08615 (SFD)Building
Address A&
14 " V"ta Partw"Up
Mailing
Address P.O. $= 227
City Zip
Contractor
Address -
Zip
4
P.O. BOX 1504 uvr-Q
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Tel.
345-7872
State Lic. I City
& Classif. 500316 Lic. #
Arch., Engr.,
Designer
Address I Tel
City Zip State
Lic. #
// LICENSED CONTRACTOR'S DECLARATION
I herefp41 r'm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of f isioo.3 of theApsiness and Professigps Cy e, and my license 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,Susiness 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 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.)
O 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 projectswith 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
O 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 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 it work thereunder is suspended for 180 days.
I cartify_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
08815
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description L_2Qa!=° _ '"vAntaow ft=t 2326r0
Project Description 'Oe 211 _�7. gSrn ?
Sq. Ft.
Size .1688
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation
S92,477.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
510.41
Const.608,00
Mech.
60.00
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
2090.73
TOTAL
REMARKS,I!
is t $#Sk1tl ""i� Mtn ; dif:r �4
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
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM ' • �,
2ND FL. SQ. FT. ®
FORMS
t.
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. S0, FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
METER LOOP
DRAINAGE PIPING
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER HEATER
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
FINAL INSP.
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c 0
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
/GAR.
C�CLATHING .2_
SO.FT.GAR ® Vac
HOUSE SEWER
MESH
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
10 UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR SEPTI
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 0
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
AL INSP.
AMING ,l.
FINAL INSP.
ROOFING ��-9p ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
FIREWALL
/GAR.
C�CLATHING .2_
MESH
CSULATIONISOUN "
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUREWINITIALS
GARDEN WALL FINAL
CITY OF LA:QUINU, `
Of • ' DEPARTMENT OF PLANNINGA DEVELOPMENT
BUILDING DIVISION
W-2246
24-HOUR NOTICEFORINSPECTIONS'
LaQuinta".Vista Partnership
'Owner
Contractor' -bwner.
Permit Numbor
08615
POST ON JOB IN CONSPICUOUS PLACE
''INSPECTOR MUST SIGN ALL APPLICABLE SPACES '
JOB ADDRESS 44-270 .Vlleta Drive
. I
' TYPE OF INSPECTION DATE NSP.
FOUNDATION & SETBACK"
FOOTING STEEL _.
MAIN GROUND. SYSTEM
GROUND PLUMBING
PRE-GUNITE, i
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 I
ROUGH PLUMBING
ROUGH'GAS & GAS TEST.
HEATING &'VENT - A/C .
FIREPLACE
ROOF-
BOND,
OOF.BOND, BEAM
O:K.- TOWRAP ." _.... .;
GROUT 0 4' 0 8`
FRAMING,
INSULATION
PRE -ROOF
COVER NO NO WORK.UNTIL ABOVE -HAS BEEN SIGNED
DRYWALL INTERIOR.,
EXTERIOR LATH
POOL PRE PLASTER '
POOL" FENCE & GATE l '
SEWER SEPTIC TANK
FINALS.
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING - A/C {
HOUSE NUMBERS_ I
JOB COMPLETED I '
TEMP POWER
i
i ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
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E This Certificate issued pur5uont'to the requirements of Section 306 of° the, Uniform Building:
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Code certifying that at the time of,issuance this structure was 'in compliance with the :various..
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ordinances of the City regulating building -construction or use. For`tWfollowing:'
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BUILDING ADDRESS 44-270 Villeta Drive'
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08615 F
y Use Ciossiflcation t SFD Bldg., Permit. No. µR'
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Group Type Construction VN Fre Zono ; Use Zone SR
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Owner of,Building LaQuinta Vista Prtnrshi). Address P F 0. Box 227
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i � �.. �� '.�•` �Lauinta• •'CA 92253 � '°' .•, rr
City 4 Kirkland
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- By. -Richard
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.... _ 4 .30 91'
• Dote.
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_
Building Official
t r POST IN A QONBPICUOU! PLACE r'
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