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Hotel Casitas - All Building Permitsbf 4 P.O. BOX 1504 Building9��t �g Ui�st; ,���� 78 105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm. Springs„ Inc. Mailing - Address 11--200 Rockville pike City Zip ITel. Rockville 20€ S2-300? 619-345-2888 Contractor Address P unv 7 ninn Cffy Zip Tel. La Oiinta 92253 345-2888 State Lic. City & Classif.ii3fi Lic. # 133 Arch., Engr., Designer r r --A 711 �... 4 — Address 2 : Tel. 100 dock Towers . 406.-625-406 City Zip State Carmel 1 93923 Lic. # LICENSED CONTRACTOR'S, DECLARATION, _ I hereby affirm that I am licensed'under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business, and.Professions Code, and my license is in full force and effect. .If, / _;% / '4 - 1, 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 (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, Bussness 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.) ❑ 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.) ❑ 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE , (This 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 certify 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 relating to building construction, and hereby authorize representatives of this city to enter the above - mentioned property for inspection purposes .- Signature of applicant �f f r Date Mailing Address City, State, Zip No. 003666 BUILDING: TYPE CONST. OCC. GRP. ,A.P. Number 631-370-021 ,Legal Description Project Description La Quinta hotel Fzvansion Mmansion of La Quinta Hotel 8-rooms Tyr)c 1 Sq. Ft. 4160 Size No. 1 No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT' AMOUNT Plan Chk. Dep. Plan Chk. Bal. $632,63 Cohst. 743.00 Mech. 106.•30 Electrical 104.52 Plumbing 195.100 S.M.I. Grading Driveway Enc. Infrastructure Waived: TOTAL REMARKS t � 't!lrrctL1i'ia, Y 1U17F'+ � .t. 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 ,�Y,19/permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR.. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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,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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBING4k-<«4'7 11 UNDERGROUND A.C. UNIT COLL,AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 7 G DUCT WORK ROCK STORAGE FOUND. REINF.4� � GAS (ROUGH) �ETER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL c.k t GAS (FIN! P. POLE GROUT - WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSPI - �6 FRAMING Z_gifi FINAL INSP. &- j3-"i& ROOFING /- -65 7 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE Z-gw SPARK ARRESTOR GAR. FIREWALa3--C6 LATHING — �g MESH INSULATION/SOUND -/ �i e FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL Building Address 49--499 42 Owner Mailing Address 11-200 PC) City Zip . n. —1. 4 1 1 ­ . '1A 46 P.O. BOX 1504 78-105 CALLE ESTADO pwe r Dri-LA-QUINTA, CALIFORNIA 92253 el. .Address " City Zip Tel. La Quinta 92253 345-:2888 No. 003667 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 631-370-021 Legal Description Project Description TI!xna!'fsipn of La i?!iinta Hotgl State Lic. City & Classif. 413636 Lic. # 133 Sq. Ft. 4260 Size No. No. Dw. Stories Units Arch:, Engr:,'- Designer New ❑ Add ❑ Alter ❑.- Repair ❑ Demolition ❑ Address Tel. City Zip State - Lic. # ,. LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. r•� • ' "..�f��r � Y.-r .Jr�.e"i - . ' SIGNATURE - DATE OWNER -BUILDER DECLARATION A 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, 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) or Dmiron' 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 ($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, Bussness 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 sate.) Estimated VBIUatIOn � 9 WA PERMIT _ y , AMOUNT Plan Chk. Dep. - Plan Chk. Bal. 6 • 3 COr1St. Aj %y {�� Mech. 106.00 Electrical '�d r.� _ Plumbing - �(� �� ❑ 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:L•icense 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.) ❑ I am.exempt under Sec. B. & P.C. for this•reason S.M.I. M Grading Driveway Enc. 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 No. Company O Copy is. filed with the city. 0 Certified copy is hereby furnished.. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 certify.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 relating to building construction,*and hereby authorize representatives -of; this city to enter the above - mentioned property for inspection tpurposes. �{ f Signature of applicant 1 Date Mailing Address r City, State, Zip Infrastructure i4Et]ved TOTAL 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 2J29,88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE _ NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 1�- ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING _ DUCT WORK ROCK STORAGE FOUND. REINF.nq. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL �'l L GAS (FINA >%n, MP. POLE' GROUT WATER HEATER`•v SERVICE FINAL INSP. BOND BEAM WATER SYSTEM 4.—GRADING cu. yd. $ plus x$ _ $ LUMBER GR. FINAL INSP. r FRAMING / �Q(f. r/ !vim FINAL INSP. 1 ri 2 i ROOFING y_ Of REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE 1 SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND d—?- FINISH GRADING FINAL INSPECTION CERT.000. FENCE FINAL t INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Ta 44 . 0 V. W�t aubtra P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49.. 499 #3 Eisenhower Dr- LA.QUINTA, CALIFORNIA 92253 Owner Cric© of Palm Sprinffs, Inc. Mailing Address U- 200 fickvill a Pike City JZip JTel. Rackvi Contractor '�-t� l'•'t.•xkal"r-'f'+re+d-�.rori �"trr�••mr+1»:alr��t Address . City ZipTel. " LEI: Qtdnta 192253 ,345=2888 State Lic. City & Classif. 431636 Lic. # 233 Arch., Engr.; Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Businessland Professions, Code, and my license is in full force and effect. ! *:' % •�:�', ,�:�.. rlf SIGNATURE 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 (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). ❑ 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 doesnot 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.) ❑ 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 improvesthereon, 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy is filed with the city. _ ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATION INSURANCE (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 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 certify 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 relating to building . construction, and hereby authorize representatives Hof this city to- enter the above• mentioned property for inspection purpose"s: ; Signature of applicant �/. �'f' : Date Mailing Address City, State, Zip No. 003585 BUILDING: TYPE CONST. .. OCC' GRP. A.P. Number 631-Y370 -021 Legal Description Project Description Ln (W1rttPk TTntr;1 rmr;,tmetinn 6-rooms.- Type 2 Sq. Ft. 4157 No. No. Dw. Size - Stories Units New ❑ Add ❑ Alter ❑. Repair ❑. Demolition ❑ Estimated Valuation $229,084 PERMIT - AMOUNT Plan Chk. Dep. Plan Chk. Bal. $637.85 Const. 758.00 Mech. 100.00 Electrical 104.52 Plumbing 179.00 S.M.I. 16.07 Grading Driveway Enc. Infrastructure 6t 11V d TOTAL S1.795.44. REMARKS i."f. r � i`stt�i.{ �- T;�7t��..• � t : 9`� , t ZONE: BY: Minimum Setback Distances: Front Setback from Ceiater Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: '►/�:i/V Date ` Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT, POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ..FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOMESVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FE7 MECH.FEE PL.CK.FEE CONST. FEE _j ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE - PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� ROUGH PLUMB. Ar- /_7 ya:FORMS BONDING HEATING (ROUGH) STORAGE TANK SEWER OR SEPTIC TANK ROUGH WIRING — j / DUCT WORK ROCK STORAGE FOUND. REINF.-3,—Z� - GAS (ROUGH) TER LOOP HEATING (FINAL) OTHER APP.IEQUIP. CREINF. STEEL (p-1� GAS (FINAL TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 3 ` FRAMING l%. !J FINAL INSP. ROOFING s"<�1 _� .%J�� —''0 WP— v 73/—�� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE' SPARK ARRESTOR GAR. FIREWALL C LATHING Z- v� MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION v CERT.00C. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL C&hf 0 44 P.O. BOX1504 No. Building 78-105 CALLE ESTADO 003668 Address 49- 499 #4 Eiswnhower €3r. LA QUINTA, CALIFORNIA 92253 Owner r-ri+c0 pf Palm 3gr tnas I Mailing s BUILDING: TYPE CONST. OCC: GRP. Address 11-2nn Piko- A.P. Number 631-370-021 . City l Zip ITel. f 1111!=I!.7A'Z=3 Contractor 'C.TbtF'. f'tr�w�!�•lrxsss � if',nt1n � es Address — --. — --- P. O. Styx 1000 City.. zip I Tel.' State Lic. I City & Classif. Lic. # t ,� Arch., Engr., Designer Address Tel. City Zip State Lic. # _ LICENSED CONTRACTOR'S DECLARATION , I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr fessions Code, and my license is in full force and effect. SIGNATURE - 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, after, 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 or not more than rive hundred dollars ($500). ❑ 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.) _ ❑ 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.) ❑ 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 or 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 it work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all dity and county ordinances and state laws relating to building construction, and hereby authorize representatives of thin city to enter the above mentioned property for inspection purposes. /,_i Signature of appliCant Mailing Address City, State, Zip ,Legal Description Project Description La pinta NOt-M 3"€nPill" ~tit' n Sq. Ft. No. Size- 4160 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $223,603 PERMIT AMOUNT Plan Chk. Dep. Plan Chk'Bal., $632.63 Const. 743.'00 Mech. 106.00 Electrical 144.52 Plumbing 195,00 S.M.I. 15.65 Grading Driveway Enc. Infrastructure Waived TOTAL REMARKS flAC s y.a t n d4l1T. m'.:_{i C ..itf1 . 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 DATE INSPECTOR Issued by: Date2 29 88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SO. FT. ® CARP. SQ. FT. p WALL SO. FT. ® SQ, FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE r 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 PL MBI UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ROUGH PLUMB.E4/ BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. 7) Z�' GAS (ROUGH) _c6 ETER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL �i{ GAS (FINAL) A TEMP. POLE GROUT T WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING S / -� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE r�S SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND _(' Cj RF FINISH GRADING FINAL INSPECTION / CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL P.O. BOX 1504 N o . Building 78-105 CALLE ESTADO Address 49-499 45 Eisenhower Dr. LA QUINTA, CALIFORNIA 92253 Owner Address 1I_200 Rockville Pikc City I Zip ITel. Contractor P. Q. BOX 2000 City State Lic. & Classif. 003670 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 63I-370-021 ,345_2889 Legal Description Project Description La Q=inta Hotel Sipa Ision Tel. 345--28888 City Lic. # Afcn:, r-ngr., Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and, effect.. . . �f rrlr% `,f,• SIGNATURE - 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). ' ❑ 1, 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 ownerr,of propertyPwho 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.) ❑ 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 or 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 No. . Company O Copy is filed with_the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($10()) valuation or less.) - I certify that in the performance of the 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 certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above mentioned property for inspection purposes. ! , r/,7 j Signature of applicant fY f � r r r1 r s�,>x . Date Mailing Address r City, State, Zip Sq. Ft. No. No. No. Dw. Size- - Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk.',-Bal..— i ,^. $632.63 Const. 743.00 Mech. 106.0101 Electricals r_,� �'_` 104.52 Plumbing ` # 195.00 S.M.I. 15.65 Grading Driveway Enc. Infrastructure 'waved TOTAL REMARKS ZONE: BY: Minimum Setback Distances: y Front Setback from Center,Line r _ Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line l FINAL DATE 4 INSPECTOR Issued by- Date 2/29/$$Permit Validated by: Validation: HARD COPYI CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. ® FOR. SO. FT. ® GAR. SO. FT, ® CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBINLI UNDERGROUND A.C. UNIT SLAB GRADE —t1 ROUGH PLUMB. f-0 BONDING HEATING (ROUGH) K ffROCK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN : / l DUCT WORK E FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. �CREINF. STEEL t.,_^1 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✓(���g ^ Fhb I ,) /n�� v ry/ 2r_ U REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING / FINAL INSPECTION`/ G CERT. OCC. . FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS . GARDEN WALL FINAL P.O. BOX 1504 Building 4�,-499 #6 Eisvmhower DrLA QUINOTAC Address CALIFORNIA 92253. Owner Crico of Palm Sprinqu, Inc. Mailing I Address 11_200 Rockville Pikes City lZip ITel. =S4 L 1=1 �i±fr�i�f'stI Contractor Ids, Construction Co. Address P. 0. BOX 1000 _ No.. OL13671 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 632-370 -02!' Legal Description Project Description f^fkt T4iGi'�C�i fsXJ�in�2C1k1 ' 3larr„r�rnrr �i+,r�nn i City Zip Tel. La Oui.nha 92253 345-2888 State Lic. City & Classif. `� 10�6 Lic. # Sq. Ft. Size '� No. No. Dw. • • Stories Units Arch., Engr., - Designer New ❑ Add ❑ Alter ❑ Repair ❑• Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed'under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and -my license is in full force and effect. SIGNATURE--' d DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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)' - ❑ 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.) Estimated Valuation . �f Yf !f C!f !� 223 QVVV3 PERMIT AMOUNT Plan Chk. Dep. Plan Chk'Bal. S63 L 3 Gi Const. ')', 3 s 00 Mech. q 1 . V Electrical 104 Cs 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.) ❑ I am exempt under Sec. B. & P.C. for this reason .. S.M.I. ,y '>j; 5 Grading Driveway Enc. Date owner InfrastructuredA�t 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 No. Company __ r O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL REMARKS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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. -- �f:}i� Zr3..tyaiv`tfpf•,+;1"!"`�"*iYir��Tlf >r" Date - Owner NOTICE TO APPLICANT: If, attar 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. ZONE: BY: Minimum Setback Distances: ' - + Front Seth I,f C t L' 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 certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purposes. ;�+ • . r /� Signature of applicant �� f ' �r � - Date Mailing Address City, State, . Zip ac rom en er lne— Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTIOR 88 2`2rPermit Issued by: Date Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. ® POR. SQ. FT. p GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS ' YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 „e,�LECTRICAL HEATING & AIR COND. SOLAR f1 f� SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE i ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING i DUCT WORK ROCK STORAGE FOUND. REINF GAS (ROUGH)- METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEE urI-t6 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ r =$ LUMBER GR. FINAL INSP. FRAMING (� ti FINAL INSP. ROOFING ��o .(� ` - �cd� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACES'_ (---b SPARK ARRESTOR GAR. FIREWALLS3F -------------- LATHING MESH INSULATIONISOUNDS-4f � FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESANITIALS, GARDEN WALL FINAL 4 P.O. BOX 1504 No. 003672 Building 78-105 CALLE ESTADO Address 49-499 #7 EiseF*<22ovmr Dr. LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 11-200 Rockville Pike • . City Zip Tel. RoCkv'ille• .. 20852-3( i 345-2888 Contractor a+s-aa► :.idliSk Ld. litCr bi[2ii w w Address P. 0. Box 1006 ; City Zip Tel." La Quinta 92253 345-288$ State Lic. City & Classif. 413536 Lic. # 133 Arch., Engr., - - Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under-provisions,of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, -;and my license is in full force and effect. SIGNATURE - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code:: Any city or county which requires a permit -to construct, after, 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 703.1.5 by 'any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500). ❑ 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. 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.) ❑ 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.I 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 No. Company ' 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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. Dale Owner NOTICE TO APPLICANT: 1f, 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 it work thereunder is suspended for 180 days. I certify 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 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number .. 631-370- 021 Legal Description Project Description La nuinta notel Expansion - 8-rq ms - Type 1 Sq. Ft. Size New ❑ No. Stories No. Dw. Units `Add ❑ Alter ❑ Repair ❑ Demolition ❑ Aimated Valuation $233..603 - PERMIT AMOUNT Plan Chk. Dep. Plan Chk.'Bal. . - '= 032.63 Const ' - 743.Ou Mech. 106 . U0 Electrical',_ _ 104.52 Plumbing 195.00 S.M.I. 125.08 Grading Driveway Enc. Infrastructure Waived TOTAL $1,,736.80 REMARKS . c��lts- �1 i�L't-4iLi�"�'�=•-r`St!`. LT.ti�� t'• 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 2%2/8Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. F. ® WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET- ROOF DRAINS ' DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation - 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 LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 s �� SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) ER LOOP HEATING (FINAL) .OTHER APP./EQUIP. QQQQ�� REINF. STEELY 1-1• GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING Ol A FINAL INSP. ROOFING —$ © l(�� / �o ��eQP / �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE!) 7(`b SPARK ARRESTOR GAR. FIREWALLLC/,(� LATHING —(-4 MESH INSULATION/SOUND .j /-�q FINISH GRADING FINAL INSPECTION /Z CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL 4 ui0 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-499 #8 Eisenhd+er Dr.LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 31--200 Rockville Pike City Zip JTel. Inockvil.le 120852-300 Contractor Aaaress P. O. Box 1000 -City ' " Zip La Quinta 92253 State Lic. & Classif. 431636 Arch., Engr., Designer Address No. 003687 BUILDING: TYPE CONST. - OCC. GRP. A.P. Number 631- 070 -021 345-2888 Legal Description Project Description I;a Ouinta Hotel Enpansion n _ - - 5-rooms — Type 4 Tel. " 345~2888 City Lic. # 133 Tel. City ]Zip State Lic. # - LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions -Code, and my license is in full force and effect. I/ / . ---:. r SIGNATURE 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 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 (E500). ❑ 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 sate. (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 -budder will 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 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 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 No. Company ❑ Copy is filed with the city. .O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is for one hundred dollars (E 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: 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 it work thereunder is suspended for 180 days. I certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purposes./ f Signature of applicant f- '� +ti Date Mailing Address City, State, Zip Sq. Ft. 4200 No. No. Dw. Size- - Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ ,timaiea valuation . AQ _ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. I, $"1623.78 Corist. 753.00 Mech. 98 a 00 Electrical , 104.52 Plumbing ` 1-19.00 S.M.I. 15.93 Grading Driveway Enc. Infrastructure Waived TOTAL REMARKS i 1 1.t , y� t. Ci}£f�ri F, �\' ,\1F-01 3V7 A , t 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?/a9t138 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. ®` POR. SO. FT. ® GAR. SQ. FT, ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL ' SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE •-6 ROUGH PLUMB. T7 BONDING HEATING (ROUGH) STORAGE TANK FORMS 'j s SEWER OR SEPTIC TANK ROUGH WIRINGs(g,& DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL 1 GAS (FINAL) II ✓✓ TEMP. POLE GROUT ( WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING S ��-� t— FINAL INSP. ROOFING ©e ` T_ ip (� (�J C� !/ _ g (( REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALLS- _ jdC LATHING S C6 MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. - FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL P.O. BOX 1504 Building ,. 18-105 CALLE ESTADO Address 49-499 09 Eiserdtower Dxiwm QUINTA, CALIFORNIA 92253. Owner Crico of Palm Springs, Inc. _ Mailing Address 11-20n Rnckvillp Pit City Izip IT Contractor P. 4. Styx 1€ 00 City Izip Tel. State Lic. I City _ & Classif. 413636 Lic. # 133 Arch., Engr., Designer Address Tel. City Zip State Lic. # - LICENSED CONTRACTOR'S. DECLARATION - I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8usiness 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,'"dr 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). • ❑ 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 I 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 thip 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 certify 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 relating to building construction, and hereby authorize representatives ;of this city to enter the above mentioned property for inspection purposes. 1 . w" —fir . Signature of applicant ell ' . a «�"+ Date Mailing Address No. 003684 BUILDING: TYPE CONST. OCC: GRP. A.P. Number, 631-370--021 ,Legal Description Project Description Da (hXl.q'Ata' untnt rVra3 ni.Mn . Si«1►evirr a - '411i'trrub " . . . . Sq. Ft. 4157 Size • No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation r229#094 PERMIT AMOUNT Plan Chk. Dep. Plan'Chk. Bal. S637.,85 Const. 758.00 Mech. 100.00 Electrical 104 ; 52 Plumbing . 179.00 S.M.I. -: 16.07 Grading Driveway Enc. Infrastructure Waived TOTAL 91a795.44 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 2 /79/'ARPermit Validated by: Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT.,® WALL SQ. FT. ® SQ. FT.® ESTIMATED CONSTRUCTION VALUATION $ UNITS ' YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN . URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 ® 1+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 i ROUGH PLUMB. /T!�j BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING �% t DUCT WORK ROCK STORAGE FOUND. REINF. -2J5 7 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL)5Ti TEMP. POLE r GROUT WATER HEATER le SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING ��—$� FINAL INSP. ROOFING 5 _- �j p� `ry • /J n _ 2 C� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL5i LATHING S (c6- MESH INSULATION/SOUND /C6 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL t . V; : •p— bf 4 4 Qum& P.O. BOX 1504 Buildirig 78-105 CALLE ESTADO Address 49-499 #10 risenhowex Dr J_A QUINTA, CALIFORNIA 92253 Owner Mailing Address Sr City '�lit+r ;arsve1�+ra.� d Zip Tel`V Contractor P.. €s. Box 1€ 00 - City Zip Tel. La ouinta 92253 - 345-78 State Lic. City & Classif. �13€16 Lic. # 133 Arch., Engr:, Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the BusinessandProfessions,;Code, and my license is in full force and _ . effect.. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for 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 five hundred'dollars ($500). ❑ 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, Bussness 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 or 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 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 No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 tho 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 certify 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 relating to building construction, and hereby authorize representatives of this city to enter the above mentioned property for Inspection purposes. 1, Signature of applicant' I Date Mailing Address City, State, Zip HARD COPY No. 003673 BUILDING: TYPE CONST. me OCC'. GRP. A.P. Number 631-370-021 Legal Description Project Description La Qvdi Etta Hotel Expansior. Sq. Ft. ��� No. No. Dw. -Size - - -• Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $223 s 603 PERMIT - AMOUNT Plan Chk. •Dep. Plan Chk. Bal. $632.63 Cori`st. 743.00 Mech.. 106.40 Electrical 104.52 Plumbing •_ 195.00 S.M.I. Grading Driveway Enc. Infrastructure Waived TOTAL S ,746-RO 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 2129188Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 Lk—(Ir'4� ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING/_ 7 DUCT WORK ROCK STORAGE FOUND. REINF3 _3() ^g& GAS (ROUGH) R LOOP ' HEATING (FINAL) OTHER APP.IEQUIP. EINF. STEEL — J14_-1�% GAS (FINA 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 5_ ��� D # _7 REMARKS: VENTILATION , FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL L._ J ...�'/ /� 1 LATHING _- MESH '/ INSULATION/SOUND—r%Osel / FINISH GRADING FINAL INSPECTION �) _ !/ CERT. OCC. • FENCE FINAL . INSPECTOR'S SIGNATURESIINITIALS• GARDEN WALL FINAL Building Address Mailing Address City Contractor 4 P.O. BOX 1504 No. 003674 78-105 CALLE ESTADO 49-499 #11 FiSenhOWez OL`A,QUINTA, CALIFORNIA 92253 11-200 Rockville Pike Zip Tel. le 20852-3t3�3 345a'288 P. Q. Box 1000 City lZip I Tel. State Lic. & Classif. Lic # MI(A! , mnyr., Designer Address Tel. BUILDING:- TYPE CONST. _ OCC. GRP. A.P. Number: � f 31-370-021 Legal Description Project Description La Quinta, Rottel V=gnsion Sq. Ft. 41� No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ City Zip State ' Lic: # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed?under provisions of Chapter 9 (commencing with Section of Division 3 of the Business avid Professions -Code, and my license is in full force and effect effec� SIGNATURE 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, after, 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 Professiors 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 or not more than rive hundred dollars ($500). ❑ I, as owner of .the property, or my employees with wages as their sole compensation, will Estimated Valuation PERMIT - Plan Chk. Dep.. _ Plan Chk41361.'•.3_* COr1St. 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 Mech. Electrical 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.) Plumbing ❑ 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 S.M,I'. 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.) ❑ I am exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE . (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 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 certify 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 relating to building construction, and hereby authorize representatives. -of this city to enter the above - mentioned property for inspection purposes.l / j ! .� Afj p 7 i'r �.at Signature of applicant Date Mailing Address City, State, Zip TOTAL $223,6G3 AMOUNT - $632.63 743.00 106.00 104.52 195..00 15.65 Waived y S1 ''M.8Q .REMARKS 39t�t�:.'a.t'�)'!1£�l+T�'z�•.�•+t73-i3��7ytr.r3*"r �t. ZONE: BY: Minimum Setback Distances: �•'- j 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 /29/38 Issued by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT.. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax. valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 1 Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 fdj UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH ROUGH PLUMB... .� BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN25� —16 DUCT WORK ROCK STORAGE FOUND. REINF. �_ GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL Lf �{ 1 GAS (FINAL -ZD 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 / g� v /7 ' / ,/� L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL4.i r LATHING le — -- . MESH INSULATION/SOUN 7t FINISH GRADING FINAL INSPECTION CERT. OCC. -FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL P.O. BOX 1504 No. 003675 Building 78-105 CALLE ESTADO Address 49-489 #12 Eisenhower Dro QUINTA, CALIFORNIA 92253 Mailing Address 11-200 Rockville Pike City Zip JTeF Rockville 20852-3003 . 345--2888 Contractor BUILDING: TYPE CONST. OCC: GRP. A.P. Number 031--^370-021 Legal Description Project Description 1,3 Quinta Motel ftpansioii Aaaress.. P. Q. BOX 1000 City Zip Tel. 1r.,, 92253 345-•2888 State Lic. City & Classif. 431636 Lic. # 133 Sq. Ft. 4I5(# No. No. Dw. Size • Stories Units Arch., Engr., - - � - •- Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION ~ I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business; and Professions Code, and my license is in full force and effect. DATE _ OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following {�2'��. reason: (Sec.. 7031.5,Business and Professions Code: Any city or county which requires a �Rr�' f permit_ to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file asigned statement that he is licensed pursuant to PERMIT AMOUNT 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 Any Section 7031.5 'any for Plan Chk. Dep- _ alleged exemption. violation of by applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - Plan Chk. Bal. . $632.63 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. •7044, Buisness and COr1St. �} 00 Professions Code: The Contractor's License Law does not apply to an ,owner'of property who . builds or improves thereon and who does such work himself or through his own employees, 'the Mech. �',Q w� � provided that such Improvements are not intended or offered for sale. If, however, building or improvement is sold within one year of completion, the owner -builder will have,the burden Electrical 52 194.52 of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing *hr n f7J VO struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who contracts for S.M.I. 15.65 such projects with a contractors) licensed pursuant to the Contractor's License Law.) - Grading ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure waive WORKERS' COMPENSATION DECLARATION I hereby affirm that I have'a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company - , - I Co s filed with, the city. O Certified Copy Iy copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($ 100)'valuation or less.) - - I certify that in the performance of thg work for which this permit is issued, I shall not em to n t ` Y l '} - of �rtf�qFAA p y a y person in any manner so as o 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 certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purpose-' � Signature of applicant! �� J � ��r- Date Mailing Address City, State, Zip 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..,P.roperty Line .\ ; , - FINAL DATE INSPECTOR �Izs1�a Issued'by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 - 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. 0 c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE r - STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PL ,0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE L'j'��5 ROUGH PLUM — ' BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAN✓/ ,,,,�� ROUGH WIRIN16 � �! i DUCT WORK ROCK STORAGE .{,FOUND. REINF. 1.k..1�� V lZft GAS (ROUGH) ETER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL 3 GAS (FINAL) TEMP. POLE GROUT V 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 L ' SPARK ARRESTOR GAR. FIREWALL —( LATHING al --�/ / MESH INSULATION/SOUND ——';6� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 4 P.O. BOX 1504 N o . Building 78-105 CALLE ESTADO Address 49-499 1#23 Eisenhower YirkouINTA, CALIFORNIA 92253 Mailing Address 11-200 Rockville Pike City Zip Tel. Rockville 120852-3003 • 34 Contractor City Zip Tel. ' La Quinta 92253 345-2888 State Lic. City & Classif. 431636 Lic. # 133 Arch., Engr., Designer Address Tel. City Zip . State . Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division of the Business, and Professions Code, and my license is in full force and ` effect.' ✓ %� �a' y. •✓%r SIGNATURE - - / 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 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 five hundred dollars ($500). ❑ 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, Bussness 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.) ❑ 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.) ❑ I 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 No: Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in -any manner -so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate or Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name _ Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purposes/ Signature of applicant'' k Date Mailing Address City, State, Zip 003676 BUILDING: TYPE CONST. 'OCC. GRP. A.P. Number 631"370" 021 Legal Description Project Description Asa Oitinta Hertel Mmansion Sq. Ft. 4160 No. No. Dw. Size' Stories Units New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation PERMIT T AMOUNT Plan Chk. Dep. Plan Chk. Bal. 9632.63 Const. 743.00 Mech.t1fi Electricals w x► Plumbing 14552 nO S.M.I. A Grading Driveway Enc. Infrastructure Waived TOTAL REMARKS ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date,29/$II Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT, ® CAR P. S0. FT. WALL S0. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 ® 11/4VELECT.FEE SEWAGE DISPOSAL SO.FT.GAR ® 3/aHOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE' DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMB N UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING UCT WORK ROCK STORAGE FOUND. REINF3 l GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL a l— V 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 5 .� �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE _C SPARK ARRESTOR GAR. FIREWALL T-/(7,461 LATHING ��/� --�� MESH —/ J-(/f5 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL tu',N,�cv .4 P.O. BOX 1504 No. 003677 Building AA 78-105 CALLE ESTADO Address 49-499 E1.FTanhomr Dri A QUINTA, CALIFORNIA 92253 Cri co 4f Palest Springs, Inc. Mailing Address 11-200 RoCkVille Pike City Zip Tel. ®k a d0$52-3003 345-�2888 . - Contractor .Address City Zip Tel. 1a Quinta 92253 _345- 8g8 . State Lic. City & Classif. 431636 Lic. # 133 Arch:; Engr., Designer Address Tel. City Zip State Lic: # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE- '.w - 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 (commenc;ng 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, Bussness and Professions Code: The Contractor's License Law does not apply to an ownerof property who builds or improves thereon and who does such work himself or thrmghrhis 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 -budder 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 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 No. Company ❑ Copy is filed with the city.. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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, alter 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 it work thereunder is suspended for 180 days. I certify 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 relating to building construction, and hereby authorize representatives of this city to' enter the above mentioned property for inspection purposes. Signature of applicant b -Mailing Address City, State, Zip BUILDING: TYPE CONST. OCC: GRP A.P. Number - €31-370-021 Legal Description Project Description La Quinta Hot@i • MCPanSiOn _ 8 • rooms- --Type- V Sq. Ft.1jEjjNo. No. Dw. Size" ' Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ d - Estimated Valuation PERMIT. AMOUNT Plan Chk. Dep. Plan ChV'.-Bal.-?, ., , .. $632..63 Const. 743.00 Mech. 106.00 Electrical 104.52 Plumbing 195..00 S.M.I. 15.65 Grading Driveway Enc. Infrastructure waived ' t iCw TOTAL REMARKS ii%' � � `•rl'ii.a-�i 1,T:- !�'f/'i 1�fi.�.. �4 ,. ;1`i T f) . a 1� ZONE: BY: Minimum Setback Distances: Front Setback from Center. Line Rear Setback from'Rear Prop. Line Side Street Setback from Center Line y Side Setback'from Property Line FINAL DATE INSPECTOR Issued by: Date 2/29/.G ermit Validated bv: Validation: HARD COPY CONSTRUCTION ESTIMATE NO.- ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SO. FT, POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. p WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FT7 MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN ` UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE r ROUGH PLUMB. ..(-�� ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TAVANK ROUGH WIRIN •' ✓ � DUCT WORK ROCK STORAGE FOUND. REINF. `_�1 GAS (ROUGH) ZL METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL-13 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 -14-4 _ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE�� SPARK ARRESTOR GAR. FIREWAL iq LATHING MESH INSULATION/SOUND -YO-G FINISH GRADING FINAL INSPECTION ff CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS- GARDENWALL FINAL 4 P.O. BOX 1504 78-105 CALLE ESTADO Addrdes9 49--49-V #15 E.iGer�lOWer �:' 1 .LA QUINTA, CALIFORNIA 92253 Owner Cri#-^ Qf PtiLi 9 rinffA Tnc. _ Mailing Address City Zip Tel. 1�tna•I�tr% 1 3a aA�i't..:� �7ti.'i `3A—2��>� Contractor LKL Cbnstructio Co. - ... Zip Tel. .. nta 9225 345-288'8 No. 003673 BUILDING: TYPE CONST.' OCC. GRP. A.P. Number 631- 370-021 Legal Description Project Description 'd m Mi i to Tint al }?'7£nAt1tninrl State Lic. & Classif. 3 3 City Lic. # 133 Sq. Ft. 43,60 Size No. No. Dw. Stories Units Arch.; Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. f# _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business:and.Professions Code, and my license is in full force and effect. r ��r[ �'"a"�.r'/ rr's✓ SIGNATURE - DATE ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Anycity 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 or 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 or 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.j7044, Bussness 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 thrcughlhis,lown 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-buikfer will have the burden or 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 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) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under .Sec. B. 8 P.C. for this reason Estimated Valuation - It*) 273 smi PERMIT ' AMOUNT Plan Chk. Dep. , _ - d Plan Chk..• Bal. �._,� 1 `, ,2 j9 COr1St. �' wr�y ? R L� ' Mech..• " y A n Electricals w C�� Plumbing j S.M.I. Grading Driveway Enc. Date owner Infrastructure WAivad 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 No. Company ❑ Copy is,filed with the city. ❑ Certified copy is hereby furnished. TOTAL $1.. 796.80 CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner ' NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit shall be deemed revoked. REMARKS jltlt.� i es�Wi2'flr.Fi.$!�i}W `=?'q u. ttV 1 r ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback.from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE ' ' INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. I certify that I have read this 2/2.9./SrPermit application and state that the above information is correct. I Issued by: Date 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. f ` �, ' Validated by: Signature of applicant%l . - . Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE ; NO. "ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT.-®. FOR. SQ. FT. ® GAR. SO. FT. @ CAR P. SQ. FT. WALL "' SO. FT. ® . .SQ. FT. g ESTIMATED CONSTRUCTION VALUATION $ ` UNITS +t YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK s JPOWEROUTLET _ ROOF DRAINS, DRAINAGE PIPING DRINKING FOUNTAIN ` URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation- - - • - - - FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN _ WASHER(AUTO)(DISH) APPLIANCE DRYER Y GARBAGE DISPOSAL FURNACE. UNIT — WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 11/4 c - SEWAGE DISPOSAL' " - SQ.FT.GAR ® 3/4c HOUSE SEWER . 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 i• 44-1 GROUND PLUMBINOS. - UNDERGROUND - A.C. UNIT L COLL, AREA SLAB GRADE " ��� ROUGH PLUMB !L v ONDING HEATING (ROUGH) STORAGE TANK" . FORMS -• SEWER OR SEPTIC TANK ROUGH WIRIN �{�' .DUCT WORK ROCK STORAGE FOUND. REINF.4, GAS (ROUGH) METER L60P HEATING (FINAL) : OTHER APPJIA./EQUIP. REINF. STEEL L11 i l6 GAS (FINAL) TEMP. POLE ' GROUT _y WATER HEATER SERVICE FINAL INSP. •. BOND BEAM ! ,. ,WATER SYSTEM GRADING cu. yd. - $ plus x$ _$ LUMBER GR_ FINAL INSP. FRAMING. / �� FINAL INSP. ROOFING 5� " � , - .. _ � � y REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE _ ^Dii -SPARK ARRESTOR GAR. FIREWALL i66 LATHING MESH INSULATIONISOUND 16.� FINISH GRADING' - FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 44 P.O. BOX 1504 No.. 003679 BuilAdddinres9 g^� �� Eisenhower DrI!A QUINOTACCALIFORNIA 92253 Owner Crico of Palm springs, Inc, Mailing BUILDING: TYPE CONST. OCC. GRP. Address 11-200 Rockville Pike A.P. Number 631-'370- 021 City r Zip Tel. Rockville- 120252-30031 34S-28Sg Legal Description- . Contractor „. Project Description La OE, iota Hotel ft-oansion P. Q. Box l000 City Zip State Lic. City & Classif. �1.116_V; Lic'. # 13-3 Arch.; Engr., Designer Address Tel. City Zip State LICENSED CONTRACTOR'S DECLARA]TJON I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus! r essiand Professions.Code, and my license is in full force and effect. _SIGNATURE 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, after, improve, demolish, or repair any structure, prior to its fssuance::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 civilpenafty'of not more than five hundred dollars i$500). ❑ 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 suchwork himself or throughwhis. 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.). - ❑ 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.) ❑ 1 am exempt under Sec. B. R P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION Ihereby 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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: It, alter 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 it work thereunder is suspended for 180 days. I certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purposes., / y. t' �'n.s.. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. 416i3 No. No. Dw. Size -Stories Units New ❑ Add ❑ Alter ❑• Repair ❑ . Demolition ❑ Estimated Valuation . $24�qJ!!��s603]y PERMIT a AMOUNT Plan Chk. Dep. Plan Chk.. Bal. S632.63 Const. 743.00 Mech. 10153.00 Electrical 104.52 Plumbing 195.00 S.M:I. 1r _ Grading Driveway Enc. Infrastructure Waived TOTAL. S 1. a 96; _ R nT •�— REMARKS �yyyyy�t��•}♦ 1'{['(%� �' }W' T[y,JR lei �;'. YF6,I'i. ,� .1—fir• l�� l 1• �t 11 ZONE: BY: Minimum Setback Distances: Front Setback from Center.Line Rear Setback from Rear Prop. Li Side Street Setback from Center Line Side Setback from,Property Line FINAL DATE INSPECTOR Issued by: Date 2/29/8$Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. I SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 ® t1/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE OBL 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 PLUMBING3, UNDERGROUND A.C. UNIT COLL, AREA SLAB GRADE ��� ROUGH PLUMB. iBONDING HEATING (ROUGH) STORAGE TANK FORMS 3 SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 'REINF. STEEL Irt S GAS (FINAL) �7 �{( [� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING S-Cg_ FINAL INSP. ROOFING 53- nt� ' /, q'v'� C� //� C� V (O 5W i�K J .. .. . REMARKS: VENTILATION FIRE ZONE ROOFING. FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING T �g— MESH INSULATION/SOUND FINISH GRADING I FINAL INSPECTION / —Z i [[[ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL wf� 4 �W Qu�tw P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-499 #17 Eisenhower J)rA QUINTA, CALIFORNIA 92253 Owner y Mailing Address 11-200 Rockville Pike City Zip Tel. 2000aifte 120852-30031 34.5 -2888 Contractor WIL Construction Conwany Address P, Ow' 13OX 1000 City Zip - Tel. La ( lnta225345-268. State Lic. City & Classif. 431635 Lic. # 133 Arch.; Engr:, Designer Address I Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION M I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business.and Professions Code, and my license is in full force and t r effect .. r ie SIGNATURE • l 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 perihit 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). ❑ 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, Bussness 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.) ❑ 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.) ❑ 1 am exempt under Sec.-B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirmthat 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 No: Company . O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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's 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. 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., ^�r]f Signature of applicantt/'.1.4A-Date Mailing Address City, State, Zip No. 003636 11LDING: TYPE CONST. OCC. GRP. P. Number . 631-370-021 Legal Description Project Description 1. Quinta Hotel Ekpansiiiin 4-rooms Type-3. Sq. Ft. 4414� i No. No. Dw. Size" 'Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ stimated Valuation •PERMIT AMOUNT Plan Chk'. Dep. Plan Chk. Bal. S629. R5 'Const. 758 A i Mech. 1.0() . £!0 Electrical 1 f)4 52 Plumbing, 147.00 S.M.I. 16.07 Grading Driveway Enc. Infrastructure Wa ved TOTAL Al 55 _ 44 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 2/29/88 Issued by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SQ,.FT, ® CARP. SO. FT. WALL SO. FT. ® SO. FT. p ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 1Va c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 ROUGH PLUM / ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN g DUCT WORK ROCK STORAGE FOUND. REIN . t GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. rut REINF. STEEL i VVV/✓✓✓ GAS (FINAL) J TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. y FINAL INSP. FRAMING �(d�CD(S FINAL INSP. ROOFING 5 —3 — 0,K t, tw"alJ C 5 —20 -'c6�L%%% . REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING g L==b MESH INSULATION/SOUND — FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL P.O. BOX 1504 No. 003681 Building 78-105 CALLE ESTADO Address 49--499 #18 EiSen hoWe= Dr. LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 631-370-021 Legal Description Project Description La Quinta Hotel. rxpansicn Mailing Address 11-Y200 Rockville Pikel City Rockville Zip 120852-3003 Tel. _ _345�-2'0$8 Contractor TM. iv' onsitmetion camnanv Address . R. €?. BOX 1000 City - %a €?>s rota ZipTel. 1,9225,3 .345 2d$8 State Lic. & Classif. 431636 City Lic. # 133 Sq. Ft. 9160 Size • No. No. Dw. I - Stories Units Arch.; Ertgr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ . Demolition ❑ Address Tel. City Zip State Lic. It _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ; r4 / - x, r. SIGNATURE - " - - - - - -' 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). - ❑ 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, Bussness 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.) ❑ 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.) ❑ I am exempt under Sec. B. 8 P.C. for this reason Estimated Valuation e>114 A 0 0 - -PERMIT AMOUNT Plan Chk. Dep.. Plan Chk. Bal. COnst. "�} Mech. . 1 wA � n11 3t.1;i'lAR. Electrical -A rya Plumbing S S.M.I. _ _ 1 S A95 Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION •Thereby 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 thg work for which this permit is issued I shall not TOTAL i;'i ._ 7Q,f _ A'£I♦ REMARKS ' •'40It 'LAJkf aYl.lr 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 certify that I have read this application and state that the above iiformation 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 r y �'e.s b ✓. Date Mailing Address City, State, Zip 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: Dat �j - Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY AIR HANDLING UNIT CFM I 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 A Al ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBINGL�W UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ^ gi ROUGH PLUM ✓( v DING EATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �.-� GAS (ROUGH) t,. , METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL V GAS (FINAL) / TEMP. POLE GROUT WATER HEATE((((R SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING — FINAL INSP. ROOFING �Gd lJt/ ` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACELl i<c (1 ' SPARK ARRESTOR GAR. FIREW ALL Z LATHING — (—C� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION i2, CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS• GARDEN WALL FINAL Building Address Owner P.O. BOX 1504 N o .003682 Address 11-200 Rackville ,Pike A.P. Number. 631-370-021 ' City Zip Tel. P. Q. Box 1000 1415 State Lic. City & Classif. A,a1 6,�9 Lic. # � Arch., Engr.; ' A� Designer ' Address Tel. City Zip State • . Lic. # LICENSED CONTRACTOR,;S DECLARATION I hereby affirm that 1 am licensed under provisions of•Chapter 9 (commencing with Section 7000) of Division 3,of the Busiress and -Professions Code, and my license is in full force and .. effect. �'9 / _ •�� SIGNATURE.+ 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, attar, 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 o/ the Contractor's License Law, Chapter 9 .(commencing with Section 7000) o/ Division 3 of the Business and Pro/essfbns Code, or that. he is exempt therefrom, 'and the basis (or the alleged exemption. Any violation o/ Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars ($500). ' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do ttie work, and the structure is not intended or offered for sale. (Sec:' 7044, Buisness and Professions Coder 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. 1l, 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 or improve for the purpose o/ 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 contractor(s) Licensed pursuant to the Contractor's License Law.) ❑ I 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 No. . . .Company ❑,Copy is filed with the city. ❑Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed i/ 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. Date Owner ' NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the' Workers'- Compensation provisions of the Laboi 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 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. Hof this city to enter the above - mentioned property for inspection purpose Signature of applicant r Date Mailing Address City, State, Zip egal Description rojiect Description xe+� ch-Eint'.i uotL'! Expansion II Sq. Ft. r No. No. Dw. Size 4�'�� Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation • $223 a 6ti3 PERMIT � ..r AMOUNT Plan Chk. Dep. Plan Chk. Bal. $632. 63 Const. 743.00 Mach. - 106.00 Electrical 104.52 Plumbing 195.00 S.M.I. :.3}65 Grading Driveway Enc. Infrastructure weii*Ire'G'd TOTAL REMARKS ��✓,/j�{t�R'1.`.+tkl/ .f/ i.,`1t.�.yj f1L'' {/�f -�'�r'+U . � � a tr 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: - Date2/29/88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. , SO. FT. ® 2ND FL. SO. FT.. POR. SO. FT. ® GAR., SO. FT. ® CAR P. SQ. FT. p WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE • DRYER 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 SO.FT.GAR ® lAc HOUSE SEWER 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 PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE -JS V ROUGH PLUMB. i V B ,NDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ty ROUGH WIRING DUCT WORK ROCKSTORAGE ����q, FOUND. REINF. K'y'p5 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL '"�„1� GAS (FINAL) _ 7 TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING / —`%- `G FINAL INSP. ROOFING �Z�[ T X V REMARKS: VENTILATION.. FIRE ZONE ROOFING FIREPLACE 4 SPARK ARRESTOR GAR. FIREWALL (r LATHING - (7/ Ti MESH INSULATION/SOUND �- FINISH GRADING FINAL INSPECTION T2 CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL wt 4 aCP Qum& P.O. BOX 1504 Building 78-105 CALLE ESTADO Address At)-A99 *20 ftnonhower tw_ LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm Spr3ncta, Inc Mailing Address City Zip Tel. Contractor Address � (�___ P. ©„ BOX 100M City lZip ITel. State Lic. City & Classif. -44 Lic. # v _ _ _ e Arch.,Engr., Designer Address I Tel. City Zip State - Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' '` rt SIGNATUREDATE 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, after, 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 '" Divisidn 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). ` ❑ 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, Bussness 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.) ❑ 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.) 0 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 No. Company ❑ Copy is filed -with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or I certify that in the performance of the 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 certify 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 relating to building construction, and hereby authorize representatives -of this city to enter the above - mentioned property for inspection purposes. i Signature of applicant �� - +, j# 3 = -Ae , Date Mailing Address City, State, Zip No. 003688 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 631- 27n -021 Legal Description Project Description T.A rhi4te+,a Uni--ta1 77,wn.s+n-,4e%n St..rnr:r.+vi' +�krssn 1 Sq. Ft. No. Size 41_60 Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $223,603 PERMIT AMOUNT Plan Chk. Dep. Plan Chk.:Bal. , .N. A 313 . GQ Const. 7AI . An Mech. I A4 n(I Electrical 104.52 Plumbing 195.00 S.M.I. f. 15.65 Grading Driveway Eno, Infrastructure Waived TOTAL' I S1.796.80 REMARKS - . k: lY � _ "i_t'I.,rf7" � '�i'STI fSb,- ,Sjc f ,'�1 t ... - • 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 2/29/88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. ' SQ. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Ya c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE' ROUGH PLUMB.j7� NDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER L P HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL uI irs (� 1 uu GAS (FINAL) — co TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING i-11f0 i4c I FINAL INSP. ROOFING f y - ' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE,�—--(Z- SPARK ARRESTOR GAR. FIREWALL(a--Z LATHING 'ter ? �4 [/ MESH INSULATIONISOUN / 6 - FINISH GRADING FINAL INSPECTION CCC CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS 'GARDEN WALL FINAL 4 Bldg. 122 P.O. BOX 1504 BuildinAddress d 499 Eisenhower Drive �s"105 CALLS CALIFORNIAESTAD9 •. LA QUINTA, ORNIA 92253 Owner Mailing Address 11200 RoCkyillle Pike City Zip Tel. Rockville 2€ 82-3003 345--2888 Contractor Landmark Land C Address city zip La Quints, 92253 State Lic. & Classif._ 613636 Arch., Engr., Designer Tel. 302888 Lic. # 193 Address I Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed underjprovisions>bf Chapter 9 (commencing with Section 7000) of Division 3fof the Business and Professions' Code, as d my license is in full force and effect . _ �..,d/ SIGNATURE - 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, after, 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 rive hundred dollars ($500). ❑ 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 or 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 or completion, the owner -builder will 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 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 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 No. Company ❑ Copy is filed with the city.. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 tho 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 or 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 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 Hof this city to enter the above - mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 003866 BUILDING: TYPE CONST. r� OCC. GRP. A.P. Number 631�•1F7t —021 Legal Description Project Description La Quinitgs motel Expansion "88" _6-its 5 - 6 units Sq. Ft. 3017 Size New ❑ Add ❑ No. 2 No. Dw. 6 Stories Units Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $►165 F 966 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $(jl Const. 598.00 Mech. 64.A0 Electrical -5. 34 Plumbing xi.ri S.M.I., z Grading Driveway Enc. Infrastructure Waited TOTAL Al Al3 1A (4'/,/ -.5A( REMARKS 4 CYh A.] tlt]t; ti •1 A x-U'I H�Fi 7 141104E L a-111. ,t . 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: Datef0/g Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. p CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER 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 PL BINGS-?'-5 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ��—� UGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN DUCT WORK ROCK STORAGE W! UND. REINF. if, 2;� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL _ -�y� GAS (FINAL) �,�SI TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING ee-/ q j FINAL INSP. ROOFING Z—j%f, VVV REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALLIV— LATHING MESH INSULATIONISOUND �r FINISH GRADING INSPECTION CERT. OCC. —Z e FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Bldg. #22 P.O. BOX 1504 a No. Building 49 -i99 a�seTihwwer �ZT�.Va� 75-105 CALLE ESTADO �n���� Address LA QUINTA, CALIFORNIA'92253 T Owner Crico of Pa3.mSprings p Inc.. . Mailing BUILDING: TYPE CONST. OCC. GRP. Address 11200 Rockville Pike A.P. Number • 631-•374" 025 City Zip Tel. Rockville . 20852-3€ 0 3.45-20$8 Legal Description Contractor Project DescriptionTA (Quin.ta Rotol. Eapansion "88" Landmark Lana Company ..Address. City Tel." 1'iD92253 La Quints 345-2888 Type 45 State Lic. City & Classif. 533 535 Lic. # 133 Sq. Ft. 5075 No. 2 No. Dw. 12 Arch., Engr., Size Stories Units Designer New ElAdd ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. If LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith Section T. 7000) of Division 3 of the Businesq- d P ofessions Code, and y license is in full force and .effect. i. y f SIGNATURE"'i'.1' ✓"'i-'�S.'�i i DATE OWNER -BUILDER DECLARATION Estimated Valuation 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 S325 �irtiIE 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 PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or " Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit Plan .Chk.. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). C n O I, as owner of the. property, or my employees with wages as their sole compensation, will Plan Chk. Bal. .60 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COr1St. Z� Professions Code: The Contractor's License Law does not apply to an owner of -property who •(Wa • builds or improves thereon and who does such work himself or through his own employees, Mech. provided that such improvements are, not intended or offered for sale. If,, however, the building w or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose of sale.) • ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 281-00 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 a S.M.I. • '� such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure. Waived 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS y WORKERS' COMPENSATION INSURANCE . (This section need not be completed if the permit is for one hundred dollars ($100) valuation J ft., a n COr i. it'l 7"�_piJ +.. or less.) - I certify that in the performance of the work for which this permit is issued, I shall not 10 CASH 1. i-U f AL. 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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) - Side Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days. 4/ 20 /88 1 certify that I have read this application and stale that the above information is correct. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives Hof this city to enter the above - mentioned property for.inspection purposes. Validated by: • Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES mac. .r 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING s 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 PLU INGsiV4 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �1/�$� ROUGH PLUMB. ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRINGg_,g0_47DUCT WORK ROCK STORAGE FOUND. REINF. (1�2c6 f ( vvi�VC6 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL S1 GAS (FINAL) ZQ EMP. POLE GROUT 101 WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. �" FRAMING.. FINAL INSP. ROOFING i% '"p�.�j REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE j( SPARK ARRESTOR GAR. FIREWALL LATHING 1!6 4A MESH I NSULATIONISOUN D FINISH GRADING AL INSPECTION 1� CERT.00C. OV FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Bldg. #23 P.O. BOX 1504 No. 003879 Building 49-499 Eisenhower Drive 78-105 CALLE ESTADO Address LA QUINTA', CALIFORNIA 92253 ' Owner Crico of Palm Springst, inn. Address 11200 Rockville Pike City Zip Tel. Rodkville . 20852-3�}fl . ��4��-2��8 Contractor wig Land Address, .. BUILDING: TYPE CONST. -OCC. GRP. A.P. Number 531-370-021 Legal Description Project Description Quinta 116tel ftpansioA a88" P. 0. Box 1000 12--Raa� city LaQlIint'a J'ip 92253 345-,,,,State Lic. ity& Classif. 63163E :[el. ic. # 133 Sq. Ft. 6075 No. 2 No. Dw. 12 Size ' Stories ' Units ' Arch:, •Engr., - - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State _ Lic. # LICENSED CONTRACTOR'S DECLARATION _ w I hereby affirm that I am licensed "under provisions of Chapter 9 (commencing with Section 7000) of Division of the Busiinessand- r� sions,Code,land my license is in full force and effect. t /I !/ SIGNATURE =�-, ✓ '%r"-"-.7 DATE OWNER -BUILDER DECLARATION EStlmated Valuation ' 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 - J s 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' - V, PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or thathe is'bxempt therefrom, and the basis ' for the alleged exemption. Any violation of Section 7031.5 by 'any applicant. fora permit Plan Chk. Dep... - 'subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk�Bal:._ ❑ 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 Const. 11008.00 Professions Code: The Contractor's License Law does not apply to an owner. of, property4who builds or improves thereon and who does such work himself or through his own employees, Mech. 94.00 m provided that such improveents 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 Electrical 14j1j() . of proving that he did not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 283.00 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 S.M.I. 23.07 - such projects with a contractor(s) licensed pursuant to the Contractor's License LawJ Grading ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date - Owner Infrastructure Waived 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 2 » 4:06 .17 A r, _ CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation f 1}i'rt=,4 t3'' j•; f) {a��,� 11el,-�.y�"i:ii7' r or less.) I certify that in the performance of thg work for which this permit is issued, I shall not r, i f t.� i! i� Y t! i ytL 1 c. �v c.. • , 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 ZONE: BY: subject to the Woikers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front S tb k f C t L' 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 expiratipn if work thereunder is suspended for 180 days. I certify 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 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 e ac rom en er Ine— Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR 4/20186 Issued.by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT.,® 2ND FL. SQ. FT. FOR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT._ ® Sp FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ae HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE 7EE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND LUMB NG%7,A UNDERGROUND A.C. UNIT COLL. AREA rf SLAB GRADE -�j-ro ROUGH PLUMB.$ij ttJ 92f BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN , DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) IF METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL _� GAS (FINAL) -1'-Q/ TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING 4sav�,wz.• FINAL INSP. ROOFING 7 l 1 - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR—FIREWALL Z LATHING pv MESH INSULATIONISOUND'6. �� -C6 C FINISH GRADING AL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL t� C&tyli 4 Bldg. 424 P.O. BOX 1504 Building 49- 499 Eisenhower Drive LA QUIN 5 CALLE STAD CALIFORNIACAL E92253 Address Owner No. 0033?8 Crico 4r Pa1.mS f3pJ;1ngs s Inc. _ Mailing BUILDING: TYPE CONST. OCC. GRP. Address 1.1.200 Rockville Pike A.P. Number 631--370--031 City Zip Tel. R=kV$1,le - - 1.20052-300 345-2888 Legal Description Contractor Project Description La ( mite Hotsl Expansion 08,8" Landmark Land C©=any Address P, 4. Box 1000 Zip - Tel. City La Quints �Z2 3 3 ,'.26 it State Lic. City & Classif.. 631636 Lic. # 2311 Arch., Engr., Designer Address Tel: 1 City Fip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of. -Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe'ssionS Code, and y license is in full force and effect. SIGNATURE t' - DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Caw for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, 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, Bussness 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.) ❑ I, as owner of the property, am exclusively contracting with licedsed 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.) 0 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 certify 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 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 12- Rooms Type #5 Sq. Ft. 6075 No. 2 No. Dw. 12 Size - • Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ . Demolition ❑ itimated Valuation $329t966 PERMIT , AMOUNT Plan Chk. Dep. Plan Chk. Bal. A Const. Mech. qA _ nf) Electrical f AA Sset Plumbing 283.00 S.M.I. 23.07 Grading Driveway Enc. Infrastructure 7iCiii;ed TOTAL $2.406.17 At 7.x1Q&sJ1? REMARKS '� v 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 $ Permit Issued by: Date _.:_ Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT.® - POR. SO. FT. ® GAR.SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS ' YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. ' SO. FT. RESID ® 1 Va c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JILECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND U BIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADES ROUGH PLUM-5*-2 , 'BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING��—? DUCT WORK ROCK STORAGE FOUND. REINF. ^2g _p GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. lf-REINF. STEEL 5i6 op GAS (FINAL �i�V TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd.. $ plus x$ _$ LUMBER GR. FINAL INSP. a FRAMING ���� a FINAL INSP. ROOFING 74,, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALLIJ LATHING MESH INSULATIONISOUND FINISH GRADING V L INSPECTION !/ CERT. OCC. 2.zw FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 4 Bldg. 025 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-499 EIsenhower Drive LA QUINTA, CALIFORNIA 92253 Owner of mailing Address 11200 Rockville Pike City Zip ]Tel. Rockville 20652-3�f(i 3 5•-2888 Contractor State Lic. City & Classif. 413636 1 Lic. # Arch.; Engr.,- Designer Address I Tel City Zip State LiC. # LICENSED,CONTRACTOR'S DECLARATION I hereby affirm e that I am licensed,und r provision'ss of Chapter 9 (commencing with Section 7000) of Division 3 of the Business andProfessions Code, and my license is in full force and effect.. SIGNATURE 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, after, 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). ' 0.1, 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, Bussness and Professions Code: The Contractor's License Law does not apply to an owner or 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.) ❑ 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.) ❑ 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 No. Company 0, Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 certify 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 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. 008880 JILDING: TYPE CONST. 3OCC. GRP. P. Number 631-370 -021 gal Description oject Description La i}uinta Hotel Expansion -68— a ROOMS. Tvne # 2 "' 8 Un i tt3 Sq. Ft. Size - No. Stories No. Dw. Units New ❑ Add QX Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation * Q8 PERMIT AMOUNT Plan Chk. Dep. Plan Chk.'Bal. $637.85 Const. 758.00 Mech. 100.00 Electrical 104152 Plumbing 179.08 S.M.I. 16.07 Grading Driveway Enc. Infrastructure Waived . TOTAL $1.795.44 4$ ,+0747 'A14 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 4i 19188 Issued by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® ' 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. @ CAR P. SQ. FT. WALL SO. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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+ZeS UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 5,&,C,6 ROUGH PLUMB.? ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. -O�U�ND�. RE1NP. STEEL �i�OO� Cl GAS (FINAL) �Zv.� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. i FINAL INSP: FRAMING FINAL INSP. ROOFING % -Z S.Y� v 77 O �� �� •�• REMARKS: VENTILATION - FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH 17 INSULATION/SOUND --5 FINISH GRADING n)OL INSPECTION FENCE .FINAL INSPECTOR'S SIGNATURESIINITIALS• GARDEN WALL FINAL 4 4 Bldg. 426 P.O. BOX 1504 No. Building 78-105 CALLE ESTADO Address 49-499 Eisen -bower i rilr£ LA QUINTA, CALIFORNIA 92253 Owner Cril;;a Of VaI m Aprinffm Tnc • Mailing. Address _1P, pike BUILDING: TYPE CONST. A.P. Number Legal Description Project Description T.,* OCC. GRP: � 1i��^i��� Oninta kT^#:as1. City 'Rno tt_'11 JZip � 5 —30n_ ITel. —29R Contractor T^nilmark Land comnariv Address. P. Q: Box 1000 City La Ouinta Zip 192253 Tel 345 -2888 Tvpe 06 6 Units State Lic. & Classif. r l fi38 City Lic. # 333 S Ft. Size 3fi17 No. No. Dw. Stories • Units Arch.,• Engr:, Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # ~ LICENSED CONTRACTOR'S DECLARATION. I hereby affirm that I am licensed Under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an&Professions Code, and my license is in full force and effect. f i �.✓ '�%%'ri�i'% SIGNATURE' 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, after, 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 live hundred dollars'($500). ❑ 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, provfded 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 of proving that he did not build or improve for the purpose o/ 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) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. ti P.C. for this reason Estimated VdlUatlOn ' - PERMIT - AMOUNT - Plan Chk. Dep. Plan Chk. Bala .,502 .41 , COf1St. 598.00 S3i1 Mech. - 00. + Electrical 95.34 Plumbing 1�Q + 00 S.M.I. - ;'; �, + r n Grading Driveway Enc. Date Owner Infrastructure Waived 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 No. Company ❑ Copy is filed with the city. ❑.Certified copy is hereby furnished. TOTAL S1.411.34 X 141 /. 2 r.` CERTIFICATE OF EXEMPTION FROM REMARKS `� V WORKERS' COMPENSATION INSURANCE (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 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 ZONE: BY' ' subject to the Workers" Compensation provisions o/ the -Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line hereby affirm that there is a construction lending agency for the performanceofthe - - work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days'.{ I certify that I have read this application and state that the above information is correct. Issued by Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. @ 2ND FL. _ SO. FT. POR. SO. FT. @ GAR. SO. FT. @ CAR P. SO. FT. @ WALL SO. FT. @ SO FT @ ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE I DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 @ 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER 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 PLUMBING4-2 UNDERGROUND *A.G. UNIT COLL. AREA SLAB GRADE ROUGH ROUGH PLUMB ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING %-S- DUCT WORK ROCK STORAGE FOUND. REINF. K GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINx. STEEL If,-IL,%GAS (FINAL) .�D�g 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" �6' 17 d LATHING MESH INSULATIONISOUN FINISH GRADINllwe'G INSPECTION RT. OCC. " FENCE FINAL INbFtU I UN'J WUNA I UMtbi1N1 I IALD, GARDEN WALL FINAL •4 4a �� Bldg. #27 P.O. BOX 1504 Building 49-499 Eisenhwer Drive 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Orin© of Palm Sts'i'iilas malting Address 11200 Rockville Pike City Zip Tel. ItoCkVille 120852-3003 395-2888 . . Landmark Land Company Address P. 0. BOX 1000 City Zip Tel. La Ouinta 1,92253 345-2888 State Lic. City 8 Clas. i 631€36 Lic. # 133 Arch., Engr., Designer Address Tel. City Zip State Lic. # - LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions;of Chapter 9 (commencing with Sectiori 7000) of Division v3 of the Business and Professions Code„and my license is in full force and effect. ^ _ 14 fs _SIGNATURE ' "'-' f �" _. ' , - 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 requiress-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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 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 or not more than rive hundred dollars ($500). ❑ 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, Bussness 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 or completion, the owner -builder will 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 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.) 0 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 No. Company ❑ Copy is filed with the city. ❑.Certified.copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.- If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.). Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the above information is correct: I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city. to enter the above - mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip . No. 003877 BUILDING: TYPE CONST. OCC. GRP A.P. Number - 631-370- 021. Legal Description Project Description L& ()tAinta Hotel ftpansion 0880 12-Roon. a. Type #5 Sq. Ft. - 9076 No. 2 No. Dw. 22 Size Stories Units New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation A3agl PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. '"-1 94 .0n Electrical .1All; ' r'in Plumbing S. M.I: 23.f17 Grading Driveway Enc. Infrastructure waived TOTAL S ., 406 ., 7 - AT4rV, t/{ REMARKS ff . �:x�•.r � i:�st3t�` Y �'ftri i#:: r - �::�� f� . i , , - ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date '$ Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SO. FT. p c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 r/ SLAB GRADE S �/�'D ROUGH PLUMB.,5�3� �-' ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ,,,,, ROUGH WIRIN1rr���yyy J J DUCT WORK ROCK STORAGE FOUND. REINF.L,F—•Lb—f6i GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL 5 �$ GAS (FINAL i � TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. or ROOFING �7i REMARKS: VENTILATION % © ra FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL46 LATHING MESH INSULATIONISOUND-5 FINISH GRADING F INSPECTION ��•8 ERT.00C. Z FENCE FINAL " INSPECTOR'S SIGNATURESIINITIALS, `• GARDEN WALL FINAL 4 Bid #28 P.O. BOX 1504 No. 003867 Building 78-105 CALLE ESTADO Address 49-499 Sis®nhowex Drive� LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm SDrings, Inc. BUILDING: TYPE CONST.• OCC: GRP. Mailing Address 1I?ln S?nk-lrsfs . l.A 1P" r% A.P. Number �ts.►1"Ir'1�,C+"itf City Zip Tel. - - ,� Legal Description Contractor Project Description La Ouinta .11atol T' xpansion "98" Address ... A .A. Ty^er 'i n n i# d P. C3fi City Zip Tel. ' La Cu". 92253 345"28$8 Tvve # - 5 Units State Lic. City & Classif. 613636 Lic. # -'i33 Sq. Ft. 3017 No. No. Dw. -Arch., Engr., Size • " Stories - Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division-3 of the Business and Professions C de, and my license is in full force and effect. ( I f �° 7•� _SIGNATURE _ DATE _ OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following t LC�, 1tGL 966 reason: (Sec. 7031.5,Business and Professions Code: Any city or.county.which requires a SV permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance also AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of. Division 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.. . subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. fi5A AI 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 o/ property who CO11St. <i!R ._ n n builds or improves thereon and who does such work himself or through his own employees, Mech'. . provided that' such improvements are not intended or offered for sale. If, however, the. building AA _ f10 or improvement is sold within one year of completion, the owner -builder will have the burden Electrical r Qr� %A of proving that he did. not build or improve for the purpose of sale.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing struct the project. (Sec. 7044, Business and Professions Code:. The Contractor's License Law 14f) On does not apply to -an owner of property who builds or improves thereon, and who contracts for S.M.1. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am.exempt under.Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure >j�A 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 No. Company O.Copy is filed with the city. ❑ 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 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 1 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 certify 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 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 TOTAL C1 _Alt IA REMARKS i Al 0PIt.4 64- 7} Sit t t 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/j88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ®. CAR P. SO. FT. WALL SO. FT. ® SO.,FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 SO.FT.GAR ® 3/ac HOUSE SEWER 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 JV GROUND PLUMBIN ,gg UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. Z� ✓ BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 1 DUCT WORK ROCK STORAGE FOUND. REINF. Lc, � i� GAS (ROUGH) - METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. RNNTF STEEL �`g GAS (FINAL) �J�j TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ o$ LUMBER GR. FINAL INSP. FRAMING 7i///i�b FINAL INSP. ROOFING . REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR FIREWALL7— LATHING / f MESH INSULATIONISOUN v FINISH GRADING L INSPECTION / ERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL 4 Bldg #29 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-499 Eisenhower ]Drive LA QUINTA, CALIFORNIA 92253 Mailing Address 11200 Rockville Pike City Zip Tel. . ROCkv€lle 120852-30,,I 345-2888 Contractor Landmrk Land Construction Address City Zip Tel. La ; ,iinta 92253 345-2888 State Lic. City & Classif. 413636 Lic. # 133 Arch., Engr., Designer Address Tel. City JZip I State Lic. # _ LICENSED CONTRACTOR'S DECLARATION, I hereby.affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and.Professions Code,/and my license is in full force and effect.. ��� ✓�% �Klit �'�rX-.'�G!/,+ SIGNATURE - 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 toe civil penalty of not more than five hundred dollars (8500). ❑ 1, 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 or 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 or 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 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 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 No. ,Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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, alter 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 certify 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 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. .003861 BUILDING: TYPE CONST. .. OCC: GRP. A.P. Number 532-370--021 Legal Description Project Description to 0dinta Hotel. Expansion' "08" TTpe 04 — 5 Units Sq. Ft. Size No. Stories No. DIN. Units New Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation $227,259 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $623.78 Const. 753 . ©0 Mech. 98.00 Electrical 1.04 A2 Plumbing 139.,00 S.M.I. Grading Driveway Enc. Infrastructure WaiVed TOTAL t1.734.23 1 4 /-7-14/ 12'q REMARKS 1lJ t..rtS tt � t 1a t rt►. i t r .�i:.. 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 4/19/88 Issued by: Date Permit Validated by: Validation: HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. SQ. FT. WALL SO. FT. a SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 . 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE • ELECT. FEE n SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK OUND PLUMBINGi f♦,2s(�� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUM86 BONDING ATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING%� $ DUCT WORK ROCK STORAGE FOUND. REINF. vo�¢-r/ GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL ��277c� GAS (FINAL) •ma).s� — TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING/ ll00 / r� FINAL INSP. ROOFING � � � � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING INSPECTION ERT. OC % s� FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Bldg. #30 P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 49-499 Eisenhower Drive LA QUINTA, CALIFORNIA.92253 Owner +-eicn ^f Pala'pri"eTa Txil,C No. 003876 " BUILDING: TYPE CONST. OCC. GRP. Address T City Rockville 20852-30013eI. Landmark %rid i -Address P. 0. B6-t .1000 city Quinta 792253 State Lic. & Classif. 631636 Arch., Engr., Designer Address A.P. Number 631.-370-021 34:5-21188 Legal, Description Project Description 1a Quiata Hotel Expansion "88" Tel. 345-2888 City Lic. # 133 Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed utnde,provisions of Chapter 9 (commencing with Section 7000).ot Division 3 of the Business and Professions Code; and my license is in full force and effect... ..ii%i •« r /ice ��%� �^��/' SIGNATURE 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, after, 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-bf 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). - ❑ 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.) ❑ 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 properly 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 12- Rooms Type #5 Sq. Ft. 6075 No. 2 No. Dw. 12 Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estlmateo Valuation $329,966 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech.- Electrical' ' Plumbing S.M.I. Grading Driveway Enc. Date owner Infrastructure 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'.. COMPENSATION INSURANCE (This section need not be completed if the permit is for one -hundred dollars (3100) valuation r0risa7 40t CIPAA 04—, or less.) - 1 V t marl 11 u Y fit.. 2 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 or the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. AMOUNT fi -0. • V 94.00 146,50 283.00 23.07 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 certify 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 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 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 4/20/88 Issued by: Date Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM' MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 ROUND PLUMBING ° —2r-bt' UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE q -Z-1 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REIN F 64 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL �_Q blid " VV GAS (FINAL): j�� MP. 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 _-Zp--q LATHING — 2l/�- q MESH INSULATION/SOUND./ FINISH GRADING AL INSPECTION 'r OERT. OCC. �2 FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 4 a � . 0 4 Qum& Bldg. 431 P.O. BOX 1504 Building.78-105 CALLE ESTADO Address 49-499 Eisenhower LA QUINTA, CALIFORNIA 92253 Owner Address 11200 Rockville Pike City Zip. Tel. . ftckv .lie 120852-30031345-2i Contractor Address. City - � Zip Tel l Quints 92253 345-2888., State Lic. City & Classif. 413635 «Ba Lic. # 133 Arch., Engr., Designer Address Tel. City Zip State - Lic. # LICENSED CONTRACTOR'S DECLARATIO.t1, I hereby affirm that I am licensed'Under, provisions of Chapter 9 (commencing. with Section 7000) of Divisionr3 of the Business and.Piofessions Code, and my license is in -full force and effect. _SIGNATUREDATE 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). ' ❑ 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.). ❑ 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 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 No. Company ❑ Copy 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 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 certify 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 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. 003859 BUILDING: TYPE CONST. OCC: GRP.• A.P. Number 631-370- 021 Legal Description Project Description La Cuinta Hotel Expansion "88" 8 -rooms Type. 2 -^ & Units . Sq. Ft. No. No. Dw. Size Stories Units- - New 1 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $229 084 ..PERMIT c AMOUNT Plan Chk: Dep. Plan Chk. Bal. $637.85 Cdnst. 758.00 Mech*. 100..00 Electrical 104.52 Plumbing 179.00 S.M.I. 16.07 Grading Driveway Enc. Infrastructure Uaive TOTAL $1.795.44 1� �`���:•� 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 41.19/83Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. ®. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS ' YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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,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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD —Z e ROUGH PLUMB. — BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN �� DUCT WORK ROCK STORAGE FOUND. REINF.[j 2S GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL 5, x ' GAS (FINAL) 7J� TEMP. POLE GROUT WATER HEAT/ER SERVICE FINAL INSP. BOND -BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. _ FINAL INSP FRAMING FINAL INSP. ROOFING 1Z. � �n , -` � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL w g LATHING MESH INSULATION/SOUND FINISH GRADING L INSPECTION RT.000. 1 r FENCE FINAL. INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Bldg. 432 P.O. BOX 1504 No. 003866 Building 78-105 CALLE ESTADO Address 45-489 Eisenhower 'fir • LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm SnrinBsslftc. BUILDING: TYPE CONST. OCC. GRP. Mailing Address 11200 Rockville' Pike A.P. Number 531=37.0-021 City Zip Tel. ".Rockville ' 20852-3003 345-2888 Legal Description Contractor %a Qu-i to 116t l � ansion "88" .. Project Description p .Address . 1R > Vr 1 f) 6—ROOMS. City Zip Tel.' La Quinta 92253 345-=3888 'fie 06 6 Units State Lic. City & Classif. 613636 Lic. # 133 Sq. Ft. 3017 No. 2 No. Dw. 6 Arch., Engr.; Size - Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed'under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that 1 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 19 9 . Q 4 A permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also ' requires the applicant forsuch permit to rile a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). - n t ❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. it . 1 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COf1St. • fl 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, Mech. (yJ yr� 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 Electrical •; of proving that he did not build or improve for the purpose of sale.) rt ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 140.00 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 S•M.I. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading 59 ❑. I amexempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date owner Infrastructure Waived 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 No. Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL $1..411.34 2.04 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation , ii.r'i L} xfw -4.j4 -" or less.) I certify that in the performance of th? 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 ZONE: BY: subject to the Workers' Compensation provisions' of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback.from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to S expiration if work thereunder is suspended for 180 days. 20 f 88 1 certify that I have read this application and state that the above. information is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR Q 3/ac HOUSE SEWER 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 PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. 7-(�� BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING l��$ DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) ' METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 1t{, REINF. STEEL5-_ V .3,4 6 GAS (FINAL) �a /� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus X$ - _$ LUMBER GR. FINAL INSP. FRAMING 7� FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE ;-i/_ SPARK ARRESTOR .QAi9. FIREWALL ..� LATHING MESH INSULATION/SOUND FINISH GRADING AL INSPECTION CERT. OCC. . FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Bldg. #33 P.O. BOX 1504 Building 49-499 Eisenhower Drive LA QUIN 5 CCAL CALIALLE FORNIA 92253 Address Owner Crico ©f VAIM Spring y Tnc. Mailing Address 11200 Rockvi&Ie pike City Zip Tel. nocckvi6le 20852-3003 345-;2888 Contractor Address P. 0. BOX 1000 City _ Zip Tel. ` La Cainta 92253 345-2888 . State Lic. City & Classif. 631036 Lic. # 133 Arch., Engr.,- Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTO-R'S DECLARATION I hereby affirm that I am licensed under provisions of'Chapter 9 (commencing with Section 7000) of Division 3 of the Business annd� Professione C>ode, anddpiny license is in full force and effect. SIGNATURE, �'' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors 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 applicantfor 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 or Section 7031.5 by 'any applicant for a permit subjects theapplicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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. Bussness 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.) ❑ 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.) ❑ l.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 No. Company ❑ Copy is"filed with the city. -❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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, alter 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 certify 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 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. 003875 BUILDING: TYPE-CONST. OCC. GRP. A.P. Number 63I-370-'02I Legal Description Project Description La Otiint• H.otal Expansion »8811 . z2�Rooms #5 Sq. Ft. 0-075 No. 2 No. Dw. 12 Size- Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated .Valuation $329066. :PERMIT AMOUNT Plan Chk. Dep'. Plan Chk. Bal. 051.60. Const, 1.008.00 Mech. 94.00 Electrical 146.50 Plumbing 283.00 S.M.I. 23.07 Grading Driveway Enc. Infrastructure waived TOTAL Aai Af?f _ 17 ! j--)/— 14 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 / 0,$8Permit. Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. FOR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 PLUMBI UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB.% ONDINGJ HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING ,_2�i�jf DUCT WORK ROCK STORAGE FOUND. REINF..26� g�r GAS (ROUGH) METER LOOP HEATING (FINAL) ; OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) �Z� TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING 7- FINAL INSP. ROOFING / I I` REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL�yS+�j� LATHING MESH INSULATION/SOUND FINISH GRADING F L INSPECTION = ! CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL Bldg.P.O. BOX 1504 No.. 003874 Building 78-105 CALLE ESTADO Address 49-399 Eisenhower Dri le LA QUINTA, CALIFORNIA 92253 . ,- X Q& "U& A'}/i " 41AA"" Mailing Address 11200 Rockville Pike BUILDING: TYPE CONST. OCC. GRP. A.P. Number 631-370--021 Legal Description Project Description ta oubit < Hotel EXpansio;n 0880 City ROckrr3lle , Zip 120852-30031 Tel. .345 -2888 Contractor Landmark Land Company Address �k yf�/�/1 - P. 0a Box 1000 1 t��s. -Rooms—Rooms ` City -" Quintr� 112253 Tel. "La .3'45-2888 Type #5 State Lic. & Classif. 633636 City Lic. # 133 Sq. Ft. 5075 Size No. 2 No. Dw. 12 Stories Units Arch., Engr., •• Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City . Zip State Lic. # _ LICENSED, CONTRACTOR'S DECLARATION I hereby affirm that I am licensed'�under provislon's of Chapter 9 (commencing with Section 7000) f Division 3tof,the Business and Professions Code, and my license is in full force and oeffect. I / ' _SIGNATURE 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). ❑ 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, Bussness and Professions Code: The Contractors 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.) , ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- strucl 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) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec: B. t> P.C. for this reason Estimated Valuation .�,12 . 6c4 PERMIT _ AMOUNT Plan Chk.Dep. Plan Chk. Bal. COr1St. - - �(� 8.00 . Mech. tt �t �f ,11E • 0 Electrical. Plumbing .y ��.fi 7 • �(3 S.M.I. Grading Driveway Enc. Date owner Infrastructure Waived 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL I S2.4AAA 17 A a#.it. 4, ,1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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, sighed 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. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives Hof this city to enter the above - mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, Slate, Zip REMAR i g - " _Vke f? a f Z1 Ai 1 _ : I � 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: Pate 4-/20/88 Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. Q. FT. WALL SO. FT. ® SO. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 4 MBINGI-2,Mrg UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD / GH LU BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SE IC TANK ROUGH WIRING % [ DUCT WORK ROCK STORAGE FOUND. REINF, �.To. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. RE F. STEEL L�— GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING CCC FINAL INSP. ROOFING � f K 75- �� ����� 00, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE 4 v SPARK ARRESTOR GAR. FIREWALL � LATHING — MESH INSULATIONISOUND 7 FINISH GRADING AL INSPECTION N ERT. OCC. � F FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, — GARDEN WALL FINAL •4 CV Bldg. M P.O. BOX 1504 NO. 003873 Building 48aQ98 EB�d+~� �� tj 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm Springs, Inc. BUILDING: TYPE CONST. OCC. GRP. Mailing Address 1120E Rockville Pike A.P. Number 531--370-021 City Zip . Tel. i24Ckv 1e 20852-3003 345-2358 Legal Description Contractor Project Description La QixiI3ta -Hotel Expansion 1*88" Landmark Land Cnmnanv Address. �j P. Q. Box 1000 City Zip La Quinta 92253 State Lic. & Classif. 631636 Arch.; Engr., - Designer - Address 12-Rooms Tel. 348--2888 Type 05 City Lic. # 133 Sq. Ft. 6075 No. 2 No. Dw. 12 . Size +• Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. City Zip State . - Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisiona3 off the Business and Professions Code, and my license is in full force and effect. SIGNATURE j DATE OWNER -BUILDER DECLARATION ' I hereby affirm that 1 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, after, improve, demolish, or repair any structure, prior to its issuance also requires the,applicanl 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 (S500). ❑ 1, 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, Bussness and Professions Code: The Contractor's License Law does not apply Wan 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.) ❑ 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.) - - ❑ 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 No. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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: It, after making this Certificate of Exemption you should become subject to the Worker's' 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 affirmthat 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. 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 Estimated Valuation $329, 966 PERMIT ' AMOUNT r Plan Chk. Dep. Plan Chk. Bal. t° 854.60 Const.. 1.008..o® Mech. 94.00 Electrical 146. 550 Plumbing 283.00 S.M.I. 23.07 Grading Driveway Enc. Infrastructure Waived TOTAL $2, 406 17 df)le, JA REMARKS 'r 1.0 ' .. t tt'-Yi A i V It IL IL . -ltltl . ° , 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 4�28�88Permit Issued by: Date Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. ® FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. ®, WALL SQ. FT. ® SQ. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS ' YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER 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 ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN(C�-�/ C V DUCT WORK ROCK STORAGE FOUND. REINF. 4-2,0 GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. '�• REINF. STEEL /L�-.%l 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 iZ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACL'� , - SPARK ARRESTOR GAR. FIREWALL LATHING �^�! MESH INSULATIONISOUNDF�(� FINISH GRADING I NSPECTION )� T. OCC. r� FENCE FINAL INSPECTOR'S SIGNATURESHNITIALS, GARDEN WALL FINAL • t 4 4a " Bldg. 436 78105CBOX 504 No. 003872 Building Address �+ 49-49�9 ' 1senho ,ter .Drive LA QUINTA, CALIFORNIA 92253 Owner Crico of Palm Svrinns inn. BUILDING: TYPE CONST. OCC. GRP. Mailing Address 11200 Rockville Pike A.P..Number 631-370-021 City Zip Tel. Rockville 20852- 0 3 345-2�30$ Legal Description Contractor Project Description % Q, 1AT%tR H�tA► of il�nx " t � Landmark Land i`r?