACK
NO PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB 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 APP.IEOUIP.
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:
t
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF u► OUINTA
•AHTMENT OF PLANNING & D'EVELOPMENT
€f ;' l��99 BUILDING DIVISION
J(lIV 2 564-2246
?I• 19 -HOUR NOTICE FOR INSPECTIONS
�ti,r� err LoT 1
Owner
I•Y' J.M. Peters, Inc.
Contractor. Same
Prmit Number 13117
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-800 Tangelo 1c
SFD: Permit does not include any block
,I°,;,, walls or pool.
TYPE OF INSPECTION I DATE I INSP.
FOUNDATION & 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 GR UND WORK
0 C
DO NIOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST / g.7 AOL/
HEATING & VENT - A/C
FIREPLACE T
9�lm
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
- / —
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER S
/o ,7 q ;
ELECTRICAL I /"—/e/ (,,,// I �,;(I ;;'
PLUMBING j
FINAL GAS TEST
HEATING - A/C'
HOUSE NUMBERS
JOB COMPLETED /
} ' ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/88
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