07945 (SFD)`. P.O. BOX 1504 N o . 0794.5
94.
Building `' 78=105 CALLE ESTADO
Address 78-540 Villeta .Drive LA QUINTA; CALIFORNIA 92253
Owner
LDING: -TYPE CONST. OCC: GRP.
Address PO Bax 227 A.P. Number
CityI�7= Tel." ". ... ,.
0- rota p . Q �45-7872 Legal Description ! as j)1-tinta Vfttaa TA= - 232-0
Con ract r Project Description 1
ANO%EW
ity lZip - - Tel.
state LIC - — Lolly
& Classif. 516 Lic. # .
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Secl'oh
7700e0)toLDivision-&oL.t a Business and rofessions C gnd y license is in full for} aneffd
SIGNATOR -"DATE
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).
❑ 1, 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 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 I,Or Company
04,06py 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 ($100) valuation
or less.)
I certify that in the performance of the work for which this per 'tissued, I shall not.
employ any person in any manner so as to become subject tot or ek s 'Compensation
Laws of Calif Ria S y
Date { Owner
'NOTICE?TOi APPLICANT: Il,� #a e�aKing this' Certi/i�°ate- o/ Ezemph rrwou 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
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
Qa7 A'77
PERMIT-
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
260.41
Const. '.
Mech.
60M
Electrical
ft
Plumbing
USA()-
S.M.I.
>3
Grading
Driveway Enc.
Infrastructure
2080.73.
x
TOTALI
- 13,508.41
13.25 41
REMARKS
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 5/21 Permit
Validated by:
Validation:
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT. ®
ROUGH PLUMB.
YARD SPKLR SYSTEM
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC TANK 1
ROUGH WIRING
GAR. SQ, FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT. ®
(ROUGH) ao
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SQ. FT. ®
GAS (FINAL) AJ/
a
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
-$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING i aQ W
LAUNDRY TRAY
AIR HANDLING UNIT CFM
�y
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
SQ.FT.GAR ® 3/ec
HOUSE SEWER
LATHING
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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE b it $vim
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK 1
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.GAS
(ROUGH) ao
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) AJ/
a
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
-$
LUMBER GR.
F NAL INSP. 0
FRAMING i aQ W
FINAL INSP.
ROOFING,
VENTILATION
�y
// j��,� W rA� p /Q�
C�
REMARKS:
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND OL 110
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CITY -OF LAOQUINTA
q a a
DEPARTMENT OF PLANNING, & DEVELOPMENT
BUILDING DIVISION.
564-2246
!' 24-HOUR.NOTICE FOR INSPECTIONS
Owr»r
Contractor
Permit Number
POST ON JOB IN PICUOUS. PLACE
INSON$PECTOR MUST SIGN ALL APPLICABLE SPACES
J!08ADDRESS Lot 201/78=54b.-Villeta
TYPE OF INSPECTION DATE INdP:'
t.,
' FOUNDATION & SETBACK,
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING-,.
PRE-.GUNITE _
1)O. NOT -POUR CONCRETE UNTIL ALLABOVE HAS BEEN SIGNED
CONCRETE SLAB f
JOISTS & GIRDERS y..
ELECTRICAL GROUND WORK
s ..
`:•; DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC '
ROUGH_ PLUMBING
ROUGH.GAS & GAS TEST
HEATING & VENT- IVC
FIREPLACE
ROOF,:
BOND BEAM
'. O.K. TO WRAP $D
GROUT. 0.. 4' 0 8'
FRAMING ' v cc>
_"INSULATION
.PRE -ROOF
'COVER NO WORK UNTIL ABOVE HAS'BEEN SIGNED '
DRYWALL INTERIOR. 7
EXTERIOR LATH
POOL PRE PLASTER .
POOL FENCE & GATE
SEWER SEPTIC TANK . g ��. h
FINALS— r
'ELECTRICAL
t. PLUMBING
FINAL GAS TEST
' HEATING - A/C _:
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER-
{w ABOVE APPROVALS DO NOT,INCLUDE RIGHT TO
+ i TURN ON UTILITIES OR OCCUPY BUILDING,
'..:
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93
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U, i t b in u t11 t tII
This Certificate issued -pursuant to the requirements`of Section`306 of•the •Uniform Buildings
Code certifying that at the time of issuance this structure was in compliance with the various -
;
II
ordinances of the City regulating building construction or use. For ttie following:
i
i
k, i
BUILDING ADDRESS 78-540- Villeta
!I
(;
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Use Classification SFD Bldg. Permit No. 07945
;
I,
Group R3 Type Construction VN 'Fire Zone Use Zone R1
I .'
Owner of Building La Quinta Vista, Prtnrshd►ess P• O. Box 227
La Quinta CA 92253 City Richard Kirkland
:By:
6/5/91
r Dots:
Building Official
POST 1N A CONSPICUOUS PLACE
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