9534 (SFD)�.
4
P.O. BOX 1504 0. 9534
Building _ ,'4-290 sfilletg Drive 78-105 CALLE ESTADO
Addrebs LA QUINTA, CALIFORNIA 92253
Owner
La !Qt13.12i'a Vista PaA tnershi1, BUILDING: TYPE CONST. OCC: GRP.
Address P. 0. Box 227
City lZip Tel.
Contractor
Address
City lZip
State Lic. City e
& Classif.500316 Lic. #. s64
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED ONTRACTOR� DECLARATION.
I"hereby affirm th'St•1 am license under Drovi 1711'''s•of poap�.9.(commencing with Se(
effec of Divls`ion 3 of,t�t1€Busira, raw'n�tl Pro/fes'sions/C9de�r`and.myylicense is in full. force
effect. r ! �/�..,,,.,1/ &.. !f• �C..., .i"�s.. � ��/
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
subjectsthe applicant to a civil penally ofnot more than rive hundred dollars (S500).
❑ 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 wilb,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.)
O 1 am exempt under Sec. B. & P.C. for this reason f'
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure,, -pr a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800,1 Labor Code.)
Policy No. Company
0 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 dollarsi(S100) valuation
or less.) y 1
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' Copensation
Laws of Californim
a. t
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 it 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
A.P. Number
,Legal Description—T-act
Project Description
23269
Lot 233 Plan
4
Sq. Ft. 2295.E
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
123,379.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
601.68
Const.
723.50
Mech.
60.00
Electrical
326.99
Plumbing
I50.50
S.M.I.
8.68
Grading
Driveway Enc.
Infrastructure
2776.04
Arai in Public
58.45
TOTAL
4505.U4
REMARKS
_.A fit! 10
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 SO. FT. ® $
UNITS
SLAB GRADE
2ND FL SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT.
POWER OUTLET
ROOF DRAINS 3
CAR P. SO. FT. ®
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. 6� ��
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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 ® 11/. c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ic
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
4
GRADING
cu. yd.
$ plus x$
s:
=$
LUMBER GR.
FINAL INSP. 6� ��
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA QUINTA
DEPARTMENT OF PLANNINGI&"DEVELOPMENT
BUILDING,.DIVISION
nFA10"T" 5642146.'a
24-HOUR NOTICE FOR INSPECTIONS
;
Ouinta Vista Part-nershi p.
Contractor SAME
Psimk'Number 9S34
POST ON JOB INCONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
I ,
JOB ADDRESS 44=290 Villeta Drive
TYPE OF INSPECTION ` DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL -/U ? -
MAIN GROUND SYSTEM • s
GROUND PLUMBING V
.PRE-GUNITE
DO NOT POUR'CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB {
'JOISTS & GIRDERS j
ELECTRICAL GROUND WORK {
o
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED .
ROUGH ELECTRIC j
ROUGH PLUMBING i
ROUGH GASH GAS TEST
HEATING & VENT' A/C
FIREPLACE 7 '
ROOF '
BOND BEAM- {
O.K.'TO WRAP _ 2-
OUT ❑ 4', ❑ 8'
FRAMING.
INSULATION
PRE -ROOF
COVER NO WORK UNTIL -ABOVE HAS BEEN SIGNED
-DRYWALL INTERIOR I
EXTERIOR LATH -
POOL PRE PLASTER j
POOL FENCE 8 GATE
SEWER SEPTIC TANK 1 15 ._70 Tq
.FINALS '
ELECTRICAL
PLUMBING
FINAL GAS TEST
HEATING -A/C.',, 1
HOUSE NUMBERS �, {
JOB COMPLETED {
-TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
OTitltof AN Mtn
uta to stn ��t P3t11:*r5t0n
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 n 44-290 Villeta Drive
Use Classification SFD Bldg. Permit. No.= 9534.
Group R3 Type Construction VN Fire Zone. Use Zone R1
Owner of Building La- Quinta Vista ,Prtnrshp'Address P. O. Box 227
Cit La Quin a, CA 922.53 Richard Kirkland
BY: h .
Date: 12/11/91
Building. Official
POST IN A 0011181PI000U! , PLACE '
tic
NEW
OTitltof AN Mtn
uta to stn ��t P3t11:*r5t0n
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 n 44-290 Villeta Drive
Use Classification SFD Bldg. Permit. No.= 9534.
Group R3 Type Construction VN Fire Zone. Use Zone R1
Owner of Building La- Quinta Vista ,Prtnrshp'Address P. O. Box 227
Cit La Quin a, CA 922.53 Richard Kirkland
BY: h .
Date: 12/11/91
Building. Official
POST IN A 0011181PI000U! , PLACE '
tic