07962 (SFD)44
P.O. BOX 1504 N o . 07962
Building 78-105 CALLE ESTADO
Address 7M25 Villeta VHve LA QUINTA, CALIFORNIA 92253
Owner
La. QutS.�
Mailing
inta MU PB �bi BUILDING: TYPE CONST. OCC: GRP.
Addres M Rf M 222 A.P. Number
City Zip 'Tel:
La fhAinta oft—t Q`"� ' Legal Description t sa (' Ufnjta 1iiratag Tract 22 oa
Contractor Project Description Lot 221 Plan 4 R
i4•stneaa.
Address '
City Zip Tela
State Lic.' City
& Classif. SOM16 Lic. # Sq. Ft. 2235 No. Z No. Dw.
Arch., Engr.; Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S D-LARATION /
I 6ffhereby,affirm-that,kam licen d under, provisions T Cbepl�r commencing with Sec '6n
7000)"df*Divifgion,3 of/t/he B,usi sand Profession Code, an y/ucense is in full fore' and
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated, Valuation
1 hereby affirm that I am exempt from the Contractor's License Law for the following y
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a 9
permit to construct, after,improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a. signed statement that heis licensed pursuant to PERMIT AMOUNT
the provisions o/.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 o/ Section 7031.5 by 'any applicant for a permit Plan Chk.- Dep.
subjects the applicant to a civil penalty o/ not more than rive hundred dollars ($500). cn �e
C)I, as owner. of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 60 .69
do the work, and•the structure is not intended or offered for sale. (Sec. 7044, Buisness and Ali U:0
Professions Code: The Contractor's License Law does not apply to an owner of property who Const. / 23.6
builds or improves thereon and who does such work himself or through his own employees, tt�n /�j
provided that such improvements are not intended or offered for sale.' If, however, the building Mech. Chi/- 00
or Improvement is sold within one year o/ completion, the owner -builder will have the burden Electrical
or proving that he did not build or improve for the purpose o/ sale.) c_ AA C
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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 S.M.I. 8 �
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.).
Grading -
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date owner Infrastructure 2"6.04
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 No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
j. TOTAL 144447,39 LPQZ - . "a
CERTIFICATE OF EXEMPTION FROM_
WORKERS' COMPENSATION INSURANCE REMARKS
(This section need not be completed if the permit is for one hundred dollars ($100) valuation ..r• ^i'[,� i� L W '�T'�t.s' W
or less.)
I certify that in the performanceaof�"w�rk for which this permit is�isgued, I shall not
employ any person in any manner'so as to come iibject to the Work' Compensation
Laws ofrCBlifoinia. /
Date Owner I f
NOT/CET PPLICANT: I/, °a•�aking this Certi/icate o/ Exemption you should become ZONE: - BY: '
subject to the Workers' Compensation provisions of. the Labor,_Code, you must. forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
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.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. rr )Aq*/�m}�i
I certify that 1 have read this application and state that the above information is correct. Issued by: Date 3/ L1Mermit
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. Validated by:
Signature of applicant Date -
Mailing Address Validation:
City, Slate, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
, �.
2ND FL. SD. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT.
AS (ROUGH)�9� y
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN,
SO FT ®
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 SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYE14
FRAMING d co
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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 sY d�f
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS.SEWER
OR SEPTIC TANIQ
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
t
AS (ROUGH)�9� y
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." �2
FRAMING d co
FINAL INSP.
ROOFING
b,
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LA HING R ! qO
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
CITY OF LA OUINTA.
DEPARTMENT OF PLANNING & DEVELOPMENT'
BUILDING. DIVISION
564-2246 '
{ 24-HOUR NOTICE FOR INSPECTIONS
La, Quinta Vista. Partnership's
Owner a
Contractor_ La Quinta Vista .Partnerships'.
., �. ..
Prrmit'Nufter 07962:
POST ON J08:IN CONSPICUOUS PLACE
INSPECTOR MUST SIGNALL APPLICABLE SPACES
JOB ADDRESS 78-625 Villeta Drive
TYPEOFiNSPECTION DATE
FOUNDATION a SETBACK, s
FOOTING STEEL Z
MAIN GROUND`SYSTEM'
GROUND PLUMBING .�2 „
PRE-GUNITE
l)O NOT POUR- CONCRETE UNTIL ALL-AOVE' EN_SIGNE .
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 -A/C >• ,
FIREPLACE.`
•ROOF
BOND"BEAM ' -
O.K. TO WRAP
GROW,— 0;41 O 8'
FRAMING . Qv
INSULATIONCD
PRE -ROOF'. L
COVER'.NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR,
EXTERIOR LATH
POOL PRE PLASTER'
POOL FENCE S GATE
SEWER,SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS'TEST.
HEATING,- A/C
HOUSE NUMBERS ,
JOB COMPLETED —
TEMP POWER
''ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
4188
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This Certificate issued pursuant to the requirements of Section 306 of the ' Uniform Building)
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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:
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BUILDING ADDRESS 78-625 - Villeta Drive
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SFD 07962
Use Classification Bldg. Permit No.
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Group Type Construction Fire Zone Use Zone
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La Quinta Vista -Prtnrsh�Y P. O. Box 227
Owner of Building PWress
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"•f La Quinta, CA 92253 l
City Richard Kirkland
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By:
Dote: 5/15/91
,
r 'Building Official
POST IN.A OON9PI000u! PIACt
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