002605 (SATT)P.O. BOX 1504 No.. 002-605
Building 78-105 CALLE ESTADO
Address49f Clialt LA QUINTA, CALIFORNIA 92253
Owner
BUILDING: TYPE CONST OCC: GRP., -
Mailing
Address 75-005 cbmtry CUb Driye A.P. Number
City Zip
Legal Description
92260- Tel. 568-2828.
paim t
Contractor
Project Description _F0% AMN I dAM 13 A
Arirlroce
pian, 3 on -
City
. PAM
State Lic.
& Classif.- 21WU
Arch., Endr.;-
Designer
-7,Z i Fp_�
I'lly
Lic. # 329.
627
MG
Sq. Ft.'< . —
Size AM 424
New Add 0
No. No. Dw.
Stories Units
Alter 0. , *. Repair 0
Demolition 0
Address
Tel.
City
Zip
State
Lic:-#
LICENSED CONTRACTOR'S DECLARATION,
k.,
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7 00' of Division 3 of the Business and .Professions Code, and my license is in,full force and
ffecl,'."
SIGNATURE :DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the followingEstimated
reason: - (Sec. 7031.5,Pusiness 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 Js licensed pursuant:to
the provisions of the Contractor's License Law, Chapter 9 (commencing. with Section 7000) of
Division. 3 -'of the Business and Professi6ns'Code. or that he it dxempt-theiefrom,- and the basis
for the'alleged exemption. Any violation of Section 7031.5 by 'any applicant -.for a *permit
subjects'llte applicant We 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 I hd 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
ion
Valuation
Valu
A a :-it Al "R XMI
PERMIT-
AMObNt•
Plani Chk.- Dep.
Plan Chk. Bal.
364.19
Const:
44-1.50
Mech.
34 00)
builds or Improves thereon and who does such work.himself or through his own employees,
provided thaC such, improvements are not intended or offered for. sale. If, however, the building
Electrical'.,
67.41
or improvement is sold within one year of completion,- the owner -builder will have the burden.-
otproving that he did not build or improve for the purpose of sale.)
0 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
Plumbing
87.50
S. M: 1.
—
—
.1-18
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.)
0A 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
Q Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
2.559..7
. I . I ;
REMARKS,
- CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (S400) -valuation
• or less.)
. I certify that in the performance of thp 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_' 6wndr
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.
ZONE: BY.
Minimum Setback Distances:
Front Setback from Center. Line
Rear Setback from Rear Prop. Line
• CONSTRUCTION LENDING AGENCY
I her6by affirm that there i6 a construction lending agency for the performance of the
work for which this permit is. issued. (Sec. 3097, Civil Code.)
Side Street Setback from.Center Line
Side Setback from Property, Line
Lender's Name
Lender's Address
FINAL DATE
Issued" by:'-
Validated by:
INSPECTOR
Date 9-30-86 Permit
This is'a building permit when properly filled out, signed and valiclated,and is subject to
expiration it work thereunder is suspended for 180 days.
I certity.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 representativev,,,of this city to enter the above-.,;
mentioned property for inspection purposes.
Sign . ature . of appiicani late
Mailing Address
Validation:
A 6 4 4
9 SD -2 55 6 T!
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE Alik
NO. ELECTRICAL FEE
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SO. FT. ®
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
gl�ZGAS (ROUGH)
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. Ff. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. Ff. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
INAL INSP. , n ` C f1
(/�
#/-/ROOFING �'' C� f+� // �� /_
N41r—
VENTILATION f� S Jy
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
6SETBACK G �
GROUND PLUMBING/O -W.
UNDERGROUND
A.C. UNIT
COLL. AREA
C&LAB GRADE /0 /
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT n
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
gl�ZGAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
iw REINF. STEEL v.3/i
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
INAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
INAL INSP. �Q-/t
8
? FRAMINGb m/
INAL INSP. , n ` C f1
(/�
#/-/ROOFING �'' C� f+� // �� /_
N41r—
VENTILATION f� S Jy
/� �� i -o w It
llw:�iiL /��t�.
'
117J 4 46e-
��Ja�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING i a
MESH
INSULATIONISOUND 1 fr
Y� I
FINISH GRADING
`V FINAL INSPECTION Sr It T
_ CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL