06853 (SFD)~ P.O. BOX 1504 No. 06853
Building 4�
Addres -�95���� LA QUINTACCAL CALIFORNIA 92253
S
Owner
La Quihta AssociatesMailinBUILDING: TYPE CONST. OCC: GRP.
Address 43-875 A.P. Number
Washington St. Tract 22982 - Phase IV
CityZip Tel. Cat ifs flower
Palo Dere 9226Q 345-7541 Legal Description
ContractorPlain LARo Lan 117
E.G Williaw deli. Cort. Project Description
Address
ty
State Lic. City
& Classif. 493919 Lic. # ' 1231
Arch., Engr., -
Designer
Address Tel.
City. Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70pp) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. '
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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 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).
❑ 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 "I have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 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 of property who buihts'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.Cefor this reason
Date_' ',F.a Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance; or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ 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 pemtif is for one. hundred dollars (E 100) valuation
or less.J
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anyperson 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, Chdl Code.)
Lenders Name
Lenders Address
This is a building permit when properly filled but, 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 sof this city to enter the- above:.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City,. State, Zip
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 bv:
Validation:
Sq. Ft. 1336.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$73' 279
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
+ 44fJ•es
Const.
50
Mech.
Electrical
Plumbing
. y
j �`•, )
S.M.I..
Grading
Driveway Enc.
Infrastructure
f>'�•
TOTAL
REMARKS
fte'%, ti 11`04"ta' - As.#407 CAff)
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 bv:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
n
SLAB GRADE 3 / L)7 9(�(�•L
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
FORMS
/
SEWER`S /I'/A
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH) O G
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
I
GROUT
DRAINAGE PIPING
CAR P. SQ. FT.
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
=$
LUMBER GR.
FINAL INSP. O Cp
FRAMING F g
1
URINAL
SOFT ®
( �D
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(AUTOHDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Ya C
SEWAGE DISPOSAL
/
FINAL INSPECTION a.(C
SQ.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
M=CH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
UND PLUMBIN G
UNDERGROUND
A.C. UNIT
COLL. AREA
n
SLAB GRADE 3 / L)7 9(�(�•L
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
/
SEWER`S /I'/A
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. ?J I L (C���
N
GAS (ROUGH) O G
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. O Cp
FRAMING F g
1
FINAL INSP. �(�`%
ROOFING /`
( �D
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOON
FINISH GRADING
/
FINAL INSPECTION a.(C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1
_ _ -.. L 7 �.krjr rS a 1 .r •ilt
T, H E � ~ t rI T ' �Y r `" 0 F 'j,h
:1` • - .. .~,a .y" " •}f •. S x•. +f•cw, +rt • .+ #tl •."ri•f. •'. 3 : rv�-�t�,
,, • :±� • ••�,,�'";t"S�r¢,a�;�i% sr rli,` i"'*•r., yt.�,�'ttiyJ ��:+- Y���`'
aj
M v*yr .r.•. .y t.. �r�z
' ' - • t .: ii Y; 1 f f {e .dpi caw '!••• gl�!'.'1',a f .p. Lj.
L a S{ ,.�+�,.,r.anyi�. •#,s < �''Ly' Y. y Sa- x .+'��u •",,t.
••r r-•'.�� w' +yam .. - .r c�h`rl*-ar,-:lr"./`.►•s""r'L'-r1:i1!•e+"ui �'2
inta.
f ;r 1982- 1991. Ten Carat Decade
1 �. 4 i • �"- ~. � >- u" ' .. - v r { s �' Z � . .,•* ti., ,` Lk'. c � � �'�+'�' .•.: r
March 12, 1992 ' • ' .. 1 �' ,
•• - Yoshimichi Ota ',. •, •. ` : - ' ,. ,-• - ' - �,•'. ,
X095 _ Swe_etbush=Lane f V
La Quinta, CA 92253
-Dear Mr. Ota: 1
This .letter ' is in' regards to your 'request' for a certificate ,for
your home stating that, no lead or, asbestos was used in its
construction. Although this department has no such certificate I'
can assure you- that -all of the building products used in your
home comply with current federal standards as they relate to
1' hazardous materials and their use -in residential construction.
a
Should' you have any questions, please do not hesitate to contact
me`
Sincerely,
BUILDING AND.SAFETY DEPARTMENT _
Tom Hartung +
Director of Building and'Safety
. TH/lc
City of La Quinta
Post Office Box 1504 • 78-105 Calle Estado
La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617'
Design 8 Production: Mark Palmer Design, 619.346-0772, .
r. March 9, 1992
City ,of,. La, Quinta
78105 Calle Estado
La ,Quints, CA 92253
'At.tn. Department -of Building and'Safety'+
'Re: Certification'of'. No Use of Asbestos and',Lead Paint
for a House;
Lot"117,.'Tract 22982 - Cactus Flower
Dear Sirs. t,
Kindly do me favor.
I would likeyou to issue•4for me a .certificate of "'no use' of
asbestos. and lead paint" in building. houses 'bu'ilt .at . the "Cactus -
Flower." compound. Specifically. speaking, ' I am referring .to .the
house located at 44=095 Sweetbush,Lane, La Quinta,"CA 92253,
where I am liv,itig, right now.
I asked thi's certification to' Ithe builder of my house, Williams
:Development Corporation. They.brought me: -to your office regarding
this issue. They say that they bui l t An 'accordance with the city
code specifications; implying that the City of.La Quinta Depart-
ment of Building and Safety is the right .person who -can service
�.� this sort of matter to `a resident's need. For your reference, .I
am' attaching the letter I received from*Williams Development
Corporation. �.
I hope,I can hear#fr.om you soonest. Many'thanks in advance.
S+n-cere1y, ,.
i
i
oshimi'chi: Ota dad o.t
44095 Sweetbush Lane,
L'a •Qu'inta, CA 92253 �AR`j l ,
Day Time Phone: (;619)348-5027,4 r
C11Y9
Yu ourR
' i