07946 (SFD)• Building
Address
Owner
Mailing
Address
City
P.O. BOX 1504 No. 0794.
78-105 CALLE ESTADO
itria�l LA QUINTA, CALIFORNIA 92253
La Quint& Vista Par
PO Box 227
State Lic:` - ICity
& Classif. Lic. #
Arch., Engr.,
Designer.
Address ITel.
345-x'$72
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000)!of•D vIvIssion"�3j of the Business and Professi'ops•Code, and my license is in full force and
effect.
DATE
OWN ER-BUILDEWDECLARATION
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).
O 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 imorove 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 N 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 thp. work for which this permi s issued, I shall not
employ any perso in any man ner-solas`to become sups, to the orkers'-Ciimpensalion
Laws of C, for
Date --'Owner -/ + / /// E
NOTICE A PLICANT: If, (taftermaMn'g his—eertlbc a of i�mpt-con y wsheU
subject Ito the Workers' Compvma on 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 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
G: TYPE CONST
OCC: GRP.
A.P. Number
Legal Description LA 014inta Vistas Tract 23269
Project Description 1,111111k 9111 OU" 9
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Sq. Ft.
Size 1688
No.
Stories
No. Dw.
Units
New ❑ Add. ❑
Alter ❑
Repair ❑ Demolition ❑
FINAL DATE
INSPECTOR
Issued by:
Date fi1911 J?ermit
Validated by:
Estimated Valuation
$92,477
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal:
Const.
Mech.
Electrical
�►
Plumbing
'
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
$
A •tit
REMARKS
rA
4 �
MOW, P 1_5013.41`
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 fi1911 J?ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE �.
ROUGH PLUMB.
BONDING
2ND FL. SQ. FT.
HEATING (ROUGH)
YARD SPKLR SYSTEM
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ, FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT.
GAS (FINAL)//—/
TEMP. POLE
WALL SQ. FT.
DRINKING FOUNTAIN.
SO FT @
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
�,,,, ^ 8) Q
! `�V/'
/1/d
"'^' �✓I A CGkriFIc�ATtr o� 1-!JS(� mlct�
pyo �� To
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
I WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES��EE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING _ & ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
I W7
GROUND PLUMBI G
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE �.
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TAN t
Q ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
Z l
GAS
GAS (ROUGH) q'V 64
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)//—/
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. �o-�i'7(> (%
FRAMING tSlqa V
FINAL INSP.
ROOFING �'�
�,,,, ^ 8) Q
! `�V/'
/1/d
"'^' �✓I A CGkriFIc�ATtr o� 1-!JS(� mlct�
pyo �� To
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GEAR. FIREWALL
Z G
MESH
INSULATION/SOON
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATUREWINITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA
DEPARTMENT OF.PLANNING & DEVELOPMENT
BUILDING DIVISION,
564-2246
24-HOUR NOTICE FOR INSPECTIONS
1 10
Ownerq- V t 5 ll pcG
t °
Contractor
Permit Number
POST ON JOBIN CONSPICUOUS,•PLACE.
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB. ADDRESS Lot 203/78_56o V; l l a r a
TYPE OF INSPECTION DATe , ►NSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM (o a O
GROUND PLUMBING p
PRE-GUNITE,
DO NOT POUR CONCRETE UNTIL AL,LABOVEHASY S BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE___ HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST Z Dlp
HEATING & VENT -A/C
FIREPLACE
ROOF 3 e 9e GU
BOND BEAM.
O.K: TO WRAP 7 O
GROUT , ❑ 4' ❑ 8'.'
FRAMING
INSULATION
PRE -ROOF
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 - A/C. rt
HOUSE NUMBERS ;
JOB COMPLETED
TEMP.: POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
A it
A
OF
!4
U
XIV
vutt ou nta,
t t t trnan
This Certificate, issued to the requirements of S ection-306 of'the L16iform' Building!.
-pursuant
Code certifying that at the time of issuance this structure Was in compliance with the various
ordinances of the, City redulating building construction or use. For the following:,
I.V
BUILDING ADDRESS 78-560 Villeta
Use Classification SFD Bldg. Permit No. 07946
R3. VN -R1
Use Zone
Group Type Construction Mrs Zone
-La Quinta Vista-Prtnrsh P. O. Box 227
Ownir •of Building Wduress — -
is
I'
• CA 92253
city - Richard Kirkland
III
ILa,Quinta,
By:
0/24/90
Date: 10/24/90.
Building Official
POST IN A CON8VI000US PLACE