002328 (SATT)Building
Address 313 Oak RM
Owner
1
/ I
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 75--005 CbmtXy C2mb Drive
City Zip Tel.
nalm rAwxt 32260 558-28
Contractor
rzfk. Ma and Land
Address...
jZip j Tel. .
State Lic. I City
& Classif. 20 Lic. #
Arch.; Engr.,
Designer
Address Tel.
BUILDING: TYPE CONST
No. 002328
OCC: GRP._
A.P. Number
Legal Description
Project Description PM 'EW PLAN 1 C
MX&Sa 5 A
MiG 1330
Sq. Ft. No. No. Dw.
Size 424 Stories Units ''
New Ck Add ❑ Alter ❑ Repair ❑ Demolition ❑
City Zip State
_ Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby.affirm that I am licensed under provisions of Chapten9 (commencing with Section
7000) of Division 3 of the Business and Professions Code; and my license is in full force and
effect.
SIGNATURE t - /� DATE
OWNEWBUILDER DECLARATION ' Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following .���
r on • S e 7031 5 Bu f d P / s' Code' An cit or count which re
eas . ( s Hess an ro . mons y y y quves a
permit to construct, alter, improve, demolish, or repair any, structure, priorto 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
- PERMIT
_
Plan Chk.- Dep.
' 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*cW1 penalty of not more than rivehundred dollars ($500).
O I, as owner of the property, or my employees with wages as their sole compensation, will .
Plan Chk: Bal.
Const.Professions
do the work, and the structure is not intended or offered for sale. (Sec. -7044, Buisness and
Code: The Contractor's License Law does not apply to an owner of -property who
Mech. .
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
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 nnprove for the purpose of sale.)
Plumbing
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
. S.M.I. '
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exemptunderSec. B. 8 P.C: for this reason
Grading
Driveway Enc.
Date ownerInfrastructure
Validation:
R M#5
_
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 ordinancesand stale laws relating.to building
construction, and hereby authorize representatives -of- this city to enter the above-
mentioned
bovementioned property for in purposes.
Signature of applicant it - /4 `• �� '1�_ • r Date 3 *' `" ' L✓
Mailing Address rl,•'` r -
City, State, Zip
/,'` HARD COPY
TOTAL
REMARKS
AMOUNT
1.276
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:
4-A21-89
Date Permit
Validated by:
Validation:
A 5 3 3 4
4 21 18,.7,42 A.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEE ft ..
N0: PLUMBING FEES . r,
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
-
M061LEHOME 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
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,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
�/� oe To K/
` -To
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
.
TOTAL FEES
I
MICRO FEE MECH.FEE
I
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBING�k�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. /I/BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
wOUGH WIRING 0-
DUCT WORK
ROCK STORAGE
/
JL16FOUND. REINF./
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL �. a`�
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.
AJC,CROOFING
VENTILATION
�/� oe To K/
` -To
w
tn� ��//'
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�(Fv-LATHING (�
MESH
INSULATION/SOUND 0
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Roe-, 9-, /&1 0-1- DRI 61 l\4-4--