15672 (SFD)IL
P.O. BOX 1504
No.. 156,72
Address 70'1.70 Lades 'Drs LA QUINTA, CAL FORNPA 92253
Owner ^a]b1Ol l ember ear & Associates
BUILDING: TYPE.CONST.- Vlq OCC: GRP. R--3
Mailing
Address 41-865 Boardwalk, Site. 212 604-272-'405
A.P. Number
City Zip Tel.
Palm. Desert, A 92211. 619) 777. 7768 Legal Description �''t' 101 Tract 23913
m,
Contractor SF€,� • Plan 3 oriel
sameProject Description
Address Qu1;'lterra
City. Zip Tel.:
State Lic City
& Classlf.. W 4088.2,3'4 Lic. # 18' 8 Sq. Ft. No. No. Dw.
g�� Size - 2359 Stories Units
' Arch., Engr,,
Charles -`D. Garland
DesignerNew ❑ Add ❑ Alter❑ Repair ❑ Demolition ❑
. lyvsi63 Cath'edral. Cyr. Dr. Ti k9j,770-7025 .
City Zip State
",`-the+ ria Citi C 92234 Lic. #.
LICENSED CONTRACTOR'S DECLARATION "
I hereby affirm' hat I am Iicensedaunderprovlsloss of Chapter 9 (commencing with Section
7000) of D�ivisio 3 ofithe Busindsstznnd oP+rotesssions,C.osdeeand my license isn full fore p
effect. •�-. �� ..- < ,`�;sr' ,.e:«.�" _:.�
GNATURE4, a:: DATE - - -
fr!� ' .
OWNER-BUIL DECLARATION
Estimated Valuation2�)D 4 a�
I he y affirm that 1 am exempt from the Contractor's License Law for the following ,, 251.00
mon. (Sec .703.1.5,Bushress 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 PERMIT AMOUNT -
the provisions of the Contractor's -License Law, Chapter 9 (commencing with Section .7000) o/ -
•Division 3 o/ the: Brisiness and Professions Coda, or that. he is exempt therefrom, and. the basis
for the allegedexemption. Any violation o/ Section 7031.5 by 'any applicant for a permit Plan Chk- Dep. 250.04
subjects the applicant to a civil penafty of not more than rive hundred dollars ($500).
❑. I, as.owner of the property, or my employees with wages as their sole compensation, will (S
Plan Chk. Bal. j .3
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
Professions Code: • The Contractor's License Law does not apply to an owner of property, who
builds or improyes "thereon and who does such work himself or through his own employees,-,+- -
r"provfded that' such improvements: are not intended or offered for sale. If, however, 'the building Mech.' { ya •-
or improvement.is sold'wfthin one year of completion, the owner -builder will have the burden Electrical
.. of proving that he did not build or improve /or the purpose of sale.) i� • p
O'I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing, 174,.00.-
' 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 S.M.I. - - - .14 a 0.3
such projects with's contractor(s) jicensed pursuant to the Contractor's License Law.) - -
❑ I am exempt under Sec Grading 20.00 B. & P.C. for this reason '
Driveway Enc. .00
Date Owner Infrastructure 3J40.98.
Arts in P1: 31 a �lAeBB 100.63
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 copyath'ereof. (Sec. 3800; Labor Code.)
Policy No Company
❑ Copy is flled.with the city.. ❑ Certified copy is hereby furnished. F 1
TOTAL 5,133.88 4,863. €38
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCt
(This section need not be completed it fhe,`permit is ,for one hundred dollars ($100). valuation -
' or less.) t+' .
I certify that'in the performance of thg 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. ff, after makmg this Certificate o/ Exemption you should become ZONE: - - BY:
subject to the Workers' •Compensation provisions of the Labor Code, you must forthwith - - -
comply with such Provisions orthis pemutshall bedeemed revoked.
_ Minimum Setback Distances:
front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE•WORKERS'COMPENSATIONCOVERAGE IS UNLAWFUL, AND Side Street Setback'f�om Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE . from
HUNDRED.THOUSAND DOLLARS ($100,600); IN ADDITION TO -THE COST OF COMPENSATION,. - Side Setback from Propertty,� eA -
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF.THE LABOR CODE, INTEREST, AND jN
ATTORNErsFEES. FINAL DATE AfNS E OR l'
This'is a building permit when properly filled out, signed and validated, and is subject to v rr
expiration If work thereunder is suspended for 160 days. V
I certify that I have read this application and state that the above information• is correct. • Issued by: - 'Date �.9Rermit
I agree to comply with all city and county ordinances and state' laws relating to building j �y
construction, and hereby authorize representatives .of this city to enter the above.' Validated by:.
` 99s
mentioned property for inspection purposes. .
Signature of applicant Date
Mailing Address Validation: G/
City: State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM 7
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
DUCTWORK
DRAINAGE PIPING
WALL SO. -FT.
DRINKING FOUNTAIN,
SO. FT. ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
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
ADING
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, 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 ® t+/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PU.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. •c
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWE T /f N
ROUGH WIRING
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) .
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATE .
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INS Vcu.
1
ADING
yd.
$ plus x$
_$
LUMBER GR.
-
FRAMING
FINAL INSP.
ROOFING
111
b
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
rlRR-06-1997 15:38
ti
ROGER SiNELLENBERGER
P.01
-A
CITY QF LA QUINTA
SUiLDING & SAFETY DEPARTMENT,
T"-7012
..jNSPP,-,T!0N 1,EQUE'SI'LINE
! 777-7153
ASSCCiziteS
672
POST ()N j6i__flN_d6WPP_lCGb_US PLACE
lr,JSP;:Q,T0R MUST SIGN ALL APPLICABLE SPACES
79-170 _Tad�ra. Dr.
J08 ADDRESS
SF, 1) p 1. a n 3 Lot 101 model
ON DATE
INSP.
SETBACK'
^f
r(X.)TINrj S -T _-L
ROUGpi CxoS & GA EST
MAIN GRU 0 SYSTEM
i -JE -AT ING & VENT - A/C
GROUND PLUMBING
F-71
71_7i� _N_
17
00 NOT POUR CONCRETE UNTIL ALL ABOVE i'ms 6 -rGNED
,_c.TR
'i..F ICAL GROONO WORK
6NTIL.ALL ABOVE HAS BEEN SIGNED
rnvpR NO WORK JNTIL ABOVE HAS IIEEN SIGNAO-1p
DRYWALL INTERIOR
r
E? iERIOR. LATH
^f
FLAS EP
Nci_8 GATE--
_SEPTIC _TANK
ROUGpi CxoS & GA EST
_SEINER
i -JE -AT ING & VENT - A/C
WEnNG - A/C
F-71
Fj E
,p AC7
17
JOB COMPLETED
FC,O F
77
B E A
a
-.0
FRAMING
i T L�
rnvpR NO WORK JNTIL ABOVE HAS IIEEN SIGNAO-1p
DRYWALL INTERIOR
r
E? iERIOR. LATH
FLAS EP
Nci_8 GATE--
_SEPTIC _TANK
_SEINER
WEnNG - A/C
F-71
APPROVALS DO NOT INCLUDE RIGHT TO
-1 Inc TURN ON UTILMIES OR OCCUPY BUILDING'
TOTAL P.01
FINAL$
i__H�VRICAL
'FLETh—ifil
FINAL GAS TEST
WEnNG - A/C
JOB COMPLETED
TEMP POWER
APPROVALS DO NOT INCLUDE RIGHT TO
-1 Inc TURN ON UTILMIES OR OCCUPY BUILDING'
TOTAL P.01