001848 (SATT)all
4bf44Q
54-188 Oak TreeP.O. BOX 1504
Building 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Mailing
Address 75-Wqy
tr Club Drive
City Palm Desert Z1§2260 Tel. 563-2828
Contractor Natt1 lAmd and Portgage
Address .
Sam
City Sae Zip Sau3 Tela
State Lic. City
& Classif. Lic. # 328
Arch., Engr.,
Designer Hobert Al•tevers Assoc.
Address Tel.
Z915,Red Hill Ave. +7143 540-'5117
City Zip State
Costs Ise 92626b Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmthat I am licensed under provisions of Chapter 9 (commencing with Sectio
7000) of Division 3 of the Business and.Professions Code, and my license isslln'full for an,
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).
❑.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 improvesthereon 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 thepurpose 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.)
❑ 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 ($100) valuation
-orless.) - —
I certify that in the performance of tha work for which this permit -is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner V
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) -
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above information is correct.
I agree to comply'with"all city and county ordinances and state laws relating to building
construction, and hereby authorize` representatives of this city to enter the above-'
mentioned property for inspection purposes. , i
Signature of applicant.. -•-T •fir � �•./��. e l' Date.,
Mailing Address
City, State, Zip /
HARD COPY
No. 001848
BUILDING: TYPE CONST. OCC. GRP.'
A.P. Number
Legal Description
Project Description PGA WWT PLM 4
DWG 190
Sq. Ft. 424 No. 1 No. Dw. 1
Size Stories Units
Newyf� Add ❑ Alter ❑. Repair ❑ ' Demolition ❑
3timated Valuation
BY:
PERMIT
AMOUNT
Plan Chk. Dep. .
Plan Chk. Bal.
JVJ •OU
Side Street Setback from Center Line
.Mech.
44.tJU
Electrical
INSPECTOR
Plumbing
8 7 .
S.M.I..
X3.310
Grading
Validation:
Driveway Enc.
Infrastructure
a •y
TOTAL
6�23'9I •�f
REMARKS_
":"A
�r;$L7bs £31'11' 8C3 a6iil X
.Pt li:Jk'4 .:3�1LirJI.Y
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 11-12 5Permit
,Validated by:
Validation:
A3216
11 13 _2.891.56 ft
CONSTRUCTION ESTIMATE
NO. ELECTRICAL Eajilk,,
NO. PLUMBING FEES
1ST FL. SO. FT. ®
2ND FL. ' SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SQ. FT. ®
SO 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
77
l t EWER OR SEPTIC A�
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
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 V/3/0
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
HEATING (ROUGH)
STORAGE TANK
FORMS
77
l t EWER OR SEPTIC A�
�yB.ONDING
TROUGH WIRING'117140
DUCT WORK
ROCK STORAGE
L� FOUND. REINF. %'2 /
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
� AS (FINAL) ,L/ ,D
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
rLFINAL INSP.
n
FRAMING ✓� ' Y,ef
VVVi
FINAL INSP.
ROOFING /�
b
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
`MESH
F INSULATION/SOUND TrIN
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL