07715 (SFD)Building
Address 78-375 Via Cat 1enta
Owner
Address S Aumqta
City Zip -FTl.
Contractor
City
Zip
Plan Chk. Dep.
Tel.
Plan Chk. Bal.
Const.
762 aQ
State Lic.
66.50
City
& Classif.
Plumbing
Lic. #
Arch., Engr.,
9.45
Designer
Address
Tel.
3.015.86
City
Zip
State
TOTAL
Lic. #
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
LICENSED CONTRACTOR'S DECLARATION
I f hereby affirmf that I am licensed under provisjpns of Chapter 9 (commencing with Section 7000) of Diviission 3 of the Business and Professtons'Code, and my license,is in full force and
effect..
SIGNATURE '1' "--"F J� ; .�,i 1+�F :1' 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 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 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) licensed pursuant to the Contractor's License Law.)
O 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'COMPENSATIONINSURANCE
(This section need not be completed i1 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, alter making this Certificate or 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
Ihereby 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
LDING: TYPE CONST
P. Number
Legal Description Traci 23972
No. 07715
OCC. GRP.
Description tae. I_A L tt 74
Sq. Ft. No. No. Dw.
Size 7.700 Stories 1 I/2 units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
762 aQ
Mech.
66.50
Electrical
Plumbing
138,50
S.M.I.
9.45
Grading
Driveway Enc.
Infrastructure
3.015.86
TOTAL
4.768.37 4. -• l `�` ' r
REMARKS e
to
1�i li.7�r; 7, Y tfL .k ^itJ`ifV♦.sr
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 4/26/S ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
2ND FL. SO. FT.
SLAB GRADE
YARD SNKLR SYSTEM
POR. SO. FT. p
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
SEWER OR SEPTIC TANK
DRAINAGE PIPING
WALL SO. FT.
DUCT WORK
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REINF. STEEL
FLOOR DRAIN
MECHANICAL FEES
TEMP. POLE
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER HEATER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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.
SO. FT. ® c
BATH TUB
= `
/r` �� pL `
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FIRE ZONE ROOFING:
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 -
SETBACK
ROUND PLUMBIN ',/�/,
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) L7 3,/C, �/.
O� `( U► /�
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. 2a d to
p
FRAMING / ZlJ
(((
FINAL INSP. ��l Q� L�
L
ROOFING
V
o
= `
/r` �� pL `
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING C( L
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION D C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
16 Ai WY P.O. Box, 1504
%% /Y 78-495 CALLE TAMPICO
W,,iin$Brighter ThanEver LA QUINTA, CALIFORNIA 92253
May 1, 2002
Dear Homeowner:
(760) 777-,,7000
FAX (760) 777-7101
Please be advised of a clarification to the street name for the following structures.
The structures formerly addressed on Via Calienta will now be addressed ending
with an "e" as follows:
Address
AY—N
78-345 VIA CALIENTE
604-203-012
78-355 VIA CALIENTE
604-203-006
78-360 VIA CALIENTE
604-202-008
78-365 VIA CALIENTE
604-203-007
78-370 VIA CALIENTE
604-202-007
78-375 VIA CALIENTE
604-203-008
78-380 VIA CALIENTE
604-202-006 _
78-385 VIA CALIENTE
604-203-009
78-390 VIA CALIENTE
604-202-005
78-395 VIA CALIENTE
604-203-010
The Assessor's Office, Post Office, utilities, and Riverside County 911 have also been
notified. Please contact me at (760) 777-7019 if I may be of further assistance.
Thank you.
Sincerely,
Diane Aaker
Building & Safety Department