10051 (SFD)' 44'
4-44
,f�1i. s.
P.O. BOX 1504
Buildin 78-105 CALLE ESTADO
Address '. �"'� 5 Vil.leta Drive LA QUINTA, CALIFORNIA 92253
Owner
WliA.la.ams Development
Mailing.
Address ,.42.-600 Cook St.
City Zip
Pam Desert: 922650
Contractor
Same ais itLbove
City
i
'or.p , -
BUILDING: TYPE CONST.:' -'> OCC: GRP.
y A.P. Number
Tel.
345-7541 Legal Description Lot. 149 Twat 23269 `
Project Description Iidli .3G
State Lic. City
8 Classif. 493919 Lic. # 1231
Arch., Engr.; "
Designer ..,•,
Address Tel.
City . Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that l am licensed under provisions of Chapter 9 (commencing with Section
• 7000) of Division 3 of the Business and�.Rr"ofessions Code, and my license is In.full force and
effect.
-�GNATUBE '" - A Pl - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
r reason: (Sec.,7031.5,Business and Professions Code: Any city or county which requires a
Sq. Ft. 165 NO: .
Size Storie
No. Dw.
-Units
New ❑ Add ❑,• ',Alter ❑• Repair ❑
Permit, does -,aiot' include. block
i'
walls or ob-ol
Estimated Valuation
g'7,077.30
> Demolition.❑•'
permit to construct, after, 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 of the Business and Professions. Code, or that. he is exempt therefrom,' and the basis•
r-+jfor. the alleged. exemption. Any violation of Section 7031.5: by 'any applicant for a permit
i % subjects the applicant to a civil penalty o/ not more than rive 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
x ,^Pro/essions Code: The Contractor's Uoense Law does not apply to an owner of property who
`bu"s or bnproves.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
o/proving that he did not build orimprove /or the purpose o/sale.) -
-
PERMIT
-
" �• - - AMOUNT _ :• '
-
Plan Chk' Deap.s
Plan Chk. Bal.
-
"°��•,` .
Const. ' ;
630.50'
Mech. ''
' 49. 50
' • -
Electrical ', -
Y'.•
,
i
❑ 1, 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.) - -
❑ 1 am exempt under Sec. B. & P.C. for this reason
permit to construct, after, 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 of the Business and Professions. Code, or that. he is exempt therefrom,' and the basis•
r-+jfor. the alleged. exemption. Any violation of Section 7031.5: by 'any applicant for a permit
i % subjects the applicant to a civil penalty o/ not more than rive 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
x ,^Pro/essions Code: The Contractor's Uoense Law does not apply to an owner of property who
`bu"s or bnproves.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
o/proving that he did not build orimprove /or the purpose o/sale.) -
-
PERMIT
-
" �• - - AMOUNT _ :• '
-
Plan Chk' Deap.s
Plan Chk. Bal.
-
"°��•,` .
Const. ' ;
630.50'
Mech. ''
' 49. 50
' • -
Electrical ', -
+ - r�� -{b��_.,, `
• - . baa
Plumbing'
❑ 1, 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.) - -
❑ 1 am exempt under Sec. B. & P.C. for this reason
S.M.I.
Grading
-
20
- Driveway Enc.
20.00-;.
Date Owner
Infrastructure
2184.24 `•
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that I have a certificate ofconsent to self -insure; or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy=q,r� ... Company
&ddpy is filed with the city. ❑.Certified copy is hereby furnished.
M
" +� �- �' +2 9 '
TOTAL,
-3732.59
7t� CERTIFICATE OF EXEMPTION FROM'
WORKERS' COMPENSATION INSURANCE
REMARKS
- - -1:• -
'(This section need not be completed it the permit is for one hundred dollars ($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. .
.�
z
Date Owner
NOTICE. TO APPLICANT: If, after making this -Certificate of Exemptionyou should become -'
subject to the. Workers' Compensation provisions of the . Labor Code, you must forthwith
comptywith such provisions orthis permit shall be deemed revoked. -
ZONE: '� BY:
_ -
Minimum Setback Distances*.
Front Setback from Center. Line
Rear Setback from Rear Prop. Line
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
$Iris Street Setback from Center Line
Side Setback from Property Line
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.
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 -of this city to enter the above,
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit --
Signature of applicant Date
e
,
Mailing Address
Validation:
+
`
y
City, State, Zip c
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBININ FEES
1ST FL. SQ. FT. ® $
2ND FL SQ. FT. ®
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SD. FT.
WALL SQ. FT. ®
SO. FT, ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
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
ROUGH WIRING.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FOUND. REINF.
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11% c
SEWAGE DISPOSAL
SERVICE
SQ.FT.GAR ® V4c
HOUSE SEWER
BOND BEAM
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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
1161
GROUND PLUMBING A
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
JAY
ROUGH P MB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR -&EF to r%NK
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
G AIDING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING / �
(�
FINAL INSP.
ROOFING
J I(�///y
/ 7
i
Z /
REMARKS:
VENTILATION
FIRE ZONE ROOFING ,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING•+DWAI 2
MESH
INSULATION/SOUND ®
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
• GARDEN WALL FINAL
Aofy 3 /10 P"
CITY OF LA QUINTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
owner Williams Development Cor
Contractor Same
Permit Number 10 0 51
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 78-865 Villpta Dr
Permit does not include block
walls or pool
TYPE OF INSPECTION 9ATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB Z Lb
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST 2 2yv
HEATING& VENT- A/C r� _
ROOF
6 ' c -�
BOND BEAM
IV Jv
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
Z
U 1, IVT
FRAMING
INSULATION
._
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS PEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
Z
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEP"em" 1QK
/ Z'7
FI FRT[iirei
1.1�_wricv_T19
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING