14334 (SFD)Abf
f P.O. Box 1504 ..
N0. 14334
I
d 78-495 CALLE TAMPICO
' Address 4 —060 Vial Lorca LA QUINTA, CALIFORNIA 92253
Owner ' Landrek- California., Inc.
Mailing '
Address 7€ -710 Via Avante.
City Zip Tel.
. La. Q,uinta.,. ICA 92253 (619) 564--545$
Contractor
Roberts Construction Company
Address
.P.O. Box 1504
Th Q'uinta, CAZ'p 92251.3 '6'193346-4289
BUILDING: TYPE CONST: OCC: GRP.3
A.P. Number 61.7-840-031
Legal Description Lot ,-157 Tract 26152
Project Description MD Model C
Lake.La Quints
State Lic. City ;
& Classif...B 2462.08.: Lic. # 3377 Sq. Ft. No. No. Dw.
Size - 2500• Stories Units •
esigner, er,
DRt�b0+-f,
• Desig. Ritchey' -
Ac�t rrts34 fl ' Via Sevilla Tib 19? 360•-066
jtyJZ'P
State
- CJaa-Quijntad, C A 92253 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I,hereb /firm that I am licensed under'grolisions of Chapter 9 (commencing with Section
} 7000) °vf Drvlsion 3 of the Business &Prof`e"ssions Code, and my license is in full force and -
?t.`effect. :r••`A � i �i''.1 �E '• � "%' � t+t'• . . .
New ❑ Add ❑ Alter ❑.. Repair ❑ Demolition O
,51GNATURE V H e 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' lc/ 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
Ofvisfon 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 civi penalty of riot more -than five hundred dollars ($500).
❑ I, as owner of the property, or.my employees with wages as 4heir 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 hnproves 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 4147283.00
r
- PERMIT.
AMOUNT '
. Plan Chk. Dep. .
,
Plan Chk. Bal.
687.42
COr1St:
0 y i7 • .cJ
• 'MBCh.
�',� •50 '
Electrical1-63.70.
-
_
Plumbing
174.00
❑ 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 contractors) jfcensed pursuant to the Contractor's License Law.), -
❑tam: exempt underSec. • B. 8 P.C. for this reason
S.M.I.
14.80
Grading
20.00
Driveway Enc.
Drive
00 '
Date owner
Infrastructure
3, 207, 62
a n Ptab. Places µ
315:21
WORKERS' COMPENSATION DECLARATION '
I tiereby 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
O Copy is filed with the city, . O Certified copy is hereby furnished:.
N
TOTAL I
5,295.75
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE .
(This section neednot be completed ff the permit is for one hundred dollars ($100) valuation '
.. or less.) . - / ,yam". -
tmjt is issued, I shall not
employ any person in any manner sofas .to become sub�V�ork_ Compensation
I certify that in the performance obthp work for whi!e�c�tt'stl�"
rni_ �"
Date! ,y•OwnerNOTICE TO APPUCANT:•rfl after making Nis Certificate ofExemptionyou should become'
subject to the WorkersjCompensatfon provisions of the Labor Code, you must fo,thwith•
comply with such provisions or this permit shall be deemed revoked. -
REMARKS
ZONE: BY.: -
Minimum Setback Distances: -
.
Front Setback.from Center -Line
?.
Rear Setback from. Rear Prop. Line '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
Side Street Setback from Center
Line
• .HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF.COMPENSATION,
Side Setback from Property. Line.
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building lie rm)t when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 160 days.
. FINAL DATE INSPECTOR
I certify that I have read this application and state that the above information is correct.•
1 agree to comply wall citycounty ordinances and state laws relating building •
construction, and hereby authorize
e representatives sof this city to enter the above-.
mentioned property for inspection purposes.
ISSUed by: Date '
Validated by:
I
Q�
Signature of applicant— Date
i
,
E
Mailing Address
VdlldatlOn: •;W011
1
f
2 Q
4
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIN\3 FEES
1ST FL. SO. FT. ® $
2ND FL. S0. FT.
POR. SO. FT.
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
j , —
YARD SPKLR SYSTEM
BAR SINK {
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE' DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1 % c
SEWAGE DISPOSAL
SO.FT.GAR p 3/ac
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE JPL.CK.FEE
I CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND 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
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
AS (FINA
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
-$
LUMBER GR.
r
FINAL INSP. LS 3 QS
FRAMING
FINAL INSP.
t
ROOFING
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
- .�• ., � � - Vit", 0 �- �:
OF
t u� Via, Qu inta
rNlfflbtul� allb, Safe t�It t11u ,� R
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 47-060 Via Lorca
Use Classification Single" Family Dwelling Bldg. Permit No. 14334
�. Group ft3 Type Construction VN Fre ,Zone Use Zone R3
Landrex California, Inc 78-710 Via Avante.
Owner of Building Address
City La Quinta, CA., 92253 Daniel'P.- Crawford Jr.
By:
Dote: January 11•, 1996
Building Official
►09T IN A CONe?ICUOU! /LA'C[
i