15725 (SFD)4
P.O. BOX 1504 N o . 15725
Building 78-850 Spyglass Hill DriVe 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner is Quinta Fairways
Mailing BUILDING: TYPE CONST. VN OCC: GRP. lt3
Address 355 Bristol St. Site A769- 641'-002
A.P. Number
City Zip Tel. ' ' Lot 72 Tract 25389-1
Costa. Mesa 1 92626 1(714) 540•-6060 Legal Description
ContractorAyres Group Project Description S F 0 Plan 2R
Address
Site as above
State Lic. City
& Classif..�"61316 Lic. # 3324
r
Arch.; Engr.,
Designer Danielian ASSOCiates
Addrsixty Corporate Park (71.4) 474-6030
City Zip
;rViffe-,1-1 ilr-12714 I Lic.State #
LICENSE6CONTRACTOR'S DECLARATION
I herey affirm that I am licensed I nder.provislons of Chapter 9 (commencing with Section
7000) of Division_3 of -the Business a d Professions Code, and my license is in full force and
effect A ^ICA. ..,n�•� 1 � C4. 1!;� y4: t%—
OWNEWBUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractofs 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 Ole 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 civfl penalty of not more than rive hundred dollars ($500).
❑ 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, 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 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 contractor(s) &ensed 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 Company
•.o�Noy 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 ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, 1 shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT. It, after making this Certificate of Exemption you should become
sob%ect 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 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
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from R T rop. Line
Side Street Setbac ter Line
Side Setback from r erty Li
FINAL
Issued by: Dat�0Permit
Validated bv: _ eTC
Validation:
Sq. Ft. 2424
Size
No. No. Dw.
Stories Units
Newa» Add ❑
Alter ❑ Repair ❑ Demolition ❑
permit does not include black walls or
Pool
Estimated Valuation
$199061.00
t .
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
$816.95
Const.
$985..50
Mech.
$ 96.00
Electrical
$167.79
Plumbing
$174.00
S.M.I.
$ 19.91
Grading x
$ 20.00
Driveway Enc.
w.
$ 00
Infrastructure
;4,.478.87
Arts an Pub
Places 24.7.65
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from R T rop. Line
Side Street Setbac ter Line
Side Setback from r erty Li
FINAL
Issued by: Dat�0Permit
Validated bv: _ eTC
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2 ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC 1ANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. @
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. @
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. @
_$
LUMBER GR;
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
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING '
LAUNDRY TRAY
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.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
M:ECH.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 1ANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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
c
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
?
-CITY L.TA
OF A (JUIN
8"I't 1 L T
011-0:NG & SAFETY C)fjAi
'j-.
'l 2
C'Ty()FL777.70
A OQ4TW.CTION REQUEST LINE
SEPr,777.7153
0wn or u , i r , ita
A y r
Contractor
Permit Nurnber 5 25__.-..___,.
POST ON JOB IN CONSPICIUUUS PLACE
INSPECTOR MUST SIGN ALL. APTILICA131. E SPACES
7 8 - 8 Si'1: v C.
JOB ADDRESS 4
S F? D PJ. Fi ri 2R
e. -.-,i i t does n 1; L, I-1 U d
Pool
TYPE OF INSPECTION
I OATE I ltqsp
FOUNDATION & SET'9;CI(
FOOTING STEEL
GROUND PLUMBING
UNYIL ALL A13()Vf.- HAS BEEN SIGNED
CONCRETE SLAS
JOISTS &'GIRDERS
UN I- I L A HA -1. BEf-N SIGNED.
REIU61-1 I LECTF3,1C
ROUGH - I,'(", J
_..,..w.__......___..._
ROUGH GAS & GAS TEST
HEATING & VENT Ai`(,
O.K. TO vVRAP
.. .
GROUT ': 4'
. ......
1
FF(AMING
INSULATION
PRE IT6 0 F
--------
COVER NO WORK UNTIL A09_�,L-*, HAS P VE. IN S I G N E'o
...... . ...
POOL, PRL PLAS'l F.R
I'OQL-FENCE & GATE
T R I CA -L-
.......
�"
PLUMBING
HEATING - A/C
HOUSE NUMBERS
JOB CUM .FTL..............
7Cj
ABOVE APPROVAL" 00 ("!G} -IT 10
TURN ON UTILITIES OR OCCUPY GUIL.C.)ING