SFD (9479)44960 Malia Cir
9479
, C
f . • . r P.O. BOX 1504pi,
N o . 9479
`
Building 44• 9d Z ir l t-> C,irQ 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253 lJ
Owner f
Windsor Pro • acts T Inc.'
nc.
Mailing BUILDING: TYPE CONST: OCC: GRP.
Address
29377 Rancho California 8200 A.P. Number
City Zip Tel.
Temecula 92394 '1.'714/676-84!1() Legal Description $e0$' •9$ Qui;"t@Zr3 Tr #23913
ContractorPura 2BA
Project Description
Windsor Con s}run.tion Corn anv'
Address
City Zip Tel.:
State Lia City _ -
& Classif. 432109-B Lic. # 1737 Sq. Ft. 2363. No., No. Dw.
Arch.; Engr:, Size Stories Units -
Designer. Sstie S Archit ctl xi Duj New ❑ Add O' Alter ❑ Repair ❑ Demolition ❑
Address Tel.
Pexthit does not include block walls or
.City-'
Zip
State
pool
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) oj_Dlvlsion of the Business and Professions Code, license is in
'
3 and my ul force and
effect. a: . t /
' GNA—— ._ DATE
-
• • OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following .
the.
Estimated Valuation 126,178.80 • `
p 6 t 1 8 z 80
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which a.
- '
permit to construct, alter, Improve, demolish, or repair any•structure, prior to its issuance also
- -
requires the applicant for such permit to rile a,signed statement that he is licensed pursuant to
_ PERMIT i - AMOUNT_ -ti;:<.- '
'
•. 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 vioration of Section 7031.5 .by 'any applicant. for a. permit
- -
Plan `Chk.t Dep.
! • subjects the applicant to a civil penalty of not more than five hundred dollars.($500).
❑ 1, as owner of the roe
p p rty, or my employees with wages as their sole compensation, will
- _. - _ a -
Plan Chk. Bal. ,
t!do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and .
COr1St. . ,.t ij, .j
Pro/essfons Code: The Contractor's License Law does not 1 to an. owner of property
aPP y' pro ert who
s i s _
-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
- - C ,
Mech. ., .- 5 a
0*
"or, improvement is sold within one year of completion, the -owner-builder will have the burden '
ryJ
EIBCtfICaf' - - 1..799
of proving that he did not build or improve for the purpose of sale.) •
[ J.- <
• ❑'I; as owner of the property, am exclusively,contracting with licensed contractors to con-
Plumbing -( ®u_<
•- 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, - ' _. - <.a,. 89 =
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading, 24. iia,
• O I am exempt under Sec. B. & P.C. for this reason
•'
Driveway Enc. L 2(}, f3a•:`_
Date'Owner
Infrastructure 2 t• 3G
Art in Publim e55: 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 ' ` '.. -
\ ti'
O Copy is filed with the city.... ❑ Certified copy is hereby furnished.
T
. t` !
TOTAL -$697.i6 r.
` CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
. (This section need not'be completed if the permit 7s for one hundred dollar .a (8100).' valuation
• or less.)
I. certify that In -the performance of thg work for which this permit is issued, I shall not' ,„ ;t)
,;,,;+a;,•.`i •-„ ;+ ,,, . • _f",f
• • employ any person in any manner so as to become subject to the•Workers'. Compensation'
Laws. of California. ,
_. •, ,-. , W s,.t s.♦ a rLs : rT e:, s: - - -rte + o ;:w
Date Owner
NOTICE TO.APPLICANT: If, after makfng this Certificate of Exemption you should become
•~ j
ZONE: '- BYS +`
subject to the < Workers' ..Compensation provisions `of the Labor Code,, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
B ,•. -
Minimum Setback Distances- - • . _ r
Front Setback from Center Line 1't,
Rear Setback from Rear Prop: Line '
CONSTRUCTION LENDING AGENCY'
Side Street Setback from Center Line
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.)
Side. Setback from Property Line<
Lender's Name
ce c ' 4 '.
Lender's Address
This Is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days.
”
I car tify that I have read this
y application and state that,the above information is correct.
Issued by: Date Permit'
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:,.
Validated by:
Signature of applicant Date
.
Mailing Address
Validation:
City, State, Zip
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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
I
I WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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.
SO. FT. ®c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
FIRE ZONE ROOFING:
SO.FT.GAR ® 3/ic
HOUSE SEWER
FIREPLACE
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 yq 12 NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE l
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANROUGH WIRING.
[
DUCT WORK
ROCK STORAGE
FOUND. REINF.
` METER LOOP
GAS (ROUGH) .0
HEATING (FINAL)
OTHER APPJEOUIP.
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. 3 g
FRAMING q j —1 L
FINAL INSP. tO
/
ROOFING 3(1- l
% C 1/ r ? I ql of l Lt2
A_
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MV I O, C L
MESH
INSULATIONISOUND nilC
FINISH GRADING
FINAL INSPECTION- O
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL