15726 (SFD)-r. r .
• ulG�,rcv
P.O. BOX 1504
Building 50-40L S 91asg Bill Dr'ivo 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner
La Quinta Fairways
Address 355 Bristol Si. Smite A,
City Zip Tel.
costa mesa 1 92626 17M540-6060
Contractor
Ayre s Groep
. , Same as -abo-Ve I
City lZip Tel.:
17tOM Uv.'B'"63.31fi_1 .,..y
& Classif. Ljc. # 3324
Arch., Engr.,
Designer Danielian Associates
Saxty Corporate Part oress Tel
City Zip State
I3;3dne,, . 927141 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Sectio
7000) of Division 3 of the Business and Professions Code, and my license is in full force an
effect. X) ''" N lira: _ SIN ii. 17".0
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, after, Improve, demolish, or repair any structure, prior to 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).
❑ 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
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 cor -
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 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 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
• Copy Is filed with the city, ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed B 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: ti, 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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 aboveinformation 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
No. 15726
VN R3
11LDING: TYPE CONST. & OCC: GRP.
P. Number 769-641-014
Igal Description Lot 84 Tract 25389,!.-1
oje.ct Description ` Plan 2
Sq. Ft -2424' No. No. Dw.
Size Stories Units
NewX3 Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit does not include block wall 'tar .
Pool.
stimated Valuation
$19;9; €361.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$Ulb.95
Const.
�989.50
Mech..
6. DO
Electrical
* :
Plumbing
4; 171 4. V
S.M.I.
19,91
Grading
zuouu
Driveway Enc.
ou
Infrastructure
14 r
@-'tita in. 1I,
Places 4,241,65
TOTAL
a = V • 5 b
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from R ar Prop. Line
Side Street Setba(4pe%rtyLke ter Line
Side Setback fro
FINAL.DATE
Issued by:
Validated by:
Validation:
�t
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW%3 FEES
A.C. UNIT
COLL. AREA
SLAB GRADE
1ST FL. SO. FT. ® $
UNITS
HEATING (ROUGH)
STORAGE TANK
FORMS
YARD SPKLR SYSTEM /
2ND FL. SO. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. _ SO. FT, ®
OTHER APPJEOUIP.
REINF. STEEL
GAR. ' SO. FT. ®
POWER OUTLET
ROOF DRAINS
GROUT
DRAINAGE PIPING
CAR P. SO. FT.
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
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
FIRE ZONE ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
NECH.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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
1 CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL71
y
Lot 84
4 CITY OF LA QUINTA
E3QLDING & SAFE
DEPARTMEN T
' Uh QWNI'A 777-7012
INSPECTION REQUEST LINE
SEP �y� 777-7153
w�F!NAf _ DWlhta Fairways
')ntvactor Ayres– Group
armit Number 15726
POST ON JOB IN CONSPICUOUS PLACE -�
INSPECTOR MUST SIGN ALL APPLICABLE SPACE
JB ADDRESS 50-4115 SPycJlass Hill Drive
S F D Plan 2
,3rinit does not inclUae block \vEt1' or
001.
TYPE OF INSPECTION DATE INSP��
)UNDATION & SETBACK-
)OTING STEEL
AIN GROUND SYSTEM–r^/��_�`
-SOUND PLUMBING;
NOT POUR CONCRETE UNTIL ALL AB0VE HAS BEEN SIGNED
)NCRETE SLAB — _ '0.
>ISTS & GIRDERS --'
ECTRICAL GROUND WORK - --
? NOT POUR CONCRETE UNTIL ALL, ABOVE HAS PFFN SIC;NPn
+UGH ELECTRIC
;YWALL INTERIOR
-IERIOR LATH
_.mss._
)UGH PLUMBING
)UGH GAS & GAS TEST
vd=
_.__
:ATING 8 VENT • A/C »._...
IEPLACE
•F._E� -
_ --_---
ATING - A/C
-�-
IUSE NUMBERS
IO L FENCE & GATE
MP Pr)WFQ
)ND BEAM
'TO
�
WRAP
i
_
AMING
3ULATION —
-�—
'E-ROOF
COVER NO WORK UNTIL ABOVE !AS BEEN SIGNED
;YWALL INTERIOR
-IERIOR LATH
_.mss._
a r:..
_ __ _y.
_.__
'�
- -`--I
>OL PRE PLASTER-�-
ATING - A/C
-�-
IUSE NUMBERS
IO L FENCE & GATE
MP Pr)WFQ
t
WE SEPTIC TANK
1 .
FINALS
LCTRICAI
1
NG
JAL GAS TEST
- -`--I
ATING - A/C
-�-
IUSE NUMBERS
B COMPL4TED��—
MP Pr)WFQ
t
ABOVE APPROVALS DO NOT INCLUDE RIGH 1' TO t,M
/95 TURN -ON, UTILITIES OR OCCUPY BUILDING
TA78-495 CALLE TAMPICO - LA . -QUINTA„ CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
May 9, 1996
Ayres Group
355 Bristol St. Suite-A,
Costa Mesa, CA 92626
To Whom It May Concern:
The structure formally addressed as 50-455 Spyglass Hill Drive,'APN#769-641-014, lot
.84 tract. 25389-1' will now be addressed as 50-445 Spyglass Hill Drive.
I have notified the utility companies and the post office.
Please note these changes and feel free to contact me if I may be of further assistance.
Thank you.
Sincerely,
BUILDING & SAFETY DEPARTMENT
KellqTrpp
Counter Technician
' r
MAILING ADDRESS - P.O. ,BOX 1504 = LA OUINTA; CALIFORNIA 92253 �,