10-1098 (SOL)APPLICANT NAME (L, F, MI)
CRAIG 'G ONKLIN
ADDRESS
BOX 912 .
CITY//I/�,C,OMMUaNIITTYISTyA�TEEIIZIP }nw M �g t, ;n
LA QUINTA A CA 722$30000
JrO�B SIE DDRESSISPACE
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FINAL DATE
ARC/ENG FIRM NAME
LICNC #
ADDRESS
CITYICOM MUNITYISTATE/ZI P
PLAN #
PLANS EXAMINER
APPROVE DATE
U�yS _OFF PERM, t r, p�
fC NOR L FLOOR OF -RESTAURANT
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APPLI0 2 4 PS DATE
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CONIS 1 Rt. C 1 ION FEE
40278
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+ II
i I IIAI��II �II II� � III
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35
"art
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W ow A Y
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�Q•14
MICROFILM FEE
$0.40
i
TOTALFEE
CA
C!X
jrp
NC -
•COUNTER B.I. �'/ J{/�
COUNTER'L,U.T.
7i9
STRuCTUR.AL t BUILDING P1ERM I T
TOTAL PERMIT COST IS $133.92
CONSTRUCTION ESTIMATE (NOTE.o NoT lo.bo used a% property ya lutalion)
Description FCC Group Type Taq f fi Rate Valuation
PRIMARY MISC 327 M M 00 $10.00 $10000
F' Construction Fee bared on Total, Actual Valuation of $10000 ist $80.50
811141 Ft -E $0.70
1GRUFILK FEE $0.40
$52 132
FO RM 284.208(11,81) INSPECTOR
4 ,
NO.
OPERATION
DATE
INSPECTOR
NO.
OPERATION
DATE INSPECTOR
BUILDING APPROVALS
'MECHANICAL APPROVALS
1
Set Back'
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport. t
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
✓
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. C]
43
Final
IDA
Fireplace T. 0. C3
No ADDITIONAL INFORMATION
Q Q
v
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall 2
13 Finish Grade
INSULATION
Thick
Value
7A Walls (Botts)
12B Ceiling (Batts)
12C Ceiling (Blown)
M Final
PLUMBING A PROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
P/L 1 P/
~,\`
ELECTRICAL APPROVALS
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A Grounding Wire
29B Bonding
30 Fixtures
31 Service
32 Final
STREET NAME
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
INSPECTION
ADDRESS� - J- I SPACE N0.
J /-3/-
OWNER
}/
OWNER
BUILDING PLUMBING
male
REMARKS:
OWNER/CONTRACTOR TEL.NO
COM0, Q ITY '
ELECTRICAL MECHANICAL
REQUESTED
FOR:
a A.M.
�I
TU ES
taW'ED
OTHUR
FRI
281-" ti/75
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME PERMIT NUMBER
/- 2- INSPECTION
ADDRESS /b / I SPACE N0. REQUESTEDFOR:
cv I
I
A.M.
OWNER COMMUNITY
/ y P.M.
BUILDING PLUMBING ELECTRICAL MECHANICAL.
�IUAI
TUES
WED
REMARKS: c
)l/ q�
HUR
FRI
OWN ER/CON TRACTOR TEL.NO.
28A�► 1185
DEPARTMENT OF BUILDING AND SAFETY . COUNTY OF RIVERSIDE
OFFICE DATE TIME l PERMIT NUMBER
F'5/ Fi INSPECTION
ADDRESS SPACE NO.
WNER COMMUNITY
POILDING PLUMBING ELECTRICAL MECHANICAL
(REMARKS:
OWNER/CONTRACTOR TEL.NO.
REQUESTED
FOR:
A.M.
P.M.
MON
El TUES
ZWED
THUR
FRI
291-" {1/75
ca
APPLICANT NAME (L, F, MI)
n ti �r
ADOR SS
ll()X 912
CITYICOMMUNITYISTATEIZIP
n
TA 0
CA 922530000
JOB SITE ADDRESSISPACE
78106 :'A
AVE,
CITYICOM M'U II T�YISTAT EIZI P
yN
LA UTATA' CA 9/212530000
BOK
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00606
07E 0610
TRACT LOT
MOD SB
000000
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TRACT NAME
f 4.
OWNER
PHONE #
a.NAME
w� { e e�y
DESERT,
NC
CONTRACTOR -FIRM NAME
LICNC #
AIC CONKLIN
316634
ADDppR��ESS�t�yyryryyy
��yy
P 1,.1 BOX A 7 1 2
CITYICOM MUN ITYISTATEIZI P
LA 121JINTA CA' 922530000
PHONE#
BLDG. INSPECTOR
FINAL DATE
914-564•-4017
ARC/ENG FIRM NAME
LICNC #
ADDRESS.
CITYICOMMUNITYISTATEIZI P
PLAN #
PLANS EXAMINER
APPROVE DATE
USE OF PERMIT
.a~u ca Q RESTAURANT
FSB
Q q R 3N
q 0 OSSB OR
ID
ZONEORD#
LOT SZ(�
END
SIDE
"o00
APPLIPRMT pPS
DATE 4 O
yi
i I I�IIIII VIII III VIII IIII 36
IE
•
1
TOTAL .
FEE
CA
CK,
NC
COUNTER B.I.
COUNTER L.U.T.
_ _ _ _ _ _ _.-v ._
APPI,ICAT'ION FOR STRUC`I<'URAL PERMIT
T-,.61 I S 1 A N A P P l.. I C A T 10 N O N 4.. Y
•FORM 284-208(11.81) INSPECTOR
•
1
•FORM 284-208(11.81) INSPECTOR
NO.
OPERATION DATE
INSPECTOR
NO.
OPERATION
DATE7
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
1
Set Back- " '
33
Ventilation System
2
Ftgs 8 Frms
34
Plenums 8 Ducts
2A
Slab Grade
35
Furnace Comport.
3
Steel
36
Inlets 8 Outlets
4
Grout Blocks
37
Combustion Air
5
Bond Beams
38
Compressor
6
Roof Deck
39
Appl. Clearance
7
Framing
40
Fire Damper
8
Vents
41
Smoke Detection Device
9
Garage Fire Wall
42
Commercial Hood
10
Fireplace P. L. 0
43
Final
10A
Fireplace T.O. E]
No
ADDITIONAL INFORMATION
SEWAGE SYSTEM SIZE & LOCATION
11 Exterior Lath
12 Internal Lath
12A Drywall
13 Finish Grade
INSULATION Thick R
Value
7A Walls (Batts)
12B Ceiling (Botts)
12C Ceiling (Blown)
14 Final
PLUMBING APPROVALS
15 Ground Plumb
16 Water Piping
17 Rough Plumb
18 Vents ;
19 Sewage Disposal
20 Sewer
21 Water Heater
22 Water Softener
23 Water Service
24 Gas Test
25
Final
Tank Pit L.Line
REAR OF PROPERTY LINE
ELECTRICAL APPROVALS
P/L
P/
26 Power Pole
27 Conduit
28 Service Entrance
29 Wiring
29A° 'Grounding Wire
29B Bonding
30 Fixtures
31 Service
32' 'Final
STREET NAME
I; IIIIIIIIIIIIIIIIIIIIIIIII 37 ', 44
IE - - -J
Avenue 32 andP.O. BOX 1504
Building 78-105 CALLE ESTADO
Address N+ 1E. cornet BedaS LA QUINTA, CALIFORNIA 92253
Owner
Mailing.
Address
City Zip Tel.
Contractor
Dateiarid Construction
Address
55-305 Highway 112
.. City .. .. _Zip Tela
Coachella 922.3, 393-5544
No. 003887
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description=61it o' n 4f hotel units
State Lic.
City
& Classif.
Lic. #
31
Sq. Ft.
No. No. Dw.
Size -• •
Stories Units
Arch:, Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Div,idio�,3 of tt/he Business and Professions Code; and my license is in full force and
effect.
SIGNATURE.`DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
4ti
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
parit to construct, after, improve, demolish, or repair any structure, .prior to its issuance also
-nna
'
requires the applicant, for such permit to rile a signed statement that he is licensed pursuant to -
PERMIT
AMOUNT
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 Any Section 7031.5 by 'any for
PIanChk. Dep.
-
alleged exemption. violation of applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars -($500).
Plan Chk. Bal.
❑ 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
Const.
$3%3' 0 -
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
'
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-
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.1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law:),
Grading
❑ I am 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. Companytiy�
S*Y C y1 •t_�•#x1^ '
iYf�fr t
O Copy is filed with the city. ❑ Certified copy is hereby. furnished.
rlLy. r .
TOTAL
_
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.) - - -
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___L___' Own&
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
Ihereby 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 isa'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 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 Date
Mailing ,Address
City, State, Zip
HARD COPY
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 4/2515 Permit
Validated by
Validation:_
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
2ND FL. SO. FT.
POR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT. @
WALL SO. 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
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./EOUIP.
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
IBATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
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
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
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
REINF. STEEL
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.
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 SIGNATURESIINITIALS.
GARDEN WALL FINAL