14336 (SFD)' Z.
♦ h A Jti
P.O. BOX 1504 N O. 1'4
Building445 V
78-495 CALLE TAMPICO.
Address .. `ia LOrtra, LA,OUINTA, CALIFORNIA 92253
Owner
a' x drek Califor�ii.a;Inc ; ... r
Mailing
Vbd
BUILDING: TYPECONST OCC..GRP
Address 78 in `Via Avant€637. it• -;837
A.P. Number "
City Zip Tel: ... Lott --1,6 .`t'Z3.Gt 2ff152:
J'a Qu,nta,,:'• +rA.. 92.c5,3 ..,. (tb_19).564-5458 Legal Description
Contractor S
Project. Description r� iKf3del � i
'._ Address
1504
C'.ty Zip Tel . _ I r
i;a Q# n.ta .92253 : �619:� 146--4289 4 r
4..
State Llc City;?
8 Classlf. � Lic:'# 377' Sq. Ft. 2d:Qv�' . 'No No.'Dw F, ; -;}
'•
Arch Engr ' iCib S .?e "� tdhw't°
Designer New ❑ Add ❑ "r.Alter ❑ ,' Repair ❑ DemohUon..❑
. `., villa �19) 3:60..0'966
Po
Cbty_ 6r Zlp State..
� 922'53- Lic. f►' k f
r t
�.,,.,...UCENSED CONTRACTOR'S DECLARATION..- '
I hereby affirm that I am licensed under provisiogo of Chapter 9'(commencing with Section a
%000) of,Drvisiofi 3 of the Business and Profegsio s. Code,. and my license is in full force,and
4G �''`� A / / i e�
v effect i, /...: t ?' .'
SIGNATURE _ - c f -+ DATE - ya - _ .. _ 3.;: •,
"OWNER -BUILDER DECLARATION �F
lellEstimated Valuation:%' Q'38,00
t
I hereby affirm that 'am exempt from the Contractor s.License Law for the•followinj) Y - : ',' ? .,
reason: (Sec.�703TS;Bustness:'and,Professions "Code: Any ctty.;-or county�,which requires a-• _ -
'
permit to constnicY, alter -improve, demolish; or repair anystructure, prior to• its- issuance: also • . -
the• rovisions of the :Conhactor's:vicense, Law, Ch ter- 9 commenphe is licensed pursuant to' PERMIT ) MOUNT 4
requires the applicant /or; such rrrrfl to. file. a si ned: statement that
p Chapter- ( ing wrth.Section •7000) o/ '�. A <,Z
Division'3 of the Business,"and Pro/essions. 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 Plan Chk Dep.
`subjects the applicant to a -'civil Penalty. of not more than rove hundred "dollars. ($500) ':
,;O I, as owner.of the property, or my, employees,with.wages as their sole compensation, will Plan.Chk.' Bal.
do the work, and; the structure is noLintended or offered for sale. (Sec: 7044,,Buisness and COrISt. , �7 �f as i
Professions. Code �7he' Contraclor'ac License Law. does not apply. to,an' owner o! property :who - i� �` `'!
builds.or improves`thereon and:. who does such work himself through his- own.•employees ` 'Meth:
..4 provided: that'. such irnpiovements are not, intended. or -.offered: for- sale. n, however,. the; building - •"., - •• -
or improvement is`sold' within one year o/ completion,' the.,.owney-builder will -have the:burden +'.�•� a ..'.-
.: o/ proving that he did not, build or improve for theEIQCf fICa.t
. purpose o! sale) a•- :.. -• , - i •
❑'I, as owner, of the property; am exclusively contracting with licensed contractors.to con - Plumbing', , _ •1.74 QQ;'
strucl the project: (Sec. _7044; Business and.Prolessions Code:.Thec:Contactor's:License Law
"does not apply-to-anowner'o/property who buildrorimproves thereon; andwhocontracts to S.M.I.
such projects with a contractor(s) [tensed pursuant to the Contractor's License Law.) • - _ _ _ -
Grading 20
❑ I am exempt under Sec. � •� 'B. S P.C- for this reason -
'Driveway Enc.
r-` s
Date owner_ Infrastructure%4..
z3r�s`
in. Publ'.'c j`--Piaces
WORKERS' COMPENSATION DECLARATION
I hereby'affjim that, I' have a certificateof. consentito self-insure'or a.certificale ,of.
Worker's Compensation Insurance, ora certified copy. thereof 7(Sec. 3800; Labor. Code:) K
Policy No. - Company
❑ Copy Is flied with the city. -- ❑ Certified copy is hereby furnished 99
_ TOTAL
CERTIFICATE OF EXEMPTION FROM: REMARKS
WORKERS' COMPENSATIONANSURANCE " r
(This section need 'not :be completed ff the permita`s for.;one•hundred" dollars.,($f00)-valuation,
7
or less - - .. .
certify that in the performance of the ork f r which this permit is issued; I shall noti a a
' employ any'person in any manner so as1to become's je0t"t`"Itte Workers' Compensation -
Laws of.Cali forma -1. A -�A/�X y
•Date a' Owner' sir ✓�
NOTICE•TO-'APPUCANT,II/after making Nis'' Ceitmcateo/•:Exemption', youahould.-become > .,'ZONE: - ""BY
subject to:. the .Workers'�Cohipensatiom• provisions o/.: the Labor Code. • you .must : forthwith • •
comply with such provisions or this permit shall be deemed.'ievoked. - - -•� "MinirilUm.Setback-DlStanCes
Front Setback from -Center. Line
Rear'Setback from Rear Prop Line.
WARNING: FAILURE TO SECUREWORKERS'COMPENSATION COVERAGE -IS UNLAWFUL, AND' SIde'Sfreet Setback ffo,m Center Llpe
SHALL • SUBJECT. AN- EMPLOYER TO CRIMINAL PENALTIES -AND CIVIL FINES UP'•TO"ONE"
HUNDRED THOUSANDDOLLARS($IDO.000),'INADDITIONTOTHECOST,OFCOMPENSATION;.:'- Side Setback from•Property Line
DAMAGES AS PROVIDED` FOR: IN' SECTION,3706 OF THE. "LABOR;CODE;.INTEREST; AND
ATTORNEY'S FEES. .-..a .. , .. - k
This is a buildin ` properly g ` FINAL DATE ' INSPECTOR
g -permit whenfilled out, sighed and validated, and is sub'eot.to
.expiration if work thereunder -is suspended for 180 days.:•:,
I. certify, thatl-have,read this application -and state that the -above information�is:ccrrect .'•Issued by:...'• •Date '� ""Permit- - -
I agree to comply with all city and county ordinances and: state laws relat-iing;to'buildIng :+
construction . and hereby. authorize' representatives of this city to enter the' above:.
mentioned property for inspection purposes ;Validated by.
:-
Signature of applicant Date'
..Mailing: Address ValldatlOn.
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ. 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. �3 7�
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR @ 3/ac
HOUSE SEWER
LATHING
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
GR UND PLUMBI Vol
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 APPJEQUIP.
REINF. STEEL
GAS (FIN �J
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. �3 7�
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC. 77
//
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
H
OF
Tib Of 41a (Quinta
tngallb ��afV
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 47-145 Via ,Lorca ',
Use Classification —Single Family Dwelling Bldg. Permit No. 14336
�R3 tion Vn Fire Zone Use Zone R3 -
Group Type Construction
0 wner of Building 'La ndrex California, Inc Address 78-710 Via Avant -e
La Quinta, CA., 92253
City By; Daniel P. Crawford Jr.,
Date.- January 11 1996
Building Official POST IN A CONSVICUOUS PLACE
411