13517 (SFD)P.O. BOX 1504
Building ar, 78-105 CALLE ESTADO
Address 7,.m` 3-5 Tana(=yo LA QUINTA, CALIFORNIA 92253
Owner .r
_ .;.�. Peters Co.
No. 13517
BUILDING: TYPE CONST. OCC. GRP `�''3
Mailing
Address 35U! jamboree Road A.P. Number 769-560--030
City Zip Tel.
►ys:ttrpor Beat , CA 92653 (714) 54-25:sa Legal Descriptio
Contractor
Si3-ne
Address
Zip
State Lic, xy_1 310868
& Classif.
Arch., Engr., °Jr�l rrrTtl:i i . i^r7ii'•J
Designer
ject Descript
Citrus
SFD T3lan 2
City 15 3 3
Lic.# Sq.Ft. 3396 No.
Size Stories
Address,rel
City,_ Zip State
I.r-Vine, CA 92714 Lic. # C6885
LICENSED CONTRACTOR'S DECLARATION
hurahyy affirm that I am licensed under provislons of Chapter 9 (commencing with Section
7000) of Olvlsion 3 of,the Business and Professions Code, and my, license is in full forbe and
�I .4effeal. _. r .
815NATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that l am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bt!&tftoss and Professions Code-- Any city or county which requires .a
Permit to constn,rf, Eller. Improve, demolish, or repair any structure. prior to Its issuaries also
requires the appfkant for such permit to. rite a signed statement thof he is licensed pursuant to
the provisions of the Conbaclor's Lfcanse Law, Chapfor 9 (rommendrig with Section 7000) of
Division 3 of the Business and Pmfesslans Code, or thatha fs exempt lherefrem, and the basis
for the alleged exemplicn. Any violation of Section 7031.5 by 'arty applicant nttt for a per
subjects the applicant to a clv0'penalty, of not morn than live hundred dollars (S560).
1J I, as owner of the properly, or my employees with wages as their sale compensation, will
do the work, and the'structure Is not intended ar offered for sale- r$oc- 7044. Suisness and
Professions Coda_ rho Contractor 's• License Law does not apply to an owner of property who
builds or Improves Maroon and who does such work lumsefl nr through his own employees,
provided that such Improvements are not Inlended or offered for sale. If, however, the buikAng
at improvement Is said within one year of completion, the owner -builder wilt have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Ptulasslans 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
Date owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
"Va.
rker•s gompensatlon. Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poilcj,N& Company
5 Copy is filed with the city. ❑ Cart{fled copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
rrhis section need not be completed if the permit is for one hundred dollars (S100) 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. If, after making this Certificate of Exemption you should become
subject to the 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 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
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 derilfy 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 reialing to building
construction, and harehy authorize representatives Hof this city to enter the above -
mentioned property for Inspection purposes.
L
Signature of applicant— Date
Mailing Addres
City, State, ZI
No. Dw.
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estlmateovaluation $259,144.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
-i 77 _ ii F
Const.
!, 1 c , ,
Mech.
Electrical
Q 1
Plumbing
19.5. C,• U
S.M.I.
Grading
Driveway Enc.
a
Infrastructure
5,728. 39
397. RAY
TOTAL
R, 830. 5 P
REMARKS
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 Permit
Validated bv:
Validati
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
SQ. FT. $
UNITS
YARD SPKLR SYSTEM
SQ. FT.
MOBILEHOME SVC.
BAR SINK
SQ. FT.
POWER OUTLET
ROOF DRAINS
SO. FT.
DRAINAGE PIPING
SQ. FT.
SO. FT,
DRINKING FOUNTAIN
URINAL
SO. FT.
,TED CONSTRUCTION VALUATION $
WATER PIPING
.lot to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
TEEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
;E DRYER
GARBAGE DISPOSAL
UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
LING UNIT CFM
KITCHEN SINK
❑N SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
SOR HP
POLE, TEMIPERM
LAVATORY
SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
TER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
EE
TOTAL FEES
MICRO FEE
MECH.FEE
PL.CK.FEE
CONST. FEE
ELECT. FEE
SMI FEE
PLUMB. FEE
STRUCTURE
SETBACK
SLAB GRADE
FORMS
FOUND. REINF.
REINF. STEEL
GROUT
BOND BEAM
LUMBER GR,
FRAMING
PLUMBING
GROUND PLUMBING
ROUGH PLUMB.
SEWER OR SEPTIC TANK
GAS (ROUGH)
GAS (FINAL)
WATER HEATER
WATER SYSTEM
FINAL INSP.
ELECTRICAL
UNDERGROUND
BONDING
ROUGH WIRING
METER LOOP
TEMP. POLE
SERVICE
FINAL INSP.
HEATING & AIR COND.
A.C. UNIT
HEATING (ROUGH)
DUCT WORK
HEATING (FINAL)
FINAL INSP.
GRADING
cu. yd.
$ plus x$
SOLAR
COLL. AREA
STORAGE TANK
ROCKSTORAGE
OTHER APP./EQUIP.
=$
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S S10NATURESIINITIALS
GARDEN WALL FINAL
a. '�l
CITY OF LA QU I NTA
DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
Ajgqqqwa-- .
24-HOUR NOTICE FOR INSPECTIONS
777-7153
Groner J.M. Peters Co. CITY UFip.WINTA,
Contractor Same
Permit Number 13 517
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOBADDRESS 79-815 Tangelo
SFD Lot 30
TYPE OF INSPECTION
DATE
INSP. .
FOUNDATION & SETBACK
— - G
FOOTING STEEL
-
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CON RETE UNTIL ALL ABOVE HAS BEEN
SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING__ -
ROUGH GAS I$ GAS TEST
HEATING & VENT - VC
FIREPLACE
ROOF
G
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
7 fi
INSULATION
1
�_
PRE -ROOF
COVER NO WORK UNTIL ABOVE
HAS BEEN SIGNED
DRYWALL INTERIOR
- l
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
- G
FINALS
ELECTRICAL
S
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