08605 (SFD)R 1`W
P.O. BOX 1504
No. 08505
Building ! 78-105 CALLE ESTADO
Address .44 W lilleta DrIve LA QUINTA, CALIFORNIA 92253 y
taQltata Vista Partne=b#
Mailing
Address p.O. Box 7
CityZip Tel.
Contractor
Address
ty IZIp
State Lic. I City
& Classif.'�ijt4 Lic. #
Arch., Engr.,
Designer
Address I Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affir at I apjjcged ypder provisions of Chapter 9 (commencing wittuSection
7000) of DivisS'on 3 of�ttie By�e�a`nd Professions Code, and my license i n fu orce and
effect. f / // J // . ! .�
OWNER -BUILDER DECLARATION
I hereby affirm that I 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
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such perm.'t 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation; will
do the work, and the structure is riot 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.)
❑ 1, 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. & P.C. for this reason
Date Owner
-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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) 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
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
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this app'ication 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 Date
Mailing Address
City, State, Zip
BUILDING: TYPE CONST. OCC: GRP.
,A.P. Number
,Legal Description Laf'mintAyigmsm TrAct VIM
Project Description tail! 1QA1 Mgm 3
Sq. Ft. No. No. Dw.
Size =7 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
4 '
Plan Cfik. Dep.
Plan Chk. Bal.
598.6
Const.
723.
Mech.
.iQ
Electrical
v 126.65
Plumbing
138.50
S.M.I.
8.68
Grading
Driveway Enc.
Infrastructure
2774.43
Art in PubUe
58.27
TOTAL
"82.63
REMARKS
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 r
FINAL DATE
INSPECTOR=
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT. ®
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM n
STORAGE TANK
MOBILEHOME SVC.
BAR SINK Z
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CARP. SO. FT. ®
(FINAL) ( 92_1 TEMP. POLE
1111
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FRAMING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND
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
c.
SETBACK
GROUND PLUMBING 6 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
!SWER OReaWAgl ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. I O
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEELL<GAS
(FINAL) ( 92_1 TEMP. POLE
1111
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FI AL INSPA,0q
FRAMING
FINAL INSP.
ROOFING //—���9V
, „�� I� (��0✓
/
�! " — /-11061 e
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING�� C
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
•J. C . IT •
OF LA QUI,NTA.
Of,~ ° _ DEPARTMENT OF PLANNING & DEVELOPMENT .
BUILDING DIV181QN
564-2246
24-HOUR: NOTICE FOR INSPECTIONS.
r i
Owner LaQuinta V,ista'Partnership.
Contractor " rOimer
Permit Number 08605
s, POST ON JOB IN CONSPICUOUS" PLACE
INSPECTOR MUST SIGN,ALL APPLICABLE SPACES
�JOBADDRESS ' 44-125 Ville"ta .Drive
` y ; TYPE.OPIN$PECTION - DATE ' SP.
'FOUNDATION &SETBACK 6 '
`: FOOTING STEELid
°MAIN GROUND SYSTEM `
;GROUND PLUMBING ,
PRE-GUNITE,
DO NOT,POUR _CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB':
JOISTS & GIRDERS'
ELECTRICAL GROUNDWORK '
'.'DO NOT POUR CONCRETE -UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC:
,ROUGH PLUMBING, :-
ROUGH,GAS & GAS TEST:
I HEATING & VENT.w A/C
:,FIREPLACE -
'ROOF�-
.r:.BOND°.BEAM '
OX.TO. WRAP
"GROUT ❑ 4 ❑ 8'
FRAMING.'/ 7.%.,
INSULATION
-PRE-ROOF
`COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL, INTERIOR„
EXTERIOR LATH
;POOL PRE PLASTER +
POOL FENCE,&GATE
.`SEWER SEPTIC TANK.
FINALS
3 ELECTRICAL .
PLUMBING `
FINAL GAS TEST+
`HEATING' -A/C
HOUSE NUMBERS
JOB:COMPLETED �' v
: TEMP.POWER;
i
I' ABOVE APPROVALS DO NOT. INCLUDE RIGHT -TO
TURN ON,UTILITIES OR.00CUPY BUILDING
i 4188 ti
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Tq'��0 '� 1�utn��
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This Certificate issued., to the requirements of Section 306 of- the Uniform- Building:,
I ::
pursuant
III
'
F
Code certif in thafat-the time,of issuance this, structure was in compliance with the various
Y• 9 P
Ij
ordinances of the City regulating building- construction'or use. For the following:
;;
BUILDING ADDRESS 44-125° Villeta Drive
Use Classification SFD 08605.
Bldg. Permit No.
II r
i
Group . R3 Type Construction VN _-Fire Zone Use Zone R1
!
I.
I I
Owner of Building La Quinta Vista PrtnrshPAddress P. 0. Box 227
City La Quinta, CA 92253 Richard Kirkland
i
'
By:
3/27./91
�
ooze:
Building Official
- POST IN A 60N9?ICUOU! 'LACE
-
MM' MM MEN IM