11482 (SFD)P.O. BOX 1504
Building 45-390 DESERT FOX DR. 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner I
CWR DEVELOPMENT
Address 45305 DESERT EAGLE COURT
City Zip Tel.
LA QUINTA 92253 773--3336
Contractor
SAME
Address
City
State Lic. City
& Classif. Lic. #
Arch., Engr.,
Designer
Address I Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of Division 3 of the Business and Professions Code, and my license is in full force and
effec
SIGNATURE / 1 -DATE
OWNER -BUILDER DECLARATION i
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 rive hundred dollars ($500).
❑ 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
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.
i 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— Dale
Mailing Address
City, State, Zip
No. 11482
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description TRACT 23935 TOLAZ
Project Description SFD LOT 6 /1 l n , / r ,� , r P/ &
Permit replaces Permit 011369
Sq. Ft.
Size 2574
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
$146,412.60
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
683.93
Const.
804.00
Mech.
96.00
Electrical
166.27
Plumbing
174.00
S.M.I.
14.70
Grading
20.00
Driveway Enc.
0
Infrastructure
3,294.28
Arts In Publ c Places 116.03
1 -tv, 1 1 r-1, _41 ' 1' 1' I -41 r r
TOTAL
4-593169.2ri
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. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. I SO. FT.
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP. � 'j
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3yc
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. � 'j
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION-
NSPECTION
CERT.
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
SFD
a
t CITY OF LA OUINTA
orn� DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5642246
24-HOUR NOTICE FOR INSPECTIONS
�v
Owner GWR Development
Contractor GWR Development
Permit Number • �`%`7' zl 2
POST ON JOB IN CONSPICUOUS PLACE
3PECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 45-390 Desert Fox Dr.
Permit does not include block walls
or pool
TYPE OF INSPECTION DATEZINSP,
FOUNDATION & SETBACK 1'
FOOTING STEEL _
MAIN GROUND SYSTEM
GROUND PLUMBING 1_
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL A OVE AS SEEN SIGNED
CONCRETE SLABi�-
JOISTS & GIRDERS
E;.'.TRICAL GROUNDWORK
t
a OT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST�-
HEATING & VENT -A/C
• FIREPLACE
ROOFiC2- 2- J
BOND BEAM
O.K. TO WRAP % 77—
GROUT
rGROUT ❑ 4' ❑ 8'
FRAMING-
INSULATIONi�-
PRE-ROOF
COVER NO WO..UNTIL'ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR --
EXTERIOR LATH
POOL PRE PLASTER
FENCE & GATE
SL..eR SEF44 e: 1K.; -
ELECTRICAL
PLUMBING
I� NG - A/C
HOUSE NUMBERS
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
ansa '
• V ;
SPECIAL INSPECTION SERVICE
.REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
3580 Condalia Ave.
Yucca Valley, CA 92284
(619) 365-5045
TYPE OF
INSPECTION
PERFORMED
EINFORCED CONCRETE
❑ POST TENSIONED CONCRETE
❑ REINFORCED MASONRY
❑ STRUCT. STEEL ASSEMBLY
❑ ASPHALT
❑ FIRE PROOFING
❑
❑ OTHER
JOB LOCATJf�N
0 toe
b
L A C9 b
REPORT SEQUENCE NO.
TYPE O STRUCIURE
�
PERMIT NO.�
DATE1 /`DAY
!/
OF WEEK
M RIAL DEiSCJ\RIPTION
ARCHITECT
INSPECTOR
774 t
HRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTION
DATE
GENERALSUB
CONTRACTOR^``T fJ pSp ' CONTRACTOR
j
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COPY SENT TO CLIENT
CONTINUED ON NEXT PAGE ❑
PAGE OF'
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED
PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
��i rr00 •• nn
Wv\
SIGN RE OF REGISTERED INSftCTOR
P — ti
DATE OF REPORT REGISTER NUMBER
tw rAXJJZ
(4trT
of
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Ila (ouinta
INUOITi4 altb �afet�I 31,41i'leiiiin
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 Official
POST IN A CONSPICUOUS PLACt
-
BUILDING ADDRESS
45-390 Desert
Fox Drive
Use Classification
Single Family Dwelling
Bldg. Permit No. 11482
Group R3
Type Construction
VN Fre Zone
Use Zone SR
Owner of Building
Santa Rosa Development
Address 45-275
neGert Ragl e Cr ijrt
City T.a (,viii
nta, rA
Mark Harold
By:
Date:
December 3, 1992
Building Official
POST IN A CONSPICUOUS PLACt
-