07964 (SFD)44
P.O. BOX 1504 N o . 07964.
Building
Address 665 Villet8 Orin LA QUINTA, CALIFORNIA 92253
Owner
La Quina V 5'�S PartPartnership"" " ' BUILDING: TYPE CONST. OCC: GRP.-
Mailing'
Address PQ BOX 227, a A.P. Number
City � Zip Tel.
.La U n 251
Legal Description La Q1110A V{etal Tr�e►t 93964
Contractor Project Description F at 227 - Plan 4 R
Address •.
City Zip Tel.
State Lid. City
& Classif.Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTO�S.DECLARATION
I hereby affirm that l am licensed under proyyee'stons of Chapter 9 (commencing with Section
7000)..of=Divisioo+3 of the �dsiness and Pr0J6ssiL s_Code, and my license isKn full force and
effect... .d ✓i /� ,0 1
SIGNATOR /E.i✓!/ �' /��^ ",01
//"' J3 DATE
OWNEfT13U1LDER DECLARATION
I hereby affirm that I am exerript-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 pena.Ry 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, 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.)
❑ 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 havea certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy V06. Company
❑,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 theperformance of the work for which this permit�'s.issued, I shall not
employ any person in'any.manner so as to become subject to the,W-orkers' Com pensatioh
Laws of C if ia.
Date.�� Owner �jT s
NOTICE APPLICANT: If;,. ager m ' g TT��afe fol-•.Exempliiin you s ould become
subject to the Workers' Comp a ion provisions of the=,Labors Code, you must torthwith
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 sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft.
Size .
No. No. Dw.
Stories 2 Units
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
- Date 5/2119OPermit
Validated by:
Estimated Valuation
$123,379
PERMIT
AMOUNT
Plan Chk. Dep. -
Plan Chk. Bal.
601:168
Const.
723.5€3
Mech.
60.00
Electrical
Plumbing
-150.50
S.M.I.
8.68
Grading
Driveway Enc.
Infrastructure
2776.04
TOTAL
447• t -41 -IL -1-1 ^7 -
REMARKS
_ _ _ k •> <
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 5/2119OPermit
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
�r UNITS
R '
2ND FL. SQ. FT.
COLL. AREA
YARD SPKLR SYSTEM
POR. Sp. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
STORAGE TANK
FORMS
DRAINAGE PIPING
CAR P. SQ. FT.
CtROUGH WIRING.
WALL SO. FT.
DRINKING FOUNTAIN.
SQ FT ®
a/
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
OTHER APPJEQUIP.
FLOOR DRAIN
MECHANICAL FEES
GAS (FINAL) ,
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYE14
GROUT
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SERVICE
LAUNDRYTRAY
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
8 Qp
cc
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
; SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
VENTILATION
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 -
7 )
OLARr)
SETBACK
/
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
f��j
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANKo
CtROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
a/
GAS (ROUGH)�2 �p
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.
AL INSP— -�
00��
FRAMING ( RD
FINAL INSP.
ROOFING
8 Qp
cc
Pl-,e �
r T O ®��
l
O 36 LD
G� CAD
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
L — ING
MESH
INSULATIONISOUND /L
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I
d ,
i
CITY OF LA OUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
}• 5644246
r r 24-HOUR.NOTICE FOR INSPECTIONS
La Q0hta Vista`Partnership
Contractor La Q,uinta' Vista ,Partnei ship
Pwmit Nundmr 07964.
POST ONJOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 78-565,Villeta°Drive
TYPE OF INSPECTION DATE INdP.
FOUNDATION 6 SETBACK
FOOTING STEEL v.
MAIN GROUND SYSTEM, _
GROUND PLUMBING . (�
PRE-GUNITE
DO NOT POUR CONCRETE UNTILALL.AB_OVE HAS BEEN SIG
CONCRETE SLAB �+
JOISTS 3 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABO_ VE HAS BEEN SIGNED
-ROUGH ELECTRIC
ROUGH PLUMBING - JT- .312 / u�
ROUGH GAS 8 GAS TEST
HEATING 8 VENT - NC
FIREPLACE
ROOF
BOND BEAM .
.'O:K. TO WRAP 3 L
GROUT. 0 4' _ 0. 8'
FRAMING
-
INSULATION_
8 Z
PRE -ROOF
COVER. NO WORK UNTIL ABOV S E
DRYWALL INTERIOR
EXTERIOR LATH `
POOL PRE PLASTER
i POOL FENCE 8 GATE
SEWER SEPTIC TANK
o2,
'FINALS,
ELECTRICAL
HEATING = A/C -
HOUSE NUMBERS
JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING,
��� �� �� � � �` `'�i II 'i:.� - .• `�,��.. �� � 1i �I�fl l'I if f;;� .ilii �, .;
Ttq-of a (ouinta
utltzt ��P
3*hir�*ton
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 78-565 Vilieta Drive
Use Classification SFD Bldg. Peimit No. 07964
Group R3 Type Construction VN Fire Zone Use Zone R1
Owner of Building La Quinta. Vista PrtnrshWdress P. O. Box 227
f
City La Quinta; CA 92253
By'
Richard Kirkland
Date. 9/19/91
-
Building Official =
POST INA CONAPICUOU! ►LAC[