0208-123 (RR)79714 Arnold Palmer
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• " DAVE STEAVENS
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Inspection Services
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PROJECT 4 w PROJECT #
S + L LG
ADDRESS _ -.4 c-. 5 / 7 _* ! b
BLDG. PERMIT #
ENGINEER l] o id 5'� dore-1.J C
INSPECTION TYPE
Page —L of of
IIIIII VIII III VIII III 52
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CLIENT _ ep A j J C JT oye-A
DATE
ARCHITECT tforeC i4
CONTRACTORSy L MA>Z. r'tN ti t -
INSPECTION REPORT
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CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted,
�- substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers
�l iho4owtions of % work inspected only and does not constitute engineering opinion or project control.
CERT. NO. � J 5�`1 — INSPECTOR NAME .DA 74
DATE �Urtj C �fJ� Zi vrtC
INSPECTOR SIGNATURE k-AL�
• DAVE STEAVENS
Inspection Services
PROJECT �GN W C -!J - L C -<—E ,J
ADDRESS 71! '7 ri 3 U
PAc.Mt,tPlead i1'r
Page of
III IIIIII�lllllllllll 53
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PROJECT # v 0ov� ,
kA3 C 5`C t� o ;
CLIENT _ :; a A a L - --
DATE -T,-, QJ C
BLDG. PERMIT # ARCHITECT (&.� L 3 fq 041?C ra
ENGINEERNu. L;.� c -,f1 Jy , L: i aJ C- CONTRACTOR 1e:-1- M A (Z �
INSPECTION TYPE
INSPECTION REPORT
0 Ly -, F 7 - r,-1 AJA
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CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted,
substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers
the locations of the work inspected only and does not constitute engineering opinion or project control.
CERT. NO.
DATE
INSPECTOR NAME
INSPECTOR SIGNATURE
A
{Print Clearly]
51 4 64& Quiarc
IE
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 74-714 Arml-.a 'PaL e LA QUINTA, CALIFORNIA 92253
Mailing
Address 75-0.
City Zi p TSI.
Pal. 'sero g: 56-2822
Contractor
K3tiorol31 'c I r
Address
City Zip Tel.
same
State Lic. City
& Classif. 2880, LIC. # 32¢
Designer
Address Tel.
CityI Zip k State I
`Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under pfovlsions of Chapter 9 (commencing with Section
zooOJ of Division 3 of the Business and Professions Code, and my license Is in#ull furr:e and
affect.
SIGNA'rti E r•r-re
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, 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
theprovisions 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 ofnot 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 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
of 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 contractors) 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
El 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 (8100) 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., ff, alter making this Certiftcale of Exemption you should become
subject to the Workers' Compensation provisdons 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. (Sea 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly fHled out, sighed and validated, and Is subject to
exp rat loo if work thereunder is suspended for Igo 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 ordinances and state laws relating to building
construction, and hereby authorize representatives .of this city to enter the above-
msnfioned property for inspection purposes.
Signature of applicant-_ -Dale--
Mailing Address,
City, State, Zip
HARD COPY
No. 002708
BUILDING: TYPE CONST.
A.P. Number
Legal Description
Project Description = ' `: i.r3."
T 1 m
OCC. GRP,
1r- 7 T.
0 n
2M
Sq. Ft.
Size GAY 56S
No.
Stories
No. Dw.
Units
New IR Add ❑
Alter ❑
Repair ❑
Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
r
Mech.
Ii
Electrical21
rig
Plumbing
D6. 50
S.M.I.
12.36
Grading
Driveway Enc.
Infrastructure
t30;.0v
TOTAL
L
M5.17
REMARKS
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.-1-3—JEPermit
Validated I)y:
Validation:
A6744 11 14 485,17 Ck
CONSTRUCTION ESTIMATE
GROUND PLUMBING
NO. ELECTRICAL'
NO_ PLUMBING FEES
IST FL. SQ. FT. ® s
2ND FL. SQ. FT.
POR. SQ. FT.
GAR. SQ. FT: @
CAR P. SO. FT. ®
WALL SO. FT. @
SQ. FT.
ESTIMATED CONSTRUCTION VALUATION $
SLAB GRADE
UNITS
BONDING
HEATING (ROUGH)
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
ROCKSTORAGE
DRAINAGE PIPING
GAS (ROUGH)
DRINKING FOUNTAIN
HEATING (FINAL)
URINAL
REINF. STEEL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
SERVICE
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
WATER SYSTEM
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
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
FIREPLACE
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SQ.FT.GAR ® 3/<c
HOUSE SEWER
INSULATION/SOUND
FINISH GRADING
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 GOND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plug i$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIG NAFURESIINITIALS
GARDEN WALL FINAL