07954 (SFD)Building,
Address
Owner
Mailing
Address...
Cit
Contractor,
I
C&tyl
414
P.O. BOX 1504 No. 07954
78-595 Villeta Drive78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
La Qainia el . Partnersh a
BUILDING: TYPE CONST. - OCC: GRP.
PO Box _ I
A_.P. Number
Zjp Tel. ��5�3 2
lL ouf i' Legal Description La atdaft Vistas Tract 23269
Project Description - Lat 224 Plan 3
City. -- - - I-Zipr -I'Tef .
;tate uc:1.rty
& Classif:5003
19 r Lic. #
Arch.,, End r.,,,,
Designer
Address Tel.
City( Zip I
State
Lic. #
LICENSED CONTRACTOR'S DE .I.ARATION
I hereby affirgi'that I am licensed under provisions Chapter 9 (commencing with Section
7000) of Divisron,3-of-the-Business an9 Profession ode Cmy license is in full force and
effect- { J� J
i ✓ �' ,.•rte.._. _....
SIGNATURE ! 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 rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
Division 3 o/ 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 o/ 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. 1/, 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 o/ 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.)
0 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 J, 0- 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 i/ the permit is /or*one hundred dollars ($100) valuation
or less.) .
I. certify that in the performance of thg work for w ich this perm' ssued, I shall not
employ any pers n in any -manner so a`s`t become bjec�.Exemplfon
he�WorkelerCompensation
Laws of C 0 r�7 OwnerIf, aiter,,��rr++e i g"tliis Certificate o/ you should become
ect -t the Workers' Compei6ation provisions o/ the ., C.
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
iF7 4.,3€:91? i 7 63 t tiA. i Y•'�v�r 6.a;:t
ZONE:
BY:
Minimum Setback
Distances:
Front Setback from Center Line
Sq. Ft.
,9. Ft.
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date S/21/9 ermit
Validated by:
Validation:
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep..
Plan Chk. Bal.
598.60,
Const.
?23,50
Mech.
60.00
Electrical
126.65
Plumbing
138.50
S.M.I.
9.68
Grading
Driveway Enc.
Infrastructure
2774.43
TOTAL
14.430.3£
4_1 t 1 - . ' .../_
iF7 4.,3€:91? i 7 63 t tiA. i Y•'�v�r 6.a;:t
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 S/21/9 ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. 41 PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE i
2ND FL. SO. FT.
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
POR. SD. FT.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT.
POWER OUTLET
ROOF DRAINS
CARP. SD. FT.
/�
U
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
GAS (FINAL) TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING a p
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
6 �!a
V
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
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 i
�(J
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
d
LIJSEWER OR SEPTIC TANK / Ctv ROUGH WIRING
v
DUCT WORK
ROCK STORAGE
/
FOUND. REINF. /
((
/�
U
GAS (ROUGH) 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.
AL INSP a!
FRAMING a p
FINAL INSP.
ROOFING a16 SP/
(![
6 �!a
V
!!
pty w N P '91 / I�� /1
[ l cJ;/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
f�
LA HING 19,0
MESH
INSULATION/SOUNDV dQ13 Q
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
is
k
V01
(t of
• • - - �ut��i�t �u� ���e� • �t�t�i.uu
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 78-595 Villeta Drive
Use Classification, SFD Bldg. Permit No.-. 07954
Group R3 Type Construction VN Fire .Zone_ Use Zone R1
Owner of Building La Qiiinta Vista Prtnrshp 'Address P. O. Box 227
City La'Quinta, CA- 92253 Richard Kir - kland
By;
Date; 2/20/91
Building Official
014_- POST IN A CONSPICUOUS PLACE