10044 (SFD)i r P.O. BOX 1504 Nv 1004
Building78-105 CALLE ESTADO
Address ' 73`':840' Villeta Drive LA QUINTA-, CALIFORNIA 92253 +;
Owner I
BUILDING: TYPE CONST. _ OCC: GRP. '
Mailing -
Address 42-600 -rood: St.
A.P. Number
CityZip Tel.
Pale Dese tlI . 92260 346--7641 ' Legal Description LQt . M> >& Phase 1 Tr 23269_-
Contractor J ,.
��Project Description .Same cis`-. Above.. -
Address .. Plan -1ST' '
City A Zip Tel.:--------------------
+ r
State Lic. City r
& Classif." S44 Lic: # 1231 Sq. Ft. ;`d No No. DW
Arch., Engr., t + Size %f �, ',`, Stories Units t�
Designer - New ❑ Add TII Alter ❑ - • Repair;❑ DemollUoni ❑ ;1,
Address. Tel.
Pe rMi tfQe$ •SIf�il ` 3•X2CS(�'OL:{
CityFj Y Zip i•- } i
State wall's or' pool ..r �,-
,. Lic: #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that l,am licensed under provisions oftChapter 9 (commencing with Section - • i - - r �; , ♦•.
7000) of Division 3 of the Business and•Professfons-Code, and my license is in full'force and
• effect ie 14111/ AV/
SIGNATURE y DATE' ..i S.. - "* <f;.. l:l•, r.:
OWNER -BUILDER DECLARATION'
Estimated Valuation t 3
I hereby afhrin that am exempt from the Contractor's License Law for the following. - ,t�� it ��� .'50
'reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
'Permit to construct, after; Inprove, demolish, or repair any structure, prior to its issuance also -•.ar - -
requires the applicant for such permit to 81e a signed statement that.he is licensed pursuant to - PERMIT, x - .( 'AMOUNT= °?
the provisions of the Contractors License Law, Chapter 9 (commencing with Section .7000) of - + °• - : �.
> 'Divlslori 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 .,Plan.Chk. Dep.`..' - �' - .a}• t c?
'subjects the applicant to a civil pena8y of not more. than. five hundred dollars,($500):
Plan Chk. Bal. nn
❑ I, as owner of the property, or, my employees with wages as their, sole•compensation, will j •• J L7 .: ^'' {
,do the work, and the structure is not intended or offered for sale. {Sec.s7044, Buisness and
• Professions Code...;The.Corrtrsctor's License Lawdoes not appty to an�owner o/ property who .Const., -2.,• - ,� •� �Q a�i1...+r` i
•builds or improves., thereon and who does such work himself or, through his. own employees,McCh- - 49.5111 �
;"provided that'such-improvements are not Intended or offered for sale. 4f, however, � the building ' � - .5 r1
iJ o•
or, improvement is. sold' within one year of completion, the owner:builder will have the burden �q - ••
• of proving that he did not bund or Improve for the purpose o/ sale.) - . Electrical Lo 4 li;
t I; as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing. c y 14 4 • 0
struct the project. -,(Sec. 7044; Business and Professions Code: The Contractor's License Law - -v
does' not apply to an owner of property.+who builds or improvesS.M.I.-7 thereon, and who contracts'for , •. '�'• y
such projects with,a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading 2ci.G{�j s:`<'.
O 1 am exempt under Sec- B.'& P.C..forthis reason
'Driveway Eric. ,20.0
Datef owner Infrastructure I95b.89 «:•'
` vr. 77
trY
} 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 Corte:)
Poli y -,Company
f �COpy is filed with the city. O Certified copy is hereby furnished. r,fc= A e)-) a r.. Zc r t d
ry TOTAL i 4 2 tai 'xMJD1 :a � j �L 3, �.�261 ��_, ,
CERTIFICATE OF EXEMPTION FROM
- • WORKERS' COMPENSATION INSURANCE - REMARKS '
(This section need not be completed if the. permit is for one hundred dollars (S 100) valuation - or less.) - •. " - -
I certify that in the performance. of, thg work for which this permit is issued,'I shall not
employ any person in any manner so as -to become subject to. the Workers' Compensation
Laws of California
Date ' Owner,
NOTICE TO APPLICANT: I/, after making this Certificate of *Exemption you • should become -ZONE: ' - .,BY: - -
subject to the 'Workers' Compensation provisions of the' Labor -Code,. you must forthwith- , s
comply with Such provisions or this Setback Distances':
Front
permShall be deemed revoked. .. _ - -
Front Setback, from Center Line—'
Rear
ine -
Rear Setback from Rear Prop. Line r
• ' ` CONSTRUCTION LENDING AGENCY $Ida Street Setback from Center Line '
I hereby affirm that there is a construction lending agency for the peoormartce of the
Work for which this permit is issued. (Sec. 3097, Civil Code.) 'Side Setback from Property Line
Lender's Name
Lender's Address' {
This is a buildingFINAL DATE' INSPECTOR
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. ISSUed b Date Permit- 2•
I agree to comply with all city and county ordinances and state laws relating to building y ?
construction, and hereby authorize representatives of this city to enter- the above•. , r
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:—,
City, State, Zip'
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINGEEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT. ®
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING i
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH WIRING.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FOUND. REINF..
LAUNDRYTRAY
AIR HANDLING UNIT CFM
METER LOOP
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
=$
SQ.FT.GAR ® Vic
HOUSE SEWER
FINAL INSP.
FRAMING Z�S �Z
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
ROUGH P MB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OQ
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF..
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING Z�S �Z
FINAL INSP.
ROOFING C l7 L
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES11NITIALS.
GARDEN WALL FINAL
s CITY OF LA OUINTA
m - mol
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner Williams Development Corp.
Contractor Same
Permit Number 10044
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
"ADDRESS 78-840 Villeta Dr.
Permit does not include block
walls or pool
TYPE OF INSPECTION DATE INSP.
FOUNDATION 8 SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING 1 G
PRE-GUNITE _
60 -NOT -POUR CONCRETE UNTIL ALL ABOVE S BEEN SIGNED
CONCRETE SLAB /
JOISTS 8 GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS 8 GAS TEST YZ 742 -2--
HEATING
YHEATING 8 VENT - A/C
FIREPLACE rITY i iv LA U.UMA
O.K. TO WRAP 1", -
- ,
-
GROUT ❑ 4' ❑ 8'. Fg.BIT
FRAMING
Zi
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
HASB EN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
Z�
POOL PRE PLASTER
POOL FENCE 8 GATE
SEWER SE FfeTRNK f
753 9Z
ELECTRICAL //-
PLUMBING
FINAL GAS TEST 0 42 Y101 -
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING