11484 (SFD)•
tif 4
P.O. BOX 1504 N o . 11484
Building 78-105 CALLE ESTADO
Address 45-305 DESERT FOX DRIVE LA OUINTA, CALIFORNIA 92253
Owner
QNR DEVELOPMENT
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address 45305 DESERT EAGLE COURT
A.P. Number
City Zip Tel.
LA QUINTA 1 92253 1772-3336 Legal Description TRACT 23935 TOPAZ
Contractor Project Description SFD LOT 12 h)
SAME
Address f «
City
SAME Zip Tel.: Permit replaces Permit #11390
State Lic. City
& Classif. Lic. # £ c i f' Sq. Ft.No. No. Dw.
Size 1406/880 Stories Units
Arch., Engr., "
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter -9 (commencing with Section
70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. r 7 /! r
_SIGNATURE -' -- - / f- !'DATE
OWNER -BUILDER DECLARATION ( Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following 96,585.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, atter, 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) 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 Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). CCS 1. YQ
O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. $ J
do the work, and the structure is not Intended or offered for sale. (Sec. 7044, Buisness and 626.00.
n
Professios Code: The Contractor's License Law does not apply to an owner of property who Const
builds or improves thereon and who does such work himself or through his own employees, Mech. 90.00
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 Electrical 146.55
of proving that he did not build or Improve for the purpose of sale.)
O I, as* owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 178,00
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. 9.70
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 Grading 20.00
Driveway Enc. — O —
Date Owner Infrastructure 2.173.16
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 Ay -of ,It i 1,(T (W 11 J',-4 4 .6-5
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL 43,794.63
CERTIFICATE OF EXEMPTION FROM REMARKS
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 ,}f,u:c.,� +.t. .'1k "' a' � Y C.
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 ZONE: BY:
subject to the workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit Shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING F!tiC3
IST FL SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT.
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.
GROUT
WATER HEATER
WALL SQ. 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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. ® c
BATH TUB
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11% c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
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
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 APPJEOUIP.
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
r
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0
/4`
CITY OF LA OUINTA
�.. o, DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner GWR Development
Contractor GWR Development ��-
Pen, it Number 14-39-4— nn��
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 5-
y. Desert Fox Drive
Permit does not include block walls
or pool
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
E: f;TRICAL GROUND WORK
I
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
--
BOND BEAM
O.K. TO WRAP
E :1 �j •- </--'
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
i / , -
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR 1• ' L
EXTERIOR LATH
�•� r
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEf'T4G-TANK
FI
ELECTRICAL
PLUMBING
FINAL GAS TEST 2
I� NG - A/C
HWSE NUMBERS
JOB COMPLETED
TEMP POWER
4.88
ABOVE APPROVALC DO NOT INCLUDE RIGHT TO
TURN ON UTILITIL-3 OR OCCUPY BUILDING