08613 (SFD)I,
44Q
Kur
P.O. BOX 1504 � No. 48623
Building 78-105 CAELE ESTADO f "'�
Address "-250 Mletg DR:v LA QUINTA, CALIFORNIA 92253 r t
Owner
LaQuinta Vistas Pafrmrship
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address P.O. Bez 227
City Zip Tel.
YrsQ frets 32253 34S -Ian
Contractor
ress
Zip ITel.'
State Lic. I City
& Classif. Steil Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm at I am licensed under provisions of Chapter 9 (commencing with Section.
7000) of Division 3 of the Bu ness and Professions Code, and my license is in full force and
effect. . / r�// ✓i. - /. l_ .,
L,- - 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 rile a signed statement that he is licensed pursuant to
the provisions or 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 rive 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 or 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.) -
O 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 lhp 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: It, 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 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 of this city to enter the above-.
mentioned property for inspectionpurposes.
Signature of applicant Date -
Mailing Address
City, State, Zip
A.P. Number
Legal Description J; 4ast0* If Rtrag wfte t. 249,6A
Project. Description Vo$2201 P] n= 2
Sq. Ft. No. No. DIN.
Size 16" Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL !�
AMOUNT
REMARKS py A
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:
v
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS +
COLL. AREA
2ND FL. SQ. FT. @
YARD SPKLR SYSTEM
FOR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ, FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SO. 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
FINAL INSP. / W
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 ® 11/4 c
SEWAGE DISPOSAL
SQ.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 ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING1p d
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
''
/SE "'
(WER OR 't WQ
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
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. / W
AMING _ "! (
FINAL INSP.
ROOFING / /�
V 0){ T PAP _ �y �/
,/1y�� ` /vl�,
(,!, t/`� •'�/ �QZ "('
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REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING O'_
MESH
INSULATIONISOUND/- 1,
I
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
i
a ,
CITY OPLA OUI;NTA
`+a
_26/ DEPARTMENT',OF PLANNING -& DEVELOPMENT
BUILDING DIVISION
5642246
24-HOUR NOTICE FOR INSPECTIONS
py„ner. LaQuinta Vista Partnership .
Contractor Owner -
Psrmit Num"r '08613
POST, ON JOB IN CONSPICUOUS, PLACE
INSPECTOR MUST. SIGN ALL APPLICABLE_ SPACES '
JOB ADDRESS` 44-250 Villeta:' Drive
-+ TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK5—I
MAIN GROUND SYSTEM
GROUND PLUMBING ' L
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
HEATING & VENT - AIC...
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT- O 4' 08,
FRAMING
INSULATION
PRE -ROOF .
COVER NO .WORK'UNTIL ABOVE HAS BEEN SIGN D
DRYWALL'INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE. .
SEWER SEPTIC TANK -
FINALS
ELECTRICAL
PLUMBING;
FINAL GAS TEST .
HEATING = A/C
HOUSE NUMBERS'
Inn nnuoI rrrn
P POWER
wonVF APPRA �wL$ DO F fm mrt1 1 inc,
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..This, 4 Certificate issued pursuant to the requirements of�Section -306 of theUniform Building!
Code certifying,that at.the.time of issuance this structure -wds-in compliance with the various
ordinances of the .City regulating building construction or -use". For the following:
I;�
;i
!!:
BUILDING ADDRESS 44-250 Villeta Drive
Use Classificotion. SFD Bldg. Permit No. 08613
R3 VN Use
Fire Group Type Construction re Zone' Zone Rl
Owner of Building La Quinta Vista PrtnrshPAdd - ress P. 0. Box 227
City La Quinta, CA 92253 Richard 'Kirkland'
BY:
111111
Date: 11/2'0/91,
EWII
LI
Building Officiol
POST IN -A 00'W11*1CUOUS PLACE
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