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08999 (SFD)Building , Address 78-520 Mailing Address VM f City Zip Contractor Address Zip • „ Of1 r P.O. BOX 1504 No. 0$999 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 9225ship ' J` BUILDING:.TYPE CONST. ` OCC: GRP. T State Lic. I City & Classif. 5W316 Lic. # Arch., Engr., Designer Address Tel. ;ity . Zip State Lic. # LICENSED CONTRACTOR'S.DECLARATION I hereby �f affirmat'I gAtcopse oder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of tF%Bn s y iand Professions Code, and my tic nse is�In full force and effect. // / / �. 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: Anycityor 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 thathe 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, Bulsness 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. O 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 (3100) 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. A.P. Number Legal Description Project Description ' Project w oa.... d 6a 2-31-66- I hereby affirm that there is a construction lending agency for the performance of the work for whichahis permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Sq. Ft. Size( No. Stories No. Dw.' Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ " INSPECTOR 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. Issued by: Date Permit 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-. Estimated Valuation Q. Validated by: PERMIT Signature of applicant Date AMOUNT Plan Chk`. Dep. _ Ma4ing Address Validation: Plan Chk. Bal. City, State, Zip Q j� Const. x 6Q�3Afl Mech. Electrical', Plumbing S.M.I. Grading Driveway Enc. Infrastructure , TOTAL REMARKS 14i;4P8ra-rly'NA' -.ivy ' !'a AIk ZONE: " BY: Minimum Setback Distances: Front Setback.from Center Line_ Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for whichahis permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date _ Ma4ing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. LECTRIC7A FEES NO. PLUMBING FE 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. ROUGH PLUMB. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT, ® POWER OUTLET ROOF DRAINS CARP. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. S (ROUGH)C 3o- C DRINKING FOUNTAIN. SQ. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WAIER 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$ LAUNDRY TRAY 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 WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. 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 PLUMBINGI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE mV ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINFI S (ROUGH)C 3o- C METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR, A&AL INSP. C ' l FRAMING FINAL INSP. ROOFING em W —J c ] r& REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND e FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL CITY OF LA QUINTA a ~ " DEPARTMENT OFfPLANNING, &11: VELOPMENT - $UILDING DIVISION 5642246. 24-HOUR;NOTICE FOR INSPECTIONS Owner LaQuinta- VistaPartnership -' Contractor' Owner -► Prsmlit NumberY 08999 POST ON JOB IN CONSPICUOUS PLACE, t, INSPECTOR'MUST SIGN ALL APPLICABLESPACE .S ! JOB.ADDRESS 78-520 Villeta Dr TYPE OF INSPECTION DATE : INSP.. FOUNDATION,& SETBACK , FOOTING STEEL . MAIN•GROUND SYSTEM GROUND PLUMBING s' PRE-GUNITE .. DO NOT :POUR CONCRETE UNTIL ALL ABOVE -HAS BEEN SIGNED CONCRETE SLAB - JOISTS &GIRDERS ELECTRICAL GROUNDWORK DO NOT POUR.CONCRETE UNTIL ALLABOVE BEEN SIGNED •ROUGH ELECTRIC ROUGH PLUMBING. ;r ROUGH GAS & GAS TEST` r HEATING •& .VENT ! A/C' ' _ ,i . FIREPLACE ., ~ ROOF. BOND BEAM r O:K.,TO:WRAP GROUT 'O 4' ❑ 8' FRAMING 1. " INSULATION PRE -ROOF. '.COVER NO WORK UNTIL ABOVE'HAS BEEN SIGNED DRYWALL INTERIOR; -/k- - 7t, EXTERIOR LATH t L L POOL:PRE PLASTER : POOL FENCE & GATE , SEWER SEPTIC TANK F. FINALS r ELECTRICAL - PLUMBING FINAL GAS TEST HEATING -"ASC ' HOUSE NUMBERS JOB COMPLETED TEMP. POWER t .,;•, t J, ,.4 ABOVE APPROVALS DO NOT -INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING 4'88 �: R A,�. J OF -TiN of '14a Quinta, : V1 -11-u4b' 'nb �afPt t t ton 1 f S�- 306 of the 'Uniform Building! his Certificate, issued pursuant to the requirements.o ection T ck, Code certifying that at the time of issuance thi's structure Was, in eoinpliahce with the various 1;. ordinances of the City regulating b0ding construction or use. For the following: BUILDING ADDRESS 78-!-520-villeta Drive 08999 Use Classification SFD Bldg. Permit No. I;' R3 Type VN R1 Group Construction Fire 'Zone Use Zone ., Owner of Building La Q�uinta Vista.PrtnrshpAddress PO. Box 227 La Quinta, CA 92253 City Richard Kirkland By' `7Date; 11/6./91 Building Official zt- POST IN A 0011101 001,11, PLACE