10404 (SFD)P.O. BOX 1504 No, 10404
Building 78-105 CALLE ESTADO a
Address 45--480 Desert Fox Dr. LA QUINTA, CALIFORNIA 92253
Owner
GR Development
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 45345 desert Eagle Court A.P. Number
City Zip Tel.
La Quinta 92253 772-3336
Contractor I
Same as above
Address
State Lic. City
& Classif. 535587+0 Lic. # 1615
Arch., Engr.,
Designer
Address ITel.
City IZip I State I
Lic. #
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.
SIGNATURE 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 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
"forthe alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
.,subjects the applicant to a civil pena8y 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:)
O 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 t e:city. Q,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 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.
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 car tify-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
i
Description Tract 23935 Loft: 3
Project Description
Sq. Ft. 1687
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
95 s 261.943 L
PERMIT
.4 AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
30'
Const.
621.50
Mech.
- 62.00
Electrical
131.71
Plumbing
174.00
S.M.I.
9.60
Grading
20. 00 -
Driveway Enc.
20.00
Infrastructure
2143.39
TOTAL
3745.50)
REMARKS
R� z r4 1e R 1 AA.d AP_' R +5 A tt. i'1 A
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
A
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
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. ®
GAS (FINAL) TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEWPERM
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 ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® V/ic
HOUSE SEWER
FINISH GRADING
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
L
GROUND PLUMBING [rf UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE a
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. ,2 I
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINTTIALS
GARDEN WALL FINAL :d
SFD Lot 3
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner. GWR Development
Contraclor Same
Permit Number 10 4 0 4
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 45-480 Desert Fox Dr.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK 1 2c
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBI
PRE-GUNITE_ rfV v
DO NOT POUR CONCRETE UNTIL ALL AB VE' AS BEEN SIGNED
CONCRETE SLAB L N
JOISTS & GIRDERS
7.ECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING 8 VENT- A/C
FIREPLACE
ROOF y
BOND BEAM
O.K. TO WRAP 6Q y
GROUT ❑ 4' ❑ W
FRAMING yti,y
INSULATION 2
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS PEEN SIGNED
DRYWALL INTERIOR' j L
EXTERJOR LATH f'L
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
FINAL GAS TEST
HFATI NG - A/C
_ ISE NUMBERS
JOB COMPLETED
4/88
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING