15206 (PAT)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
Address 47-930 Via Firenze _ LA QUINTA, CALIFORNIA 92253
Owner Century Homes Communities
Mailing
Address x535 South ODO Street
City J Zip Tel.
San Bernardino , 92408 (909) 381--6€ 07
II -1p 1 lel..
State Lic. City
& Classif.. R- 314473 Lic. # 212.0
Arch., Engr., Fi annk donzaTes f ASsocia�teS
'-Designer
%yrt�sd��,aS.t Chapman Ave, T�%14) 532--688
&'City Zip State
ay ngey. 'CAA 92666 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed°u`nd'er provisions•of--Chapter 9 (commencing with. Section
7000) of Division 3 of the Bd'siness°and;P_iofessions`Gode, and my license is WWII force and
effect' �..-._w'""�,."'•�-. _,�-,.-...r°' ��•^
SIGNATURE—- .-- DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Lawfor the following
.reason: (Sec. 7031.5,Susiness 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 rile 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 rive hundred dollars (S500).
❑ 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 Me burden
of proving that he did not build or improve for the purposeof sale.)
❑ 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 contractors) (lcensed 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 1 have a certificate of consent to self -insure, or a certificate of
Worker'smpensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy ,Company
O'Cop is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is forone hundred dollars IS 100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws_
aws of California.
Date Owner
NOTICE TO APPLICANT: d, 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. '
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN.ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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 1 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 relating to building
construction, and hereby authorize representatives of this city to enter the above-..
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, ZIp
No. 15245
BUILDING:, TYPE CONST. V6N -' OCC: GRP. R3
A.P. Number 617-790-012
Legal Description Lot 12 Tract 261.52
Project Description 54std• ft. Deck
Spinnaker : Cove.. at Lake La Quinta
Sq. Ft.
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair❑ Demolition ❑
Estimated Valuation $718400
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
;
Const.
25.00
Mach.
Electrical
Plumbing
_
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL I I "R `' • 'f `'
REMARKS P �= zia l t o
V 15M.
ZONE: BY:
Minimum Setback Distances:. �jl
Front Setback f Cente^ine
Rear Setback fr Rear Plop Line
Side Street Setback frCenter Libem
Side$etback from°Property Line -
FINAL
Issued
Validat
Validat
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEE. -^o
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. S0. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APP./EQUIP.
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 DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL 'FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
-
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/a c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 PLUMB.,
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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
FINAL INSP.
ROOFING
-
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
-- ' -� .-i -'r'='.;�'; .'—.s:1 .r.F-:�.'-"-w-^�-�.�t�K:'�._-s'a:s�•.:.-L'�.;�. ;�+�k � .e. _-'�a-r'*av
BUILDING DEPARTMENT
CITY OF LA QUINTA
OFFICE: (619) 777-7012 INSPECTION REQUESTS: (619) 777-7153
TO: DATE: 0'o p 1 71�
ADDRESS:
WHH
INSPECTION: 4WK,
N NOTICE
PERMIT NO.: