9418 (SFD)L 4a"
4 6
.. . r
P.O. BOX 1504 N o . 9 418
Building 78,,,970 Del Monte Court LA OUINTA CALIFORNIA 92253
Address ,
Owner
M 'T Wr k BUILDING: TYPE CONST. OCC: GRP.
Mailing
Addressy A.P. Number
City " •Zip Tel. '
.m,s.�.,a Legal Description_
Confrac`[gir r W r Project Description Lot 3 Model 2B
Aaaress
City
Zip
Tel.:
State Lic.
City
r
& Classif. R 412636
Lic. # 2890
sq. Ft. 2283
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
+r r LICENSED,CONTRACTOR'S DECLARATION
I hereby affirm that I amiicensA,66 er provisions of Chapter 9 (oo mencing withSection
7000) of Division -3 of tha'Buslnes§,arid:Ptofesslons Code, and•my'license is ii u/ll��o/�e�and/
effec���.i�� .cis ��� �..•��r•-.."Y`�'�c;� '-7.Y A .,�"� /
SIGNATURE .r" ✓ .G `r" DATE
��/7 'OWNER -BUILDER DECLARATION
I herebdffirm that I am exempt from the Contractoir-s. License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
Estimated Valuation
166,558.00
- PERMIT
AMOUNT
permit to construct, atter, 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 rive hundred dollars.($500).
O I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an -owner of property who
Plan Chk. Dep.
Plan Chk. Bal.
6 • i
Const.
i • u u
Mech.
_
• U _
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not Intended or offered for sale. fi, -however, the building
Electrical
_
.3 • 85
or Improvement Is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or Improve for the purpose of sale.)
D 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License LawC
does not apply to an owner of property -who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec. B: 8 P.C. for this reason
Plumbing
1 • 50
S.M.I.
.t<. C?
Grading
Driveway Enc.
Date owner
Infrastructure 3747.5b
rt in Public
1b11:11.40
WORKERS' COMPENSATION DECLARATION
t I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
D Copy is filed with the city. D Certified copy is hereby furnished.
,'1f4',1Zt3 4!A 4'7(!1 A.Q—!ir:-0 t
TOTAL
I :>%! C M 1111 AL 1 577i.91
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the pemdt is for one hundred dollars ($too) 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, CIO Code.)
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it 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 ai
mentioned property for Inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicanLDate
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES u
IST FL. SQ. FT. @ $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
4
G S (ROUGH) -1-20
L
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.
plusx$_$
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
SQ. 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
SPARK ARRESTOR
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
OUND PLUMBIN —
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 41— 12 t
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
ROUGH
DUCT WORK
ROCK STORAGE
O UND. REINF. L/—�--
(
4
G S (ROUGH) -1-20
L
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.
plusx$_$
LUMBER GR.
AL INSP.
P
G �FINAL
I
INSP.
`— /(
POOMI'N�Gv
��� y ijt �✓ i/
,/J� _ / l I l/ G
�C
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND ! a
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
t-
CONSTRUCTION EST:MATE
NO. ELECTRICAL FEES
,NO. PLUMBING FEES
IST FL. SO. FT
2ND FL. SO. FT. Tv
POR SO FT. ii
CAR. SO FT. :it
CAR P. SO. FT t
::ALL SO. FT. sr
SO. FT. ;;i
�STPAA I CC CC NST RUCTION VALUAT:ON S
MOBILEHOME SVC.
FCV:ER OUTLET
SLAB GRADE —' V L
YARD SPKLR SYSTEM
BAR SINK
ROCF
STORAGE TANK
0RINK 'NG -
URINAL
.: i ER FI-1r•G
:.")TV-. Nul I,r Ca CSLa as rrx;ar!y lay "ralilo:ipll
POCK STORAGE
FOUND. RE:NF.V— -
MECHANICAL FEES
METER LOOP
HEATING IFINALI
ENT S'rSi E•• FAN EVAP.GOL `+JOD
SIGN
V,- A' Ellt;-. LJISH.
TEMP. POLE
'UR":ACE ..NTT %%ALL FLUOR SUS?=NJED
- — L_
LAUNCRY TSA'-
JRHANCL;';G."NIT �-•,I
�
KITCREN Si..K
BSORP7:C)'d 3':SiElA g T.0
TE'"P!'SE PEFVtT SVC
:V.4TERi:L03ET
O!dPRESSOR -P
POLE. TEWPERM
LAVAiOPY
iEATING SYSTEM FORCED GF.AVITI
AMPEF.ESSERV ENT
A~O:VER
OILER B.T.U.
SO. FT. t c
BATH iUB
SO. FT. r: c
WATER HEATER
IAX. HE4TER OUTPUT. BJU. U.
SO. FT PESIO rcC 1'. C
SEWAGE DISPOSAL
SOF--.GAR •• %'.c
iCi;SE SE:'!=R
FIRE ZONE ROOFING
GAS PIPING
EP%IiT FEE
PER1.IiT FEE
PERMIT FEE
SL
IOTAL FEES
t-
MICRO FEE
MECH.FEE PL.CK.FEE
CO:JS'T. FEE EL°CT FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 3 AIR COND. SOLAR
SETBACK
GROUND PLUMBING -t
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE —' V L
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIPING
DUCT WORK
POCK STORAGE
FOUND. RE:NF.V— -
GAS �R.GUGH}
METER LOOP
HEATING IFINALI
OTHER APP.:EOUIP.
HEINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
'MATER 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
_
FINAL INSPECTION
CERT. OCC.
FFtI.'F FINAL
• 4' i
CITY OF LA (XJINTA
o. DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-22246
24-HOUR NOTICE FOR INSPECTIONS.
Owner Community Bank ��
Contractor Jascorp
Permit Number 12344.
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-970 Del Monte Court
SFD Refer to Permit No. 9418
TYPE OF INSPECTION _ DATE INSP..
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST C1 G (, v
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP L
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION G
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR _
EXTERIOR LATH L
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
PLUMBING
FINAL GAS TEST
HEATING - A/C
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING L (q..T3
4!B8