04236 (GRES)Building 78353'Tarra CattaCt
Address
Owner
ID0010va
115131C,
P.O. BOX 1504
78-105 CALLE ESTADO
LA,QUINTA_CALIFORNIA 92253
BUILDING: TYPE CONST. OCC GRP
Mailing
Address 777 Si D%40 st4l Suite 1,06
City zip Tel.
92686 i14-541,�-4051 Legal Description
Contractor,
Saw
Address
City Zip
State Lic.
& Classif. - 462014
Arch.,.Engr.,
Designer.
Address
Tel.
City
Lic. #
Tel.
Project Description. _BUildinq 10v PlM 3'
Sq. Fit. 76.3 No. No. DW.
Size Stories Units .
New 0 Add 0 Alter 0 Repair 0 Demolition 0
City,,
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm toat,Vam licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effectt—. 1 -0 1 ;� 1 .1 , .
SIGNATURE 9 Vi DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
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
'to,construct,
permit. alter, -improve, demolish, or repair any structure, prior to its Issuance also
r6quires,the applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
the provision 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 Any Section 7031.5 by 'any for
Plan Chk. Dep.
alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Plan Chk. Bal.
0 1, as owner of the property, or my employees with wages as their sole compensation, will
4,41
do the work, and the structure is not intended or'offered for sale. (Sec. 7044, Buisness and •
Const.
-.21V4 'IOU
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,
Mech.
« *0101
provided that such Improvements are not intended or offered for sale. If, however, the building
w
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
41.713
of proving that he did not build or improve for the purpose of sale.)
0 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
ii
3#
structrthe 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
S. M. 1.
such projects with a confractor(s) licensed pursuant to the Contractor's License Law.)
Grading
0 1 am exempt under Sec. B. & P.C. for this reason
Driveway Eric.
Date Owner
Infrastructure
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
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars'($100) valuation
06't V%W*Ao-�05 —ft i W
or less.)
' I certify that in the performance of thp 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. I . .
DateOwner
if, after this NOTICE TO APPLICANT. making is Certificate of Exemption you should become
ZONE:—
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances,
-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 Lint -
Lender's , Nam
Lender's Address:
FINAL DATE
:.�_INSPECTOR
s a
This I building permit when properly filled out, signed and validated, and is subject—
to
6/29/88
expiration it work thereunder is suspended for days.
Icertify that I have read this application and state that the above information is correct.
Issued by:
Date Permit
I agreetocomply
om P 'Y with all city and county ordinances and state laws relating to building
n .
cot-cti on _ I and _ hereby authorize representatives •of this city to enter the above-
mentioned property for inspection
pection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation.
-City, State, Zip
WHITE - FINANCE,'PINK APPLICANT, GREEN - BUILDING, GOLDENROD- ASSESSOR'S OFFICE, -HARD COPY - FILE. f,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
ISI FL SO Fl y $
UNITS
Z618--GRADEjZ,-2
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. C
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FTat
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. QC
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. �
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. 0
- $
LUMBER GR.
FINAL INSP.
At ING `l _
!��
FINAL INSP.
SO. FT. (aURINAL
n
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTONDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL '
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK A��RRjR��ESTOR-
LAUNDRYTRAY
AIR HANDLING UNIT CFM
R. If(EWALL 2'��
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 B.T.U.
SO. FT. ® c
BATH TUB
FINISH GRADING
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SO. FT. RESID a 114 c
SEWAGE DISPOSAL
SO.FT.GAR re Vv c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.;:EE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK
GROUND PLUMBIN•i
UNDERGROUND
A.C. UNIT
COLL. AREA
Z618--GRADEjZ,-2
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
jf�kD. REIN F." 2 .1 V
7 V
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.
At ING `l _
!��
FINAL INSP.
ING rr��
5
n
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK A��RRjR��ESTOR-
R. If(EWALL 2'��
LATHING
MESH
NS LATIONISOUND
FINISH GRADING
FINAL INSPECTION •'Q� /
!v/
CERT. OCC.
FENCE FINAL •
INSPECTOR'S SIGNATURESIINITIAIS
GARDEN WALL FINAL
r
City o a u�� .n a
,
5 79495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
(760) 777-7012 [FAX] (760) 777-7011
INSPECTION RECORD
Permit # 9808-002.
STRUCTURAL RETROFIT OF UNIT
ADDRESS .
DATE
INSPECTION
[YES/NO]
78--enq _49WR 61yq
-/D - 98
FRAMING/HARDWARE
®� •�
PLAN TYPE: ,�'`!
/-/D' 9�
INSULATION
mk I •.Y
Contractor:
WERMERS MULTI -FAMILY CORP.
SHEAR NAILING
�k ,.�• r
//-/ -9g
-
DRYWALL
1.2-11-96
JOB FINAL
COMMENTS/NOTES:
Aa00iC_ 2,9