06112 (RPL)4
Cf ITL O 7&10.O. BOX 504 No. 06132
Building ;
Address 48-155 Vista :±8 ns LA QUINTA, CALIFORNIA 92253
Owner
I Abe 6. Th != ial'tJSs3man
Mailing
Address 9010 Carlin Ave.,. suite #3 .
City Zip Tel
NorthrldFe 91324
Contractor
Address
I P. 0.. BOIC 1296.E
City Zip
1 Palm xiesert 92260
State Lic.
Classif. 342894
Arch., Engr.,
Designer
Address
Lic. #
Tel.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 6h17-640- 008
Legal Description
Project Description Pool Spa
I--9429 ..
»� Sq. Ft.
Size •
I
City Zip State
Lic. #
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.
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
No. No. Dw.
Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
[Estimated Valuation $20,000
Permit to construct, after, Improve, demcw , or repair any structure, prior to its issuance also
requires the applicant for such pemrd to Me a signed statement that he is'licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractor's License taw, 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
Plan Chk. Dep.
subjects the applicant to a civil penally of not more than five hundred dollars ($500).
Plan Chk. Bal.
O 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
Const.
��1n
Professions Code: The Contractors License taw does not apply to. an owner of property who
i�
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 sate. If, however, the building,
Mech.
24.00
or Improvement is sold within one year of completion, the owner -budder will have 4he burden
Electrical
30
of proving that he did not burnt or Improve for the purpose of safe.)
x.00
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
�' j�j j
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
S.M.I.
1x.4.7
• such projects with a contractor(s) licensed pursuant to the Contractors License Law.)
Grading
❑ I" am exempt under Sec ------___B- 8 P.C. for this reason
'
Driveway Enc
Date Owner
Infrastructure
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
-
TO Copy is filed with the city. ❑ Certified copy is hereby.fumished.
-
1TOTAL_
i CERTIFICATE OF EXEMPTION FROM
REMARKS
' t
WORKERS' COMPENSATION INSURANCE
- -
(This section need not be completed if the the permit for one hundred dollars (8100) valuation
or less.)
certify that in the performance of the work for which this permit is issued, I shall not
emI
ploy any person in any manner so as to become subject to the Workers' Compensation
Laws of California
Dale Owner
NOTICE TO APPLICANT: ff, after malting this Certificate of Eifemption you should become
ZONE:
BY:
subject to the Workers' Compensation provlsicris of the Labor Code, you must forthwith
comply with such provisions or this pemhft shall be deemed revoked:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
1 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.)
Side Setback from Property Line
Lender's Name
Lenders Address
FINAL DATEINSPECTOR
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
INSPECTS
1 certify that I have read this application and state that the above information is correct.
Issued by:
Date Permit
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.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
Citill State, Zip
•, I
r
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT, ®
SEWER OR SEPTIC TANK
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SD. FT.
DRAINAGE PIPING
WALL SQ. FT. ®'
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
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
FINAL INSP. -Z 7Apo
LAUNDRYTRAY
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SPARK ARRESTOR
SQ.FT.GAR ® V4c
HOUSE SEWER
GAR. FIREWALL
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) r •
OTHER APPJEQUIP.
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. -Z 7Apo
FRAMING
FINAL INSP.
ROOFING
LL
lIIJJJ�/Z�/��Q�
REMARKS:-
EMARKS:VENTILATION
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I
i
'-MAR704-2014 TUE
06:09.PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072' P. 01
1. Riverside
County Fire Department
Fire Protection Planning Section .
Rlvcrelde Ofllce: 2300 M.Irkel Sl., Ste. 1s0, Rlxer;100, CA 42001 Ph. (0611) 9ss.4777 Fax (001) 966.4886
Palm Deean Oflice: 77.933 Las Manrafias Rd.. 4 201 Palm Desert CA 92211.4131 Ph. (760) 9G3-8866 Fax (760) 863.7072 t
Fire Department Clearance/Release
Date: 3/4/2014
w • ;
To: LA QUINTA B&S
r
Fax-
Tract/Parcel Map #: ,
. CORAL MOUNTAIN APTS - SITE
Permit/Lot #:
LAQ-12-BP-002 A,
Job Site Address:
r 79625 VISTA CORALINA 1
City, State, Zip
LA QUINTA
® Final For Recordation .
❑ Final for'Alarm System '
Final for Fire Suppression System_
❑ . Shell Final Only (No Tenant)
El Release Release For Residential Sprinkler Installation .
Building Plan Check Fees Paid, Water Requirement Met- If waterappllcable
❑ Building Plan Check Fees Not Paid
_ o f .
-
17 Residential Sprinkler Plan Check Fees Paid
Q Residential Sprinkler Plan Check Fees Not Paid
[� Other Fees
1� Fees Not Required
If you should have any questions, please contact the appropriate'Riverside County Fire Protection Planning office for
further assistance.
KOHL HETRICK
Print Name of Plan Reviewer/Inspector Approved Release '
Sent By: Print Name
Form C.— R"aa0 310112012