10398 (SFD)P.O. BOX 1504 k No. 10398
Building 45--510 -Desert FAX Drive 78-105 CALLS
Address LA QUINTA, CALIFORNIAORNIA 9 92253 ;5
Owner ;
GWR Development BUILDING: TYPE CONST.
Mailing
Add ress45305 Desert Eagle Court
City Zip Tel.
La Quinta _ 2253 7't2--3336
Contractor
Sarver as above
Address .
Number
OCC: GRP.:
Description lira t~t 2 �1 41 S T,ctf- 2
Project Description cyn
' clny
Zip
I el..
State Lic.
City
& Classif. 5355870
Lic. # 1615
Sq. Ft.
No. No. Dw.
size 1830
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
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
Mt.
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 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).
❑ 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.)
Estimated Valuation
102,642.00
PERMIT '
- -
AMOUNT
Plan Chk. Dep.
-
Plan Chk. Bal.
5 3 6.. 64
Const.
6-50. 0
Mech.
. 54 �, C [f
J J 7 V
Electrical
1flT. 55
Plumbing
326.50
❑ 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
S.M.I.
7.21
Grading
Driveway Enc.
Date Owner
Infrastructure .
2309.45
Arts -in Public 20..00
WORKERS' COMPENSATION DECLARATION
1 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 '
Copyis filed with the city.'1.,--0 Certified copy is hereby furnished.
(• ,,.,..--�
TOTAL
3810.85
REMARKS
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.
2.— 19 f
�p i t"1JFi b Y i tot,
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, 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 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 above-.
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE L1� (�
2ND FL SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. S Z
/
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® Yec
HOUSE SEWER
LATHING
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
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE L1� (�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS p.�
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
G
FOUND. REIN 2�
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. S Z
/
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION-
NSPECTION CERT. OCC.
CERT.
FENCE FINAL
INSPECTOR'S SIGNATURESIINRIAI.S
GARDEN WALL FINAL
SFD Lot 2
d
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owr>w GWR Development
Contra.jor Same
PKmit Number 10398
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR -MUST SIGN ALL APPLICABLE SPACES
"ADDRESS - 45-510 Desert Fox Drive
TYPE OF INSPECTION DATE INSP.
- FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING Olt zo
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOV HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
'ECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT - A/C
ROOF ZI
3 dy
BOND BEAM
O.K. TO WRAP -
GROUT ❑ 4' ❑ 8'
FRAMING
y
INSULATION
Y ��
PRE -ROOF
COVER NO WORK UNTIL ABOVE
AS BEEN SIGNED
DRYWALL INTERIOR
z.
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
'SEWER SEPTIC TANK
FINALS
ELECTRICAL
Z l-'
PLUMBING
FINAL GAS TEST
_P- 'ING-A/C
r I SE NUMBERS
JOB COMPLETED
0 v
TEMP POWER_
n
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88
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f ~ X•r� Yrs
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abtlt� all ��t�P� 10 ti�t�tult
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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 various
`
ordinances of the City regulating building construction or'use. For the following:
u�
I!
BUILDING ADDRESS .45-510 Desert Fox
p
Use Classification Single Family Dwelling Bldg. Permit No. 11477
I I ;
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Group R3 Type Construction VN Fre Zone Use Zone -SR
k I� '�
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i
Owner of Building Santa Rosa DevPln= mantAddress 4.,2-975 Desert Eagle e„ .t
City La Ouinta, CA
BY; Mark Harold
i I
�'•
�I
Dote; December 3, 1992
Building Official
POST IN A CONSPICUOUS PLACE
_
A'q.viNG S