12350 (SFD)` i •
f"• �; CV
P.O. BOX 1504 No. 12350
Building 78�-745 Grand 'T'rav2]Cae 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner '
Community Bank
t
BUILDING: TYPE CONST. OCC. GRP.,
Mailing
Address 100 E. Corson St. A.P. Number 769-652-001
City Zip
P63adona, CA 91103-383
Contractor
Jascorp
I. Lot 54 Tract 25389
(818) 568.213Legal Description 1
Project Description SFD Plan 1
19=811 Country Gula Dr. , Suite A
i�1^xni a Dunea; ZC3'A 092201 Tel: (619) 345-8090
State Lic. City
& Classif. $ 520826 Ljc. # 1148
Arch.; Engr.,
Designer SOSaniclion ASCiates
dix s Corporate Park T11710 474-x6030
City Zip State
Irvine, CA 92714 Lic. # ttc4829
LICENSED CONTRACTOR'S DECLARATION • =L —
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 m license is in full force and
effect.
SIGNATORY / ✓' DATE
OWNER -BUILDER DECLARATION t
I -hereby affirm that I am exempt from the Contractor's License Law for the following
reas n: (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 (8500).
0 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. 8. P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
•I hereby affirm that I,have a certificate of consenttoself-insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy4 0. Company
0 p is filed with the city. ❑ 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 (8100) 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
i 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
I work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
I' This is a building permit when properly filled out, signed and validated, and is subject to
I expiration if work thereunder is suspended for 180 days.
I 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 R Date
Mailing Address
City, State, Zip
Sq. Ft. 2206 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
a
Estimated Valuation - - •�
PERMIT - " "'
AMOUNT _
Plan Chk. Dep.
Plan Chk. Bal.
738.82
Const.
895.00
Mech.
76.550 •
Electrical
151.07
Plumbing
168.00
S.M.I.
17.30
Grading
20.00
Driveway Enc.
.00
Infrastructure
.00
Arta 3.n Pudic Places
182.20
TOTAL
2,148.339•
REMARKS Infrastructure fees
paid on
Permit No. 9025.
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 DA'
Issued by:
Validated
Validation
T
rwr.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1S: FL SQ. FT. ® $
UNITS
SLAB GRADE
.1
BONDING
YARD SPKLR SYSTENJ
2ND FL. SQ. FT. p
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. 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
VENTILATION
LAUNDRYTRAY
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 ® 11/4 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
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
•we.?�'ti`�.1`.�=..:`.i�7 {F".�y�ti-tom::
CITY OF LA QUINTA
a DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2'246
24-HOUR NOTICE FOR INSPECTIONS
LII,, Jf ;A - UINI
Owner Community Bank :, n
Contractor Jascorp
Permit Number 12350
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-745 Grand Traverse
SFD Refer to Permit No. 9826
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
ELECTRICAL GROUND WORK
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
GROUT ❑ 4' ❑ 8'
FRAMING G
INSULATION _
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH L
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
ELECTRICAL
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS T
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4!88 L C. -s