+tr9ntf v AdfirPcs P, 0. BOX 1400 City La Qui nta State Lic. & Classif. Arch., Engr., Designer Address 1 92253 6136363 Tel. 345-2888 Lic # Tel. City Zip State •• .. . Lic. III - LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code? and my license is in full force and effect. SIGNATURE - c DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for 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 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 civfl penalty of not`more than five hundred dollars ($500). ❑ 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.) ❑ 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 No. Company ❑ Copy is filed.with,the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 certify 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 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 I 12-�I�(imrni .. Type 45 Sq. Ft. �i0•!5 Size No: 2 No. Dw. 12 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition O Estimated Valuation329, 966 PERMIT n AMOUNT Plan Chk. Dep. Plan Chk. Bal. 851.60 Const. 11008.00 Mech. 94.00 Electrical 146.50 Plumbing 283.00 S.M.I. 23.07 Grading Driveway Enc. Infrastructure Wlti,'Sied TOTAL $2,406.17 nglAi_ il7Y REMARKS r -Wl tF12 3) Vi"SY, f;4-.22-tjff , IV Uiari x t is i tir.. 1, •, ., . 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 4/20/88 Issued by: Date Permit, Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR Q 3/ac HOUSE SEWER 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 I PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBIN#r UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 5 �� ROUGH PLUMB /� BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING[' t7 _f/,,52! vv (� DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) i� TEMP. POLE GROUT WATER HEATER SERVICE , FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING _CD., CL FINAL INSP. ROOFING ( - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWAL _ A( LATHING MESH INSULATIONISOUND rC� FINISH GRADING PECTION ERT.00C. �! FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL 44 Bldg. #37 P.O. BOX 1504 NO. Building 49-499 Eisenhowerfir. 7s'105 CALLS Address LA QUINTA, CALIFOORNIARNIA 92253 Owner Crico 4f Pain S>princ Mailing Address 1.200 .' kui1144 ;' i r City Zip Tel. por-kViATe-b - . I 20AS2-30nil Contractor Land maxk Land cowar Address nA P. ©, Box 1000 City _ Zip Tel. La Quinta 92253 345-2898 State Lic. City & Classif. 413636 Lic. # 133 _ Sq. Ft. Arch., Engr.; Size - Designer Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions. Code, and my license is in full force and effect. -1.� i f',%✓�,.'.,. f�f..e'✓,r .��* SIGNATURE 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 thathe 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 penally 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.) 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- struol the project. (Sec. 7044, Business and Professions Coder 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.) - - ❑.l 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 permit is issued, I shall not employ any pperson 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 certify 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 ielating 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 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description T.* 0%v4rxtst lt, *^1 1!X"jwNg4e%n 1300" 6--RWMS 3017 No. 2 No. Dw. 5 Stories - Units New Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation Sits 3St PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. $502.41 Const. 598.00 Mech. 64..00 Electrical 9 5 3 4 Plumbing 140.00 S.M.I. 11.59 Grading Driveway Enc. Infrastructure Waived TOTAL ;1 j 4ii. 34 'REMARKS •z �, nn a icy ' CtiF ri i ' TiTI Al, I 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 4 20/88- Issued by: Date Permit Validated by: Validation: HARD COPY11 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. I SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL ' $ WATER PIPING NOTE: Not to be used as property tax valuation 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 LAUNDRYTRAY 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 _ A _ ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUM INGf, UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE C�j ROUGH PLUMB. ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCKSTORAGE 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$ _$ s LUMBER GR. , FINAL INSP.' -- FRAMING �V4 FINAL INSP. dr ROOFING _/iCV,� - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL �g LATHING MESH INSULATION/SOUND -2 FINISH GRADING L INSPECTION ERT.000. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS. GARDEN WALL FINAL 4 Bldf;. # 3 8 j P.O. BOX 1504 No. 043864 Building 78-105 CALLE ESTADO Address 49-499 Eisenhower DrJVG LA QUINTA, CALIFORNIA 92253 Owner Address 11200 RockvilleePike City Zip Rockville 24852-3tIQ]Tel. 3 345 -2888 Contractor ress City Zip Tel. La Quints :92253 345--2888 State Lic. City - & Classif. 413636 Lic. # 133 Arch:, Engr., Designer Address Tel City Zip State Lic. # LICENSED;CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code', and my license is in full force and effect. /�/ SIGNATURE Y 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. lie 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 ($500). ❑ 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 Dot 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 Professions Code: The Contractor's License Law does not apply to an owner or 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company O Copy.is filed with the city. p Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 or 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 permitwhen properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certify 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 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 631--370-021 Legal Description Project Description La Q•uinta Hotel Expansion "88" 4 — . Rooms Tyke #7 - 4 Units. Sq. Ft. 2001 Size-. No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation $110 rt 523 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. ' $11411 Const. 460.5(1 Mech. 44.110 Electrical A _ rid Plumbing R(� S.M.I. 7 _ 7A Grading Driveway Enc. Infrastructure TOTAL $1.080.66 REMARKS 1 J_ r:'r•i .. 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 4/20/88 Issued by: Date Permit Validated by: Validation: HARD COPYI CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® 2ND FL. SQ. FT. @ POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation 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 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. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE:d 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 PLUMBINGa�o UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 1 _ ' 3 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRIN DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL `X Qg 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 �/ ^� ! "b REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND Z FINISH GRADING A SPECTION �► RT.00C. :2 FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL Iry wt 4 QUMA P. X 1504 Bldg3- 78-1050CALOLE ESTADO Building � Address 49- 499 Eisenhower Drive LA QUINTA, CALIFORNIA 92253 Owner Mailing - - Address 11200 Rockville Pike City Zip ITel. Rockville 120852-30031345-2888 Contractor Landmark Land Construction Address .. _ ta 1Zip I Tel. - 92253 - 345-:2888 State Lic. I City & Classif. 413636 Lic. # 133 Arch., Engr., - - Designer Address Tel. City Zip State - Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division,3 of the Business and'Pro_fessions Coft,g,and my license is in full force and effect. %s' _SIGNATURE 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 or not more than five hundred dollars (S500). 0 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.) ❑ .l 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 No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. . CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) 1 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: It, after making this Certificate or 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 certify 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 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. 003863 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 631-370-021 Legal Description Project Description La Quinka 11obel E rPansion 138811 Type #i . - 4 Units Sq. Ft. Z�Q1 No. Size Stories No. Dw. Units New Add ❑ Alter ❑. Repair ❑ Demolition ❑ Estimated Valuation $110, 513 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. !giRci. an Const. 46A _ RA Mech. 41; AA Electrical 4; 20 r a Plumbing R.(() S.M.I. i _7 Q Grading Driveway Enc. Infrastructure waivilisd TOTAL REMARKS iV 4tiw ll A ft.ittt- 4 411. •' .. 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 4/20/88Permit Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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 ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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�tjr UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 5� f ,� ROUGH PLUM ONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) Zd ✓(PA 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 ,,,, 1q-q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE -49� SPARK ARRESTOR GAR. FIREWALLg LATHING MESH ! INSULATION/SOUND FINISH GRADING I SPECTION RT. OCC. ,_ Z FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 1504 Building Bldg. 140 78-1 50CALOLE ESTADO Address 49-499 EisenhowerDrive LA QUINTA, CALIFORNIA 92253 Owner Mailing Address 11200 Rockville Pike _ City Zip Tel. Rockville 120852-3003 345 -2888 Contractor Address P. 0. Box 1000 City Zip Tel. %a Oninta 9-1253 345-2888 State Lic. City & Classif. 613636 Lic. # 133 Arch., Engr,,-� ' Designer T Address I Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE 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) or 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 ($500). ❑ 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.) ' . ❑ 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.) ❑ 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 No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 certify 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 relating to building construction, and hereby authorize representatives Hof -this city to enter the above. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 003371 BUILDING: TYPE CONST. OCC..GRP. A.P. Number 631-370!-821 Legal Description Project DescriptionLa Omit. Hotel rmpansioD 088a 12-Rooms . • Ryptte # 5 Sq. Ft. 6075 No.. 2 No. Dw. 12 Size . Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $32 f 066 PERMIT AMOUNT Plan Chk: Dep. _ Plan Chk. Bal. Iq 851,„6rt Const., Mech.. 4A _ nn Electrical I AS 5A Plumbing S.M.I. Grading Driveway Enc. Infrastructure WA 3 V, TOTAL Q Ar;K 17 ?401 t 7-I REMARKS _. r icy %f'I5IIII I rot(41. i 240i. 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 4%20/8 Permit Issued by: Date Validated by: Validation: HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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,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+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 IF GROUND P BING si Z UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE _ ROUGH PLUM j BONDING HEATING (ROUGH) STORAGE TANK FORMS r SEWER OR SEPTIC -TANK ROUGH WIRIN DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL 7! GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ =$ LUMBER'GR. FINAL INSP. FRAMING I FINAL INSP. ROOFING - 7-1 - - REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE -.0 SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING INSPECTION RT.00C. FENCE FINAL . ` INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL T a 0 4,�v 4 4 a" Bldg. J41 Building Address 4q -499 Fli Owner A C.rico of Palm Mailing Address U200 RCW-- Vi11P Pike City lZip ITel. Contractor L►aadtoxk Lard C0aaT)tM' V Address. . P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 ^ City Zip Tel. La Quinta 92253 345-2888 ' State Lic. City & Classif. 613636 Lic. # 133 Arch., Engr., Designer Address Tel. City Zip State Lic.-# _ I LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I+am licensed under provisions of Chapter 9 (commencing with Section 7000) Of Division 3 oVthe Business and Professions Code, and my license is in full force and effect.sri� _SIGNATURE a- 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 permitto 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). . ❑ 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.) 0 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.) - - 0 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 certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with.the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 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 it work thereunder is suspended for 180 days. I certify 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 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 BUILDING: TYPE CONST. . OCC. GRP. A.P. Number 631--3?0--02I Legal Description Project Description T-R f''h2int~ A Vnf- ?.3 3fXt Xl113 �71X1 " FZR T3 Sq. Ft. 6075 Size No. 2 Stories No. Dw. 12 Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ v Estimated Valuation PERMIT • AMOUNT .Plan Chk. Dep. Plan. Chk. Bal. $851. 60 Const. ' 11008. 00 .Mech. 94.00 Electrical 146.50 Plumbing 283.00 S.M.I. 23.07 Grading Driveway Enc. Infrastructure Waived TOTAL REMARKS 4 t� f i+ 4 S' zi, A%? 'AL rI 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: J Date ermit ' Validated by: Validation: HARD COPYI CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOMESVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR @ 3/ac HOUSE SEWER 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 GRADES r-z, ROUGH PLUM B SEWER OR SEPTIC TANK Oro NDING ROUGH WIRIN HEATING (ROUGH) STORAGE TANK FORMS 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 INSULATION/SOUNd�? -2 l—g FINISH GRADING INSPECTION %^ ERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL