07956 (SFD)P.O. BOX 1504 No. OT956
Building 78-105 78-375 nil feta five LA QUINTAC
Address CALIFORNIA 92253
Owner
Mailing""`_
Address v PQ BoX 227
City #. �t�t8 Zip ��" - �.
2
34x787
Contractor '
Address
IZiD ITel.
r
State Lic. City
& Classif. 500316 Lic..#
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
� LICENSED CONTRACTOR'S DECLARATION
I hereby' affirrtithaI I am licensed u der provisions4if hepte 9 (commencing with ection
7000) of DivvIi61on 3 of t/h�/Business td Professisgs,Co�ee,,,an�my license is i{p full rce and
effect. `rif " >� /! r /11 1`/ ✓
SIGNATUREDATE
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 tofile 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. Prcfessions 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 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.)
❑ 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.)
❑ fam 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 Vlf Company
❑t,Gopy is filed with the city. ❑ Certified copy is hereby furnished. '
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be complered if the permit is for one hundred dollar ($100) valuation
or less.) d,/ '
I certify that in the performance of thg_work for w ch this per �s�rssued, I shall not
employ any pers many manner,so•as to become bject to orkers' Compensation
Laws of GPfffor la.
Date t Owner s
NOTICE TO A PLICANT: Il, alta ing this Certifica a ot;_F,xemption you should become
subject sd the Workers' Compersation provisions of the(Lab_or,-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 LR agl1ft V19t c T"9—.t ?3p&q
Project Description L91 2M PLAN 3
Sq. Ft. No. No. Dw:-
Size 2307 Stories " Units
New ❑ Add O Alter ❑ Repair ❑ Demolition ❑
REMARKS �..�i,-� an- 9� nec-,-r_.rz t ",+ i0
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
Estimated Valuation
IMON
SIM
PERMIT
Issued by:
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.,
Const.
Mech.
Electrical
126 ss
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
�{
TOTAL
54.430-36 I
s- t L ,i -?,n
REMARKS �..�i,-� an- 9� nec-,-r_.rz t ",+ i0
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
5/21/90
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
AO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
-7--
YARD SPKLR SYSTEM s.
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN.
SO FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
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
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
INAL INSP. =�� S�
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
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.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 I ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
-7--
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
LL)SEWER OR (40
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
16eAS (ROUGH)���`�v
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
INAL INSP. =�� S�
FRAMING ;9 6 �--^P
o
FINAL INSP.
ROOFING44
8 e 0 L
n,, ,^
t� 1C/
`� //�� LD
[ G
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAMING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
y
:CITY OF LA OUINTA
a DEPARTMENT OF PLANNING & DEVELOPMENT
t BUILDING DIVISION
r 564-2246
` 24=HOUR NOTICE FOR INSPECTIONS,
Owner La Quinta Vista Partnership..
Contractor = La Quinta- Vista Partnership
Pwrriit Number 07956
POST:ON JOB IN''CONSPICUOUS PLACE.
'INSPECTOR MUST SIGN:ALL_APPLICABLE SPACES .
X*ADDRESS- 78-575 Vil]eta Drive
TYPE & INSPECTION ,. DATE IIidP.
FOUNDATION & SETBACK
FOOTING,STEEL•.. d
MAIN GROUND SYSTEM
GROUND PLUMBING-
PRE-GUNITE
DO NOT POUR C6NCRETE.UNTiL Al I ABOVE MAR IIIE SIG ED
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
HEATING & VENT- IVC
FIREPLACE
ROOF ,
BOND BEAM
O.K. TO WRAP
.GROUT 0 4' •' 0.8'
.'FRAMING'
:INSULATION-' o L
PRE-ROOF d
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR •7Ik
EXTERIOR LATH
POOL PRE PLASTER t
POOL FENCE&GATE
SEWER SEPTIC TANK .2 d
FINALS
ELECTRICAL ,
PLUMBING -
FINAL GAS TEST
HEATING= A/C ,
HOUSE NUMBERS
JOB COMPLETED L - -
TEMP POWER
-ABOVE APPROVALS DO NOT INCLUDE RIGHTTO
'TURN ON UTILITIES OR OCCUPY BUILDING,
a
t of Ouinta'
ab- b ���P���t�D5tjanUt tnl�' an
This Certificate issued pursuant tothe ;requirehiehts of Section,306-of the, Uniform Building"
-,Code certifying that at the time of issuance this structure was in compliance with the various
ordinances'o'f the "City 'regulating building' construction or use. For the following:
RUILDING'ADDRESS 78-57.5 Villeta Drive
Use Classification SFD- Bldg. Permit No. 07956
�3 % VN Rl
Group Type Construction Fire Zone. Use Zone
ullding- La Atidress P
Ownir of,B Quinta Vista PrtnrshP Box .227
City La Quinta, CA 92253.
Richard Kirkland
ex_.
Date: 4/26/91
Building Official
POST IN A 0ON914000US PLACE
®_