RPL (09175)44315 Marigold Lane
09175
f.
P.O. BOX 1504 N o . 09175
Building .78-105 CALLE ESTADO
Address 44-315 MARIGOLD LANE LA QUINTA, CALIFORNIA 92253
Owner. FOOL 5
JEFF BUILDING: TYPE-CONST.SPA OCC: GRP.
Mailing
Address 44,-315 mARIG®LA LANR A.P. Number
CityTel.
LA OUIRTA CZip 92253 Legal Description
Contractor Project Description P0OL A,11D SPA
PALM SPRINGS GUNITE
Address
667 SIIGENE ROAD
CityZip Tela
PALM SPRING:. 92262 328-9888
State Lic. City
& Classif- 247951 Lic. # 736 Sq. Ft. No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ - Add ❑ Alter ❑ Repair ❑ . Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am' licensed underrbvisions ofiChapter 9 (commencing with Section
W 7000) of'Division 3 tof the Business and Propfessions Code, and my license is in full force and
effect._ [ \ ' • y4 i' v~
SIGNATURE.. 1. `.' . ' +..f ro 4, . V A ru N1, DATE `
i OWNER-BUILDER DECLARATION Estimated Valuation
Ilhereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professlons 'Code: Any city or county which requires a 54ArGir%IDID 00
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 Plan Chk. Dep.
.subjects the applicant to a civil penalty of not more than five hundred dollars (3500).
O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal: 58.30
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and 51 9
Const. An nnn
.Professions Code: The Contractor's License Law does not apply to an owner of property who ii a7
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.)
O 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.I.
such projects with a contractors) licensed pursuant to the Contractor's License Law.) -
❑ I am exempt under Sec: Grading B. 8 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 Com ense ion Insurance, or a certified copy thereof. (Sec. 3800 La Code.)
PolicyrNOj n.Company SMTE FUND,,xb.10-91
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL $223.99
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuationk },1\i>i~e"•{.;'ja;;:.{fgg
or less.) — n. ,-.r .. .,...:. -• _ >">9 +. ,.. . .
I certify that in the performance of thip 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`oecome ZONE: BY: '
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: .
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
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
Lender's Address FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this 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
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WA7ER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/. c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL
l
ROOFING
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 ,I- PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK'
/ '
GROUND PLUMBIN %lC�/ l� 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./EQUIP.
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 C
FRAMING
FINAL
l
ROOFING
aC
n/^ 3,g
tt�� l�vl�
REMARKS:
VENTILATION
FIRE ZONE ROOFING/
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
AA
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Tihf 4 4 Q*kz
P.O. BOX 1504
Building 44i3M 1-ftZ$ old %Sae 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner •.
La ui>rat Associates
Mailing BUILDING: TYPE
A.P. Number.
CONST. OCC: GRP.
Address4 $rys _ $
• ,City IZ92260
ip Tel.
• Legal Description Phase 11 Lrat'
Contractor - -
E.G. iiiAs aa e . Corp.
Project Descriptio Plan Cactus Flower.
'
same
rectors
No. 05887
Zip Tela
State Lia City
& Classif. 493913 Lic. # 23I
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
^0 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
DATE
.0 T -,...effect. , , / • , ! a' f
_SIGNATURE
OWNER -BUILDER DECLARATION
,•y I,hereby affirin that I am exempt from the Contractors License Law for the following
•
-reason. (Sec:;, 7031.5,Busfness 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 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
Dhison 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for a perm
for the alleged exemption. Any violation of Section 7031.5 by any applicpermitsubjects the applicant to a cfvfl penalty of not more than rive hundred dollars (8500).
❑ 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 o1 property who
ddlds 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.)
❑ 1, as owner of the property, am exclusively contracting with licensed contrr
struct the project (Sec. 7044, Business and Professions Code: The Contractor
does not apply to an owner of property who builds or improves thereon, and wh
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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labo
Policy No Company,Er Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(rhls section need not be completed if the permit is for one hundred dollars (8
or less.)
I certify that in the performance of the work for which this permit is issu
=any person in any manner so as to become subject to the Workers'
Laws of California.
Date owner
NOTICE TO APPUCANT: If, after making this Certificate of Exemption you
subject to the Workers' Compensation provisions of the Labor Code, you must /orthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the perfor
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lenders 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 car 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
the above,
construction, and hereby authorize representatives -of this city to enter
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
to to
Plumbing
's License Law
o contracts for •" '
S.M.I. • V
Grading
i96
Driveway Enc.
Infrastructure
certificate of
r Code.)
100) valuation
ed, I shall not
Compensation
should become
9•
07
TOTAL __ , .• '' . =` .J( ,.,,a
REMARKS
" ..xn. .: «. t..s', , ,•'i ;v . mai.[ r n€; :x?r7s• . _ ,: 4
_ ^' ` .4WmW rr., Xo. <!y". : •r X.,.... s: s: ry .: s,, ..`!
ZONE:
mance of the
BY:
Minimum Setback Distances:
Sq, Ft. 1621
Size
No. No. Dw.
Stories Units
New Add ❑
Alter ❑ Repair ❑ Demolition ❑
Side Street Setback from Center Line
Side Setback from,ioperty,Line
FINAL DATE
- INSPECTOR
6-15w-89'
Issued by:
Estimated Valuation
87,514.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
488.77
Const.
$ •
Mich.
•
Electrical
TOTAL __ , .• '' . =` .J( ,.,,a
REMARKS
" ..xn. .: «. t..s', , ,•'i ;v . mai.[ r n€; :x?r7s• . _ ,: 4
_ ^' ` .4WmW rr., Xo. <!y". : •r X.,.... s: s: ry .: s,, ..`!
ZONE:
mance of the
BY:
Minimum Setback Distances:
Front Setback from'Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from,ioperty,Line
FINAL DATE
- INSPECTOR
6-15w-89'
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. @ $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL SO. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF. G 'Z3 /
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
REINF. STEEL
GAS (FINAL) P. POLE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SO. FT.
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
WALL SO. FT.
LUMBER GR. FINAL INSP.(%
DRINKING FOUNTAIN.
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING b/4/ /10/1 Vol?
MESH
INSULATIONISOUND Rag"
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
ccurc nuwi
c 0"
��Z L/C,✓J'GC
V�
URINAL
SO FT ®
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. Ff. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
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
-, .4 - A
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. G 'Z3 /
GAS (ROUGH)11 / METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) P. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP.(%
FRAMING jZ �i�j FINAL INSP.
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING b/4/ /10/1 Vol?
MESH
INSULATIONISOUND Rag"
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
ccurc nuwi
c 0"
��Z L/C,✓J'GC
V�
REMARKS:
SIGNATURESANITIALS
GARDEN WALL FINAL