08611 (SFD)Building
Address 44-245 Vf kA-ta
Address
City I Zip Tel.
Contractor
Address.
ip I Tel.
State Lic. I City
& Classif. 500316 Lic. #
Arch., Engr.,
Designer
Address Tel.
City/ (Zip (State
Z Lic. #
4. -
P.O. BOX 1504% 4
78-105 CALLE ESTADO 6 . , C -
LA QUINTA, CALIFORNIA 92253
LICENSED CONTRACTOR'S DECLARATION
P I' nseVnder provisions of Chapter 9 commencing with Section
usin�s and Professions Code; and% licca "se is in full force and
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 for such permit 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).
0 I, 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 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.)
❑ 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) 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' COMPENSATION INSURANCE
(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.thp 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
Ihereby 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 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 authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant __ Date
Mailing Address
City, State, Zip
No. 0861.1
BUILDING: TYPE CONST:
A.P. Number
Legal Description Tj!(hiiiraf`st Wott—otflt
Project Description T. t
OCC: GRP.
'!'vs+eelr _112f g
Am
Sq. Ft.
Size
No.
Stories
No: Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
r
f
r
•1
Estimated Valuation
477.00
PERMIT
AMOUNT
Plan Chk. Dep.
`
Plan Chk. Bal.
510.41
Const.'
608.01
Mech.
60.00
Electrical
104.26
Plumbing
138.50.
S.M.I.
6.51
Grading
Driveway Enc.
Infrastructure
2080.73
TOTAL
3508.41
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
FINAL DATE INSPECTOR
Issued by: 'Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
,
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
FOR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT, ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
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
GRADING
cu. yd.
$ plus x$
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
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 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 S gy 1cfA46
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
/
�AS (ROUGH) G .
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
JAIAL INSP.
FRAMING �— s
FINAL INSP.
ROOFING ���x9v�Q/N %
1vn
5 67
` "`
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
//%
4THING �-
6L4
MESH
INSULATIONISOUND .G(
FINISH GRADING
FINAL INSPECTION
civ
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY -OF LA OUINTA•
`•w ~ `S DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246 ,
24-HOUR NOTICE FOR.INSPECTIONS
owner LaQuinta Vista Partnership -
Contractor, Owner
Permit Number
08611
POST ON JOB 'IN CONSPICUOUS PLACE
INSPECTOR -MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS '44-245 Villeta Drive .
TYPE OF INSPECTION, DATE SP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING 7VC�
PRE-GUNITE..
D0 'NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
.CONCRETE SLAB
- JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL.ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE "
ROOF w //-;93 U- t
BOND BEAM
O.K. TO. WRAP
GROUT 0'4' O 8'
FRAMING _
INSULATION t '
PRE=ROOF.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
•DRYWALL INTERIOR
EXTERIOR LATH, i
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL L/-R� -
PLUMBING
FINAL GAS TEST
HEATING -A/C
HOUSE NUMBERS
JOB COMPLETED ic:Tl 74'
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
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a is.` d .+iy! ,,�, ' I ?� •I•��' 9A II:, I- jlll �' /'1��` • �i�iil _--
F4.
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of 14a.Litlt�
uta to a-nb -Safet t titan
This. Certificate issued pursuant to therequirements of Section 306 of- the .Uniform Building;
I
!
I
Code certifying that at,the, time of issuance this structure was in compliance with the various:
I
ordinances of the City regulating building construction-or use. For the following:
44-245 Villeta Drive
BUILDING ADDRESS _
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SFD 0.8611 j
Use Classification Bldg. Permit No.
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Group R3 Type Construction Fire Zone Use Zone Rl
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La Quinta Vista Prtnrshp P. O. Box 227
Owner. of Building Address
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City La Quinta CA 9_3253 Richard Kirkland
By;
• ' Dote • 9/26/91
+)
Building Official
"� POST IN A CONSPICUOUS PLAO!
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