10666 (SFD)T4ht 4
P.O. BOX 1504 N o . 10 666
Building 7&105 CALLE ESTADO
Address 78-564 Estelo Court LA QUINTA, CALIFORNIA 92253
Owner
1 Qu'ini:a Vista Partnership BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address P. 0. $AY 227
A.P. Number
City Zip Tel.
La Quinti 97253 345--7872 Legal Description Tract 21.269
Contractor Project Description Lot 186 Plan 3
Game
Address
City Zip Tel.:
State Lic. City
& Classif. 500316 Lic. # 1646 Sq. Ft. 2307 No. No. Dw.
Arch., Engr.,'
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLA TION
i I hereby affirm that'I am licensed under provisions of C ter 9 (commencing with Section
7000) of Division 3 of the Bus'�nness and r_ofessions Cod and my license is in full force and
effect: 0
SIGNATURE t+ _/ C DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 9 3
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a 1 r 3
08
permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance also
requires the applicant for such permit to !le 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 bf Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a civil penalty of not chore than five hundred dollars .($500). 598.60 9 ti A b • L6 V n
0.I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. _7
do the work, and the structure's not intended or offered for sale. (Sec. 7044, Buisness and r
Professions Code: The Contractor's License Law does not apply to an owner of property who COr1St. 723 . 50
builds or improves thereon and who does such work himself or through his own employees, Mech. 6
1
provided that such improvements are not intended or offered for sale. If, however, the building 1 6
or improvement is sold within one year of completion, the owner -builder will have the burden -Electrical 126.65
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- Plumbing 138.50
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law O
does not apply to an owner of propertywhobuilds or improves thereon, and who contracts for S.M.I. 8.68
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure. 2774.43
-A- is -in Public 58.27
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 r 07
O'Copy is filed with the city. 0 Certified copy is hereby furnished.t < ~��A Aran
�4�f 9
TOTAL 489'oyZ3 L - -
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it 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, alter 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 it work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above information is correct.
1 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
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.
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
DUCT WORK
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
METER LOOP
ROOF DRAINS
CAR P. Q. FT.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
WALL SQ. FT.
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP. ga—
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FRAMING
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
VENTILATION
WASHER(AUTO)(DISH)
APPLIANCE DRYER
., '-''s `:'
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
d
4
"c';�'
e✓9i_
LAUNDRY TRAY
AIR HANDLING UNIT CFM
LATHING
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
k
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
INSPECTOR'S SIGNATURESJINITIALS
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
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 x
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEGUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. ga—
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
., '-''s `:'
FIREPLACE
r` $
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
GARDEN WALL FINAL
APO
Tit�1 of 14.M �Ui1t�M
�Ui��in� �Ili� �S21�P��1 �C�tif iIIlt
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 ADDRESS 78-560 Estelo Court
Use Classification SFD Bldg. Permit No. 10666
Group R3 Type Construction VN Fire Zone Use Zone R1
Owner of Building La Quinta Vista PrtnrshWddress P. O. Box 227
City La Quinta, CA 92253
By.
Date; _
Building Official
POST IN A OONSTICUOU! GLACE
Richard Kirkland
3/23/92