08612 (SFD)Building
Address 44.1.25'sV111' �:$£t
Owner
P.O. BOX1504 C, N0. 086' 12,
7&105 CALL ESTADO "++ j (�
LA QUINTA, CALIFORNIA 9225
Mailing
Address P.O. At 227
City Zip Tel.
La.Qxiaga1192253 1.345--7972
Contractor
Zip
State Lic. City
& Classif. 5�3i6 Lic. #
Arch., Engr:, j
Designer
Address I Tel.
City - ( Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 -hereby affign'that l am licensed under provisions of Chapter 9 (commencing with Section
7000) of Div'a'ion 3, (fte Bysiness and Professions Code, and my licegse is full force and
effect. / """� / _0_ y /_ /_ ,
C,.,,,,_` - 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).
❑ 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,
orimprovement issold 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. I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
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 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 -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 114ftinta 940to-im ftan0 20416
Project Description' •,,. 1E1aa TZ's I
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:,_
Sq. Ft.
Size 1609
No. No. Dw.
Stories • Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
A�
07.
PERMIT
AMOUNT,
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
&
TOTAL
3"s ?A% 40
REMARKS
11 _ _ LMW f U 1— r'2_ 24
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
e
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL, AREA
2ND FL. SQ. FT.
ROUGH PLUMB.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)(—-,2—`�Z/�
DRINKING FOUNTAIN.
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
plus x$
LAUNDRYTRAY
AIR HANDLING UNIT CFM
////// `
�C.FJNAL INSP.N' `; 7�
111
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
FIRE ZONE ROOFING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SPARK ARRESTOR
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 PLUMBING/ Y.0
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS Q
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. JV
GAS (ROUGH)(—-,2—`�Z/�
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.
////// `
�C.FJNAL INSP.N' `; 7�
111
��+, J
44RAMING .2''�G /
v /L
FINAL INSP.
ROOFING ���7/O
A—
1/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�I]
THING — VV
MESH
INSULATIONISOUND �-q1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
°SOF DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246 .
24-HOUR NOTICE FOR INSPECTIONS
Owner LaQuinta Vistas
rContractor .Owner
Permit Number ) 8612
POST ON JOB. IN CONSPICUOUS PLACE
I INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 44-255 Villeta Drive
/�:F
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING zo
1.31
PRE-GUNITE. (!H..a��
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
k. : ROUGH PLUMBING
{ ROUGH GAS & GAS TEST171
HEATING & VENT-A/C
FIREPLACE-
ROOF.-
BOND
IREPLACEROOF. BOND BEAM
O.K. TO WRAP _
GROUT ❑ 4' : O 8'
FRAMING
INSULATION _ l
PRE-ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN Sl NEjD'
DRYWALL INTERIOR - -
EXTERIOR LATH
t POOL PRE PLASTER
''POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL' L
PLUMBING
FINAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
'ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4/88
Of
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(t u� Uinta
uftb in4 anb =afeN 34ditiNtoxill
-This Certificate issued pursuant to the requirements -of Section 306 of the. Uniform Building:.
Code certifying that at the time of issuance this structure was in compliance with. the various.
ordinances of the City regulating building construction or use., For the following:
BUILDING ADDRESS 44-255 Villeta Drive
Use Classification SFD Bldg'. Permit No. 08612 -
Group R3 Type Construction VN Fire Zone Use Zone R1
Owner of Building La Quinta Vista PrtnrshQAFldrsss P. O. Box 227
City La Quinta, CA 92253 Richard Kirkland
By;
Dote: 10/.25/91
Building Official
POST IN A 00N9*000U3 PLACE