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07941 (SFD)
57c) P.O. BOX 1504 No. 07941. Address `QS-Villeta Drive LA QUINTA CAL FORNIA 92253 Owner Mailingp© Box 227 Address ' - City Zip e �; € 53 345-9872 Contractor '• ." - 'Omer Address aw Clty Z0'Tel." ,k _ State L•ic. -- - City & Classif.31 Lic. # Arch:, Engr., Designer Address'- - Tel. City, ` Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I heieby affirm th_at.l am licens d'under provisions pof-Chapter 9 (commencing with Section 7000) of Division i of tt a Busir� gss and Professio arCode•;.and my license is in full I rd'e and effect. /Ic "! �yQ'%� f a SIGNATUR_-rs- "' P —•'"^' f -DATE OWN BU IEDCOECLARATION 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). ❑ I, as•owndr 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 orImproves 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.) 0 1, 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 prolects-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 l 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 A• Company Oopy 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.) - 1 certify that in the performance of thg work for which this permit ismissued, I shall not employ any person in any manner so as to become subj€ct to the orkers'.Compensation Laws of Califorriia.� Date • - 5 -"�? Owner• - NOTICE .TO - APPLICANT: If,, aftei ma ing�this Certificate of, 6emption-you should become subject%to the workers' Compensation provisions of the Labor Cod, 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. ame Lender's. Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunderis 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 CONST.. OCC: GRP. A.P. Number Legal Description a Ot;lbto vistas Tenet 1132,910 Project Description I at 204 P3aa Sq. Ft- No. Size 160 Stories New ❑ Add ❑ Alter ❑ stimated Valuation PERMIT. Plan Chk: Dep. Plan Chk. Bal. Const. - Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure No. Dw. , Units Repair ❑ -Demolition ❑ TOTAL o�3 a9A 9A REMARKS 7A ZONE: 7.1 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 50119(�ermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES d NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS -042 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK YARD SPKLR SYSTEM 2ND FL. SQ. FT. DUCT WORK ROCK STORAGE FOUND. REINF. 411 7 MOBILEHOME SVC. BAR SINK POR. SO. FT. ® REINF. STEEL GAS (FINAL) j1-,�-yAW TEMP. POLE / GAR. SQ. FT. POWER OUTLET ROOF DRAINS WATER HEATER SERVICE FINAL INSP. DRAINAGE PIPING CAR P. S0. FT. WATER SYSTEM GRADING cu. yd. $ plus x$ WALL SQ. FT. LUMBER GR. DRINKING FOUNTAIN. SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ REMARKS: WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRY TRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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 FINISH GRADING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA /y SLAB GRADE y -042 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANKgI (j6ROUGH WIRING. z DUCT WORK ROCK STORAGE FOUND. REINF. 411 7 GAS (ROUGH) 8r2 Ca METER LOOP C HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) j1-,�-yAW TEMP. POLE / GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. NAL INSP. /� 2y�U FRAMING , i� Y� L� FINAL INSP. ROOFING` a4 o 1 7,JO -�� ��` C01 "DE eCk—f i FI CAS 6� =jJSULAI, hi REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THI G Z �✓`(� �� MESH INSULATIONIS NDaij FINISH GRADING y FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL CITY OFLA QUINTA ~ a DEPARTMENT OF PLANNING & DEVELOPMENT' BUILDING'DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS ` Owner. ' Contractor 'Pen. it Number ' ., POST ON JOB IN, CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS TYPE of INSPECTION TE FOUNDATION & SETBACK FOOTING STEEL. MAIN GROUND SYSTEM GROUND PLUMBING ! K� PRE-GUNITE' DO NOT POUR CONCRETE UNTIL ALLABOYEHAS BEER 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 2 ' L HEATING & VENT -A/C FIREPLACE ROOF; BOND.BEAM . O.K. TO WRAP : �- GROUT 0.4' 0 "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 E L7. i FINALS . ELECTRICAL PLUMBING FINAL GAS TEST , / 'G� o HEATING =AIC . HOUSE NUMBERS l� v JOB COMPLETED f TEMP POWER ABOVE APPROVALS DaNOT INCLUDE RIGHT.TO' I Me OF.ftiF y _ � µS 4 •1 . t.fitoutwa nttztPtbrt 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.- t. -. issuance _ ., ordinances of ' the City regulating building_ , construction ,or use: ;,For the following: r •` .. y,• ... ` .,tv • - �•r .� ice•' ��• "� rr �: - BUILDING ADDRESS •78=570 Villeta Drive ' Use Classification - SFD .x - }Bldg. Permit No. 07941. ^ . -Group R3 ' , Type Construction VN Fre Zone Use Zone SR ` Owner of Building La uinta Vista-Prtnrsh_P. • Mdress,r' "P•w0. Box .227* _ a 6 r -92253 a. v. By. Rebecca• McAhren. ge. a . Dote." ,,..Building- Official`• ;�S POST. IN A CONSPICUOUS PLACE