002604 (SFD)P.O. BOX 1504 No. 002&04
Building 78-105 CALLE ESTADO
Address 54-"081 0. LA QUINTA, CALIFORNIA92 253
y y
Owner
-
BUILDING:- TYPE CONST. OCC: GRP.•
Mailing
Address 75-305 MWItzy C,'b D—z. A.P. Number
City 7t,
Pala 92260
"":e" Legal Description
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Coacr -
• ... Project Description •.... • F�'�' • ' �� � � , ...
Address.. FIM}
City-' .... Zip .: '. . " Tela - -
J
State Lic. City ~
& Classif. ; 2$8130 Lic. # 32g. _ 16 7
Sq. Ft. No. No. Dw.
_..Arch., Engr.,.. _.. .. .. -.. .... _
Size MR- -424 Stories Units
DesignerNew CK Add ❑ Alter ❑ -Repair ❑ Demolition ❑ ,
Address Tel.
City Zip State
- L•ic. # .
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. .�:.... .. _ .✓,-`y . {-+.
_SIGNATURE DATE '
OWNER•BUILDERDECLARATION 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 J
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicantJor such permit to file a signed statement that he is licensed -pursuant to • PERMIT - - AMOUNT '
` the provisions of the:Conlractor'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).-
❑ I, as owner of the property, or my employees with.wages'as their sole compensation, will • .. Plan Chk. Bala a
' do the work, and the structure is not intended or offered for sale. (Sec. 9044, Buisness and • COf1St: t tp4�"i�'rJ� •
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:, - '
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 -Al -
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- Plumbing
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. -- 7 1.1
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -•
Grading
O Lam exempt under Sec. B. & P.C.-for this reason -
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 2,558.76
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.) r.. - _ .. ..
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 -ZONE: BY: '
subject to the' Workers' Compensation provisions of . 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
S Rear. Setback from Rear Prop.. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center 'Lin e
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 it work thereunder is suspended for 180 days. s
I car tify.that I have read this application and state that the above information' is correct Issued by: ' " Date9-30-86Perm.lt
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 ' "� f 1 Date--'-
.'Mailing
atey.'Mailing Address f r Validation: '
City, State, Zip f
A 6 4 4 2 9 30 X558.76 it
HARD COPY ;
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEE
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
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
BONDING
FLOOR DRAIN
MECHANICAL FEES
STORAGE TANK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
Z(� FOUND. REINF. s —
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
REINF. STEEL
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.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
Ar FINAL INSP. .�Z6 �& ?
SO.FT.GAR ® 3/ac
HOUSE SEWER
,w ROOFING ,ce %14154 Kc
VENTILATION
Ole ''Q it/AAo
`/. N�`L
&I tova
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
PLOROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTICl
ROUGH WIRING /
DUCT WORK
ROCK STORAGE
Z(� FOUND. REINF. s —
4CGAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
(A/GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
hjIFINAL INSP. .26-51
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
Ar FINAL INSP. .�Z6 �& ?
FRAMING
FINAL INSP.���G�)
,w ROOFING ,ce %14154 Kc
VENTILATION
Ole ''Q it/AAo
`/. N�`L
&I tova
� 2 � 22 `, �
, t 13SI (�
2"L
— i�1a
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
`A LATHING
MESH
,QiINSULATIONISOUND L
FINISH GRADING
FINAL INSPECTION
LY C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL