002318 (SATT)4
} P.O. BOX 1504 No, 00231
Building 78-105 CALLE ESTADO
Address 54-301 Oak RM LA QUINTA, CALIFORNIA 92253
Owner
Sinwise Om w_aW
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 75-005 Muntry Club DriW A.P. Number
City ZipTel.
PalmD� 922 568-222$ Legal Description
Contractor Project Description FM T RAN 30
Tilt -1 VA5_ fid? aM Land � 5 )k -
Address.
S
City Zip Tel. '
>
State Lic. City. 1
& Classif. 2$$UO Lic. # 328 Sq. Ft. No. No. Dw.
Size 'ate 424 Stories 1 Units 1
Arch., Engr.,
Designer New ❑eT Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
Minimum Setback Distances:
Front Setback from Center Line
City
Zip
State
Lic. #
Side Setback from Property Line
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. \ , .. . .J A C/. " 1-
FINAL DATE
INSPECTOR
. . ..
Date 4"21" 8FPermit
SIGNATURE>!•FDATE
LOWINER-BUILDER DECLARATION
I hereby,-affirmrthat I am exempt from the Contractor.'s License Law for: the following
reason:. (Sec. ?03 1..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, iolation 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 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
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.)
ElI am exempt under Sec. B. ti P.C. for this reason
Estimated Valuation f sr�
- 103,6635.-%
Validation:
...PERMIT .
-
AMOUNT
Plan Chk. Dep. -
4 21 3.t8G76 Ch
Plan Chk. Bal..
364.19
Const..
�3rtJe 7�
Mech.
34 ��0es
Electrical
67.41of
Plumbing
87.50
S.M.I.
7.18
Grading
Driveway Enc.
1 f t t
1 MCA 00
Dale 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, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date O'Wrier
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 cartify: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 f v Date -
Mailing Address
City, State, Zip '
' HARD COPY
n ras ruc ure
ml M- -a Fee 628.00
TOTAL 4
REMARKS 3,186.76
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"21" 8FPermit
Validated by:
Validation:
A5331
4 21 3.t8G76 Ch
CONSTRUCTION ESTIMATE
NO. ELECTRICAL EES106
NO:'- PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
�% O�
O� w f
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEEMECH.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
�OUGH PLUMB. Ci e
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI TANK
WOUGH WIRIN
�/� �
DUCT WORK
ROCK STORAGE
,71,/6FOUND. REINF. �Q
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
i REINF. STEELGAS
(FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
aeRAMING
FINAL INSP.
GROOFING/
�% O�
O� w f
/
o (�
REMARKS:
VENTILATIONr
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND Q
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
mbrtc 1 vn a ownA i untwim 11ALb.
GARDEN WALL FINAL
1
15/ b-fo D 9,1 w