08998 (SFD)44.
P.O. BOX 1504 No. 08598
Building 78-105 CALLE ESTADO
Address 7P-530 W-114xtzt Tlrl,tr,- LA QUINTA, CALIFORNIA 92253.
Mailing
Address
City IZip Tel.
Contractor
Address
Zip . I Tel.
State Lic. I City
& Classif. 500316 Lic. #
Arch., Engr.,
Designer
Address Tel.
City ( Zip ( State
Lic. #
/ ICENSFD CONTRACTOR'S DECLARATION
I hereby affirm that4 am,liceinsaiJ de provisions of Chapter 9 (cc
7000) of Division 3*of the Busigess�synd Professions. Code, and my lic
effect. l` . 1' / / z
' OWNER -BUILDER DECLARATION
I,hereby affirm that I am eiempt 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 (5500).
❑ 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 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 projects with a contractors) 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 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' 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
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
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description'TA1W*4yw*;ii 1l7 at-Ast '3'*A*--t 2*42f_Q
Project Description,�f'f9�.... t
Sq. Ft. No. No. Dw.
Size 1609 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
Plan Chk. Dep. a
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL 3 {�
REMARKS 1.1 A
AMOUNT
t tlziRfto,'�!n
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. SQ. FT. ® $
UNITS
SLAB GRADE frjy
2ND FL. �'__ SQ. FT.
ROUGH PLUMB. BONDING
YARD SPKLR SYST 0 ^ 1
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DRAINAGE PIPING
WALL SQ. FT.
OTHER APP.IEQUIP.
DRINKING FOUNTAIN.
SQ. FT. ®
GAS (FINAL) TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property4ax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REMARKS:
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.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
INSULATIONISOUND/-?9� 657
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 p J UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE frjy
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. v
GAS (ROUGH) G jaq/ METER LOOP
AA
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.
NAL INSP. S Q�
FRAMING
FINAL INSP.
ROOFING -%�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
WkATHING • OT .�
MESH
INSULATIONISOUND/-?9� 657
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA O.UINTA
a' DEPARTMENT OF PLANNING. & DEVELOPMENT
BUILDING DIVISION .
24-HOUR NOTICE. FOR INSPECTIONS
LaQuint'a • Vista 'Partnership '.
Contractor Owner
FU mR Number
;08998.
POST ON JOB IN=CONSPICUOUS PLACE
INSPECTORS=MUST SIGN ALL:APPLIC'ABLE SPACES
JOB ADDRESS 7$-530 Villet�a Drive.
TYPE OFINSPkb N DATE NS .
FOUNDATION'&:SETBACK ,
:FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-OUNITE..
DO NOT. POUR. CONCRETE UNTIL ALL ABOVE HAS, BEEN SIGNED, .
CONCRETE SLAB r
JOISTS & GIRDERS ,
ELECTRICAL GROUND. WORK
DO -NOT POUR CONCRETE-UNTILALL 'ABOVE.HAS BEEN SIGNED`
ROUGH:ELECTRIC ,
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C _
:FIREPLACE .'. �.:
ROOF
BOND BEAM
G.K. TO WRAP /o "9
GROUT 0 41'. .0 8,
FRAMING C _
INSULATION / y
PRE=149!! L_ F.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED,
DRYWALL .INTERIOR
EXTERIOR LATH .. (- -�
POOL PRE,PLASTER.
POOL FENCE & GATE
'SEWER SEPTIC'TANK
FINALS
ELECTRICAL
PLUMBING _
FINAL GAS TEST.'
HEATING -AIC. .
HOUSE -NUMBERS
JOB COMPLETED
`TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RI
GHT,TO
TURN ON UTILITIES OR OCCUPY BUILDING '
a!ea
•ice \ - .., ,.
t y./" A'' • ( �/' Imo• / � �j u' � ,
l r(Quilita r ;
Ot*U4 dnb 'Afvt� "31ftli/wiln
This Certificate issuedpursuant to therequirement'sof-Section,306 of ahe Uniform, Building -
Code certifying thatat.the time of issuance this�structure Iwas in compliance with the various.,
ordinances of the City regulating .building construction or use. For 'the following;
BUILDING ADDRESS =78=530 , Villeta 'Dr'ive
� .t ., f. r •• -t_ 4'N
Use Classification '' ' SFD - Bldg.,Nrmit.No.'. '08998
7 Group R3 ` Type Construction VN - Fire Zone _ ' 'I " Use Zone SR . Y
Owner of Building LaQuinta Vista .Prtnrshn. "Address 'P.O., Box 227
- ". ;
11
City." La Ouinta. CA 92253
{; By: Richard. Kirkland �
:A� ' ' .. `�• 'Date: 5/6/91
Building ,Official
POST IN A CONSPICUOUS PLACE .
nap