0771317 0
P.O. BOX 1504 No. 07713
Building 7g-3 calienta
Address LA QUINTA CALIFORNIA 92253
t�rcaac nWt1J
Mailing
BUILDING: TYPE CONST. OCC: GRP.
-
Address t a
A.P. Number
Legal Description
Project Description
Tract 23971
Phase i -A Lot 75
City Zip Tel.
ani . A� ; on
Rao 141Contractor _
Sa6e
Address '
City
Zip
Tela
State Lica
City
_
& Classif.
1.Engr.,
Lic. #
Sq. Ft,
Size . 3364
No. No. Dw.
Stories Units
Arch.,
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City.- ,. :'
Zip
State
Lic. #
t LICENSED CONTRACTOR'S DECLARATION
- I hereby affirm that I am licensed under prov' ions of` q apter 9 (commencing with Section
t 7000) of D,ii I io 3 of the Business aAnd Prof, Code, and my license is in�1 111 a &
effect. I'a"—"x
,
-SIGNATURE' `- - •� ° DATE
OWNER -BUILDER DECLARATION
1 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 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).
O I, as owner of the property, or my employees with wages as their sole compensation, will
Estimated Valuation
!'S412�f50E�! ;
1 }
$171,250
PERMIT AMOUNT
Plan Chk. Dep.
- -
Plan Chk. Bat.
Const.
-
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.)
Mech.
- ' -
Electrical • •'•�
'
Plumbing150.
_
FA
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the,projecl. (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.)
❑ I am exempt under Sec. B. & P.C. for this reason
S.M,I.
Grading
Driveway Enc.
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. ❑ Certified copy is hereby furnished.
TOTAL
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, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws o_ f California.
REMARKS
}•
"� �'
53�y q
Y3 .Y Z Ffi rY +�1 : TPA A'yd SA9 . B� d'V
i l..{�i 1t''FF R 9 I.� i a.
..
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. '
ZONE: BY: '
- -
Minimum Setback Distances:. -
Front Setback from Center Line
' CONSTRUCTION LENDING AGENCY*
Rear Setback from Rear Prop. Line
Street Setback from Center Line—
I hereby affirm that there is a construction lending agency for the performance of the
work4
for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
U
y/�U I�FF''
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 of this city to enter the above-.
mentioned property for inspection purposes.
Issued by:
Validated by:
Date ermit
Signature of applicant Date -
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SO. FT.
GAS (ROUGH) ?O (gyp
>
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ -plus-x$_=$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
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'® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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 GOND. SOLAR'
SETBACK
GROUND PLUMB f � 2_1
UNDERGROUND
A.C. UNIT
COLL. AREA
LAB GRADE �d
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINFs— /L - OA
IIIJJJ
GAS (ROUGH) ?O (gyp
>
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./2
FINAL INSP. 920 (�
FRAMING %[ l t1 L p
FINAL INSP. q r (�
ROOFINGAf,,L / d
�^�
` I wpm
� J�v
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING W W d
INSULATION/SOUND tJ 7ljA ��
FINISH GRADING
FINAL INSPECTION7L� q
1�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
.,f,'•
AWN
P.O. Box 1504
78-495 CALLE TAMPICO (7 60) 777-7000
,ining Brighter Than Ever LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
May 1, 2002
Dear Homeowner:
Thank you.
Sincerely,
Diane Aaker
Building & Safety Department
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