12905 (SFD)cu
P.O. BOX 1504 111 o . 12905
Building 78-105 CALLE ESTADO
Address 78-705 Descanso Lane LA QUINTA, CALIFORNIA 92253
Owner T.D. Desert Development L.P.
Mailing '% � a,L' 6 u+v iVY1 BUILDING: TYPE CONST
Address P.C. Box 1716 A.P. Number
City Zip Tel. 1x41 8 'L`i'12lCt 27840
La Quinta, C 92.253 1 (619) 771--3941 Legal Description
Contractor Construction Manager Project Description SPD Hacienda Plan 3265
parks Construction, Inc. Rancho La Quir_ta
X. Box 1716
OCC. GRP.-_
City a Quinta, zip 92253 Te(6I9) 771-1941
State Lic.674074 City 2996
& Classif. #
Arch., Engr.,
Designer Robert Lamb dart Architects
A2d California Street TeJ415)986-4260
CitY Zip State
Sag Francisco, CA 94111 Lic. # C2711
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.Y_ —r s-t:,v.r!. t:rr�'4.-rfa•t.+, s.
SIGNATURE `'•+'- A e' Ir `1.�` "'--""'w J h L' ]' 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 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
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.)
❑ 1 am exempt under Sec. B. &' P.C. for this reason
Date owner
WORKERS' COMPENSATION DECLARATION
Ihereby a irm that I have a certificate of consent to self -insure, or a certificate of
Worker's C ensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polic 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.)
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: 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 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.
Signature of applicant Date
Mailing Address
City, State, Zip
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:
Validated
Validation
E
Sq. Ft. 3211 No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation 259, 665.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
995.80
Const.
1, 182.00
Mech.
109.04
Electrical
196.99
Plumbing
217.50
S.M.I.
25.47
Grading
20.00
Driveway Enc.
.00
Infrastructure
5,599.51
Arts in Public Places
386.57
TOTAL
8,732.94
REMARKS
v
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:
Validated
Validation
E
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING *ES' 'S "
1ST FL. S0. FT. $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
_ _
WATER HEATER
WALL S0. FT.
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SO. FT. ® c
BATH TUB
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Ya c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
GROUND PLUMBING
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)
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.
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.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
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BUILDING DIVISION�t'��e?��,��,�f�
r i' ;,`?5,yJ�ry. tf1',.•- Y t. '24-HOUR NOTICE FOR INSPECTIONS
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12905
Pew rft Number
POST ON JOB IN CONSPICUOUS G L
PLACE LACE '- %, ' ,C7R�,`t�itg�7iwryYx.}nrr,n�tf �,srit Yji!i=`i z, }1 ,iy atWrx t{ r,1wrL}k.''{�t'w"1 �J(�I�6--Zr,ir}ty it,!.t''i+'iasra�r�am3,Ya�+�.;1' t'r,�}ri��it �`` •y;V�K,rhtu.`,,p!','tiyr,�,`yfS,I?. ',> 4,, '} .'rL,a t ,Ip�°.vY,"i;F�y�7 , &.'`'+ ''•3���`ti�Yr ,. +,{fi,MJ•i�4-t�ir'{�`{ �T'rer.�r`;;fr,;++ J�iyr�'�,�F' .°; /i,7,„ �t'�':a,+Y 'it+:.�t,�,,„;l,S•-.' ' A ,2 �i
78INSPECTOR MUST SIGN ALL APPLICABLE SPACES
-705 Descanso Lane
lei
fiJOB ADDRESS
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N; INSP. OF INSPECTION OATS r
FOUNDATION & S K
FOOTING STEEL �tit�t.Yr.iji�I+,,lyit.�y+rIr1i�(-1j}a'1"',IirCi4„y1i'M'r1"Ya„'..1�,r�si9-- ".ia'� (' .*Nr,al•�t11!J7�r1�,Oi,tI,5;a�L,Yti2.t`,„ds��*. E1I iP,r.rra...�y1r«i�;• `{trt i14-riT�,iFr1Ltu[�°ftt'' '{7Y`Tb`;R�RjiS•••r` �1 i�e, y4i"y+nyY`Lr-'1•,1;.;•`aZh,�F+t ':.I��'la,�,� f'�"�+.,Kf:ti1.tr',mo;;r''.ti.:`�.;li"".:�fir.i--';,:r,4 ,.}j.w"'Y••t"tt'�r� !�'>' ,,,
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« +MAIN GROUNDSYSTEM
GROUND PLUMBING
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'tPRE-GUN
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED j,�f
CONCRETE SLAB a•JOISTS 8 GIRDERS 47
ELECTRICAL GROUND WORK sy
gx
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
4tit, 4ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST
IiHEATING 3 VENT A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ A' ❑ 8'
FRAMING
INSULATION
PRE—ROOF
COVER NO WORK UNTIL ABOVE EN SGN i
DRYWALL INTERIOR ;
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 3 GATE
SEWER SEPTIC TANK FINALS
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.ELECTRICAL
tPLUMBING
FINAL GAS TEST
HEATING A/C'j”HOUSE NUMBERS
JOB COMPLETED
TEMP POWER Y)i7t,•�.
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ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4169 _ _�.. - — _ , .. , • -
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Tit�r of Ka►�uinta
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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'Yarious
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 78-705 Descanso Lane
Use Classiticotion Single Family Dwelling Bldg. Permit No. 12905
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building T.D. Desert Development Address 41-555 Cook Street #260
City Palm Desert, CA 92260 By. Richard Kirkland
•
Data, October 17, 1994
Building Official
"ST IN A cowe?Icuous /LACE