05486 (SFD)P.O. BOX 1504 N o .
Building 78-105 CALLE ESTADO
Address 48-145 Vita Lielo LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address 9010 C rbin Aire. ''.3
City Zip Tel.
uorthrridge 1 91324 1818/349-5894
James C. Caiihman -
77200 Himesota
City Zip Tel.:
Palm Desert. 92260 619I345-543
State Lic. City
& Classif: B 195333 Lic. # 26£3
Arch., Engr.,
Designer
Address Tel.
City (Zip ( State
Lic. #
I 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
effect r
SIGNATURE. DATE
(,I.
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. " 7031.S,Bnrsrhess and Professions Code: Any city or county which requires a
permit to constnrct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Me 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 or 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).
❑ 1, 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 erprovemenls are not intended or offered for sale. If, however, the building
or'inprovement 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.)
O 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) icensed pursuant to the Contractor's License Law.) -
O 9 am exempt under Sec B- & P.C. for this reason
Date Owner
f WORKERS' COMPENSATION DECLARATION
V,;orkI hereby affirm that I have a certificate of consent to self -insure, or a certificate of
er's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. pany
SAO Copy is filed with the city- ❑ Certified copy is hereby furnished.
7 CERTIFICATE OF EXEMPTION FROM
J WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I 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 Califomia
Date Owner
NOTICE TO APPLICANT: 11, 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 shag 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 at building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
II 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 authorae representatives ',of this , city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip '
t
i
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 61-7-64G-035
Legal Description Loi 35
Project Description PAM! 2
Sq. Ft.
Size 1352
No. No.Dw.
Stories Units f
Newl7 Add 0 Alter ❑ Repair 0 . Demolition O
Estimated Valuation
$100,920.00
PERMIT
AMOUNT
Plan Chk. Dep:
Plan Chk. Bal.
�� • �+
Const.
•
Mech.
8!3 •
Electrical
Plumbing
138 s
S.M.I.
Grading
Driveway Enc.
Infrastructure
Za ai3
inge—tcr�stt3t.06
!
TOTAL
f t. IL
REMARKS
py '}� e�fF, .Y A
,l'cE�.fa Et`f6A. S� .t a S tl1A If r 37,99. 42 w r
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
3/14/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL) O
WALL SO. FT.
DRINKING FOUNTAIN.
GROUT
URINAL
SO FT ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
GRADING
cu. yd.
$ -Plus-x$-=$
FLOOR DRAIN
MECHANICAL FEES
FRAMING '7 FINAL INSP. //J
7
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
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, 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
SO.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 nI&ELECTRICAL HEATING & AIR COND. SOLAR
m
SETBACK
GROUND PLUMBING "J
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.
d e
G
GAS (ROUGH) _ G V
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) O
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR. FINAL INSP.
FRAMING '7 FINAL INSP. //J
7
ROOFING S
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 8
MESHOf
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
REMARKS:
SIGNATURESIINITIALS
GARDEN WALL FINAL
35
CITY OF L,A.QUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
5842246
24-HOUR NOTICE FOR INSPECTIONS
Abe & Thelma Grossman
OwrW, ; .
i COntnvlor James C. Cashman
I
Pwn* Number 05486
4 POST ON JOB IN CONSPICUOUS PLACE
1 INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 48-145 Vista Cielo
E '
I � •
TYPE OF INSPECTION GATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING X�
i PRE-GUNITE
DO NOT POUR CQNCRETE UNTIL.AU_0PlVK.HA2 SEEN SIGN
CONCRETE SLAB k
JOISTS &GIRDERS
ELECTRICAL GROUND, WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING A VENT- IVC
i FIREPLACE
ROOF
BOND BEAM
1 O.K. TO WRAP
1 GROUT ❑ 4' ❑ 8'
FRAMING t Z
INSULATION
PRE -ROOF 2—
COVER NO WORK UNTIL ABOVE HAS'BEEN SIGNED
DRYWALL' INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE 9 GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST j
HEATING - A/C 1
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
j
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/89
. I
71•