09-0132 (SFD)44
QUIK
P.O. BOX 1504 , No. 9472
Building
7&105 CALLE ESTADO
Address 79°08Q :�de a Drive LA QUINTA,
CALIFORNIA 92253
Owner
Windsor Projects: Inc.
Mailing
Address 29377 -Rancho California
City Zip Tel.
Temecula 192390 1 714/
Contractor
Address w
same
City Zip I Tel.:
LDING:- TYPE CONST. OCC: GRP.
200 1A.P. Number
676-$400
State Lic.
City
& Classif.
432709 B
Lic. # 1737
Arch., Engr.,
s
Designer
Smet s Architectural Groins
Address
Tel.
City
Const.
Zip
State
.5 -.50
Electricals '
147.92
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of DiviisiorrJ3 of the Business and Professions Code, and my license is in full dree and
effect��f�I �rC sty-. +� �/
`SIGNATURE Z 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, 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 or not more than five hundred doflars'.(8500). .
❑ 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, Bulsness 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 budding
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.)
❑ 1, 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.)
❑ 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 if the permit is for one hundred dollars ($100) valuation
or less.)
1 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, 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, 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 iscorrect
1 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
Legal Description T of,. P-47 Trac --t 23913
Project Description Plan
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ _ Repair ❑ Demolition ❑
Permit does not incline block walls or
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 by:
Validation:
Estimated Valuation 111,407.10
PERMIT
AMOUNT
Plan Chki Dep.
Plan Chk. Bal.
583.14
Const.
681.50
Mech.
.5 -.50
Electricals '
147.92
Plumbing
180.00
S.M.I.
7.U4
Grading
20 (10
Driveway Enc.
20.00
Infrastructure
2506. W
Art x% Public
TOTAL 4231.08
REMARKS
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 by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES,
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
FOR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
/ YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
HEATING (ROUGH)
FLOOR DRAIN
MECHANICAL FEES
SEWER OR SEPTIC TANK C/A o, OUGH WIRING.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
OTHER APPJEQUIP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
WATER HEATER SERVICE
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
REMARKS:
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FIREPLACE
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
11
GROUND PLUMBINf ° (y( Gp UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK C/A o, OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.UY
GAS (ROUGH) A ETER 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. ( �(
FRAMING q
FINAL INSP. / /s'
/�
ROOFING �/ �� l a ((,
l l
q ,n C�
O C (
�0i'e�y
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
ING l L�
MESH
INSULATION/SOUNDq to R( 442
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOWS SIGNATURESRN(TIALS
GARDEN WALL FINAL :1
evil
04/ , \� �zxt�c
OF bla- IQ
jt(t
of U intaII
it t*tb an b �Safjo.3t t ton I, �j
i, This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 79-080 Ladera Drive
SFD 9472
Use Classification Bldg. Permit No.
R3 VN R1
Group
Type Construction Fire Zone Use Zone
Owner of Building Windsor Projects, Inc Address 29377 Rancho California #200
City Temecula, CA 92390
By: Mark Harold
Date; 1/15/92
Building Official
7' POST IN A CONSPICUOUS PLACE
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ol\-
Project Address: 79 O go Lad erg a be.
Owner's Name: War) -0-6Randz jUar l jn C�
A. P. Number:
Address: '79 0 T?Q L o deA_a- OA
Legal Description:
Contractor:
City, ST, Zip: LGL O t.-. al GL CA
Telephone:
Address:
Project Description: &Ll OAdoi block 74-�6
City, ST, Zip:
(1Or7 f o>F /COri�� iKJ G'/rd. "
Telephone:
'/[� /
Q� LLT�kG¢ Ot/d P4 Al
State Lic. # :
City Lic. #:
7-braRAkj-
A ji /1 f nclu-d e =Q � Q�Gj�jt. 4
-k
Arch., Engr., Designer:
Address:
adL,u
City, ST, Zip:`
R
Telephone:
Construction Type: Occupancy:
State Lic. #:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories: # Units:
Telephone. # of Contact Person:
Estimated Value of Project. �Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2n' Review, ready for correctionstrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''4 Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees