07961 (SFD)i
4'14 Q
P.O. BOX 1504 N o .
BuildinAddrress 78"655 V111'et8 Qi` ve : LA QUINTACCALIFORNIA 92253
Owner
mailing I
Address 811 Raw ?i%
City Zip ITel.
Contractor
Address
City '
Zip
Tel.:
State Lid'.
& Classif..
City
Lic. #
Arch., Engr.,'
Designer
Address
Tel. _
City Zip State
Lic. #
LICENSED CONTRA R'S DECLARATION
I herebyy affyrm. at I am tic n -sed under gvls�rnrCocle,
_ Chapter 9 (commencing veith Section
7000),of•pivision 3bf the By�ness n ro ee. 'rand my license i i tL11 for land
effect. / i G It s
SIGNATURES - ��'�^"•�� ! 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 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).
O 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.)
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.)
O 1 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 �N( Company
O�C:opy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this perm'bis�8ued, I shall not
employanHerson in any manner as to'b come ubject tot or ers' Compensation
Laws o�¢6fi
Dale_�yirier ! !/ 1
NOTIC O A�PLICA'I". If; a er making t']s'"Certilicate or -exemption you s ouhd become
)"'�
subjec to tt a workers' Compensation provisions of the 'Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I= affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out; signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
07961
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description ! eta NiFl!2ta L1 J$ta$Tmact
Project Description La- t 24- altar,_ .a A D
23260
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Sq. Ft.No.
Size
No. Dw.
Stories 2 Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition O
Issued by:
t
DatePermit
Validated by:
Validation:
Estimated Valuation
PERMJT.-�
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
601.68
Const.
723.50
Mech.
60.00
Electrical
126.99
Plumbing
160.50
S.M.I.
6.68
Grading
Driveway Enc.
Infrastructure
2776.04
TOTAL
REMARKS
14.447.39
_ „,
1 1..•1 r
,.
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 DATEIN�SPPEECT�OR
Issued by:
t
DatePermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES C
NO! PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
e
2ND FL. Sp. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT. ®
GAS (ROUGH) METER LOOP
DRAINAGE PIPING
WALL Sp. FT.
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SO FT ®
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 DRYER
FRAMING •/a
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
S
n /3�IGo Co
�-or�✓ /`� C
YG/
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1114 c
SEWAGE DISPOSAL
LAH1NG [ rf qo +—
SO.FT.GAR ® 3/4c
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 i _ ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE G to Qv�
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. 3 T�
V /
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
00'GAS
REINF. STEEL
(FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
—Plus—X$—=$
LUMBER GR.
FINAL INSP.119ei��
FRAMING •/a
FINAL INSP.
ROOFING0� �J[ /6Q L
S
n /3�IGo Co
�-or�✓ /`� C
YG/
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LAH1NG [ rf qo +—
MESH
INSULATION/SOUND (� O
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
e �
CITY OPLA QUINT&
~ a DEPARTMENT OF PLANNING &'DEVELOPMENT:.,.
:.BUILDING DIVISION'
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Y.OMnsr La Qui"nta Vista .Partnership
CqtdoI La, Quin a Vista --par
nership
,' Pw nk Nun*o
POST_ ON JOB ONSPICUOUS PLACE77 77:
INSPECTOR MUST -SIGN ALL'APPLICABLE•SPACES
' ",?kDDRESS 7M55 Ni l l eta .Drive
TYPE OF INSPECTION Dl1TE; INBP ,
k FOUNDATION.& SETBACK":';.
FOOTING STEEL 6
MAIN GROUND SYSTEM
GROUND PLUMBING (j
'..PRE-GUNITE ,
DO NOT POUR CONCRETE UNTIL ALL -ABOVE EN SIGNED
'CONCRETE SLAB
JOISTS`A•GIRDERS
ELECTRICAL: GROUND WORK
DO NOT POUR CONCRETE N IL ALL A64YVE HAS BEEN SIGNED'-
,j.ROUGH .ELECTRIC'.-
ROUGH
ELECTRIC':ROUGH PLUMBING,
ROUGH GAS 8 GAS TEST,
HEATING& VENT =A/C. ,.
FIREPLACE
ROOF
.'BOND BEAM'
O.K. TO: WRAP.,,.,e f�
GROUT _ CIA' O 8'
FRAMING-
INSULATION,-
T,
RAMINGINSULATION.,. F.. COVER. NO' WORK UNTIL ABOVE HAS BEEN.SIGNED ••
DRYWALL INTERIOR r+
+.EXTERIOR LATH
POOL PRE PLASTER ,
POOL FENCE & GATE
4 SEWER SEPTIC TANK v
FINALS:. a ,•.4
ELECTRICAL.
PLUMBING
a FINAL'GAS TEST':
HEATING - A/C
J' HOUSE NUMBERS
All)
JOB COMPLETED
' TEMP POWER-
rat ` ABOVE APPROVALS DO NOT INCLUDE RIGHT TO.'
TURN ON UTILITIES.OR OCCUPY BUILDING ,
a/ee
0
l
. �� .
. ,'fit ••
7.
I %• � • � 6c ' "" SFS . � s ' ''.
OPF
! Tit D�_ Zia Ittna�b
'
ilttI M! W
�tn �tnP tttunr .�tr •r
�..i I�;I This Certificate issued pursuant. to•the'requirernents of,,Section 306 of tfie `Uniform Bulldin"g
1r1 _ . , ,.
F Code certifying that, at the time, of issuance this structure was in compliance with the various
ordinlnces of the City regulating -building construction`or'use. For the following: '
! BUILDING -ADDRESS
78-655 Villeta ,Drive • ,
j Use Classification r SFD Bldg. Permit No.. • 0.7961
i
Group R3 Type Construction VN ~' Fire Zone Use Zone RR
i I,j I owner of Building LaQuinta' Vista Prtnrshp I'Address• P� 0: Box '227 5
city` La�Quinta, CA 9T2253
- - gy.; _ Rebecca . McAhren. �.
r .--
+ *, Dote: 1/11/91 '
Building Official
-' POST IN A CONSPICUOUS PLACE v j •, ; ~ .'
WIN