MISC (05908)44370 Marigold Lane
05908
Av
P.O. BOX 1504 N o . 0,59-08
Building 0 78-105 CALLE ESTADO
Address 44-373 Marigold Latta LA QUINTA, CALIFORNIA 92253
Owner
La Qtal>ata Af3$f3t:$,cates
Mailing u. BUILDING TYPE CONST. . OCC: GRP. -
Address +3— 375 6vaa iingtoii St. A.P. Number ....
City zip Tel. r-., Phase, 11 Lot 44 .
Legal Description
Contractor y Plan 4 R tact'Us Flows
Project .Description.
E.G.. WIlliams 1g?v. Corp..
Address , ..
Stfa
0 -
State Lica
& Classif. 493919 .
Arch., Engr.,-- -
Designer
Address,
wM t,, e•
City
Lic. # 1231 Sq. Ft.
Size
New m
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 Division 3 of the Business and Professions Code, and my license is in full force and
effect v, ••:'. (,
l *) 1
SIGNATURE DATE
OWNER -BUILDER DECLARATION '? '
No. ,
Stories
Add ❑' -."Alter ❑
No. Dw. r
Units.
Repair ❑. 'Demolitiop ❑
I hereby;affirTn that 1 am exempt from the Contractors License Law for the following
Estimated Valuation 8.81500.00rbason:
(Sec. 7031.5, ss and Professions Gide: Any,city or county which requires a
to cbmstnhd, krprove• demolish,
permit after, or repair any structure, prior to. its issuance also
'+requiresthe-app6cart for such Permit to Me a signed.statement that he is licensed pursuant to
-•~'thq provisionch s, of the Contractor's License Law, Chapter 9 (comm
(commencing with Section • 7000) or
- _ -
PERMIT `- - AMOUNT
-
. Diviston 3 of4he !tom and Professions Code, or that. he is exempt therefrom, and the basis
?' for the: alleged exemption. Any:viotafion of Section 7031.5 by -any applicant for a permit
-
Plan Chk. Dep. - o
,r
" subjects the applicant to a civi Penalty of not more than rive hundred dollars .(S50o)..
- ❑ I as owner of the
Plan Chk. Bal. -`7 ` , 9 l
• 4J4 40'
property..Or
r my employees with wages as their sole compensation, will
dofhe wprk, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
- • .
-
Professions•Code.- The 'ConbactorLicense Law does not apply to an owner of property who
Const. - 590.00 •k: ''
•_ builds' or improies thereon and who does such work himself orthrough his. own employees,
• provided that'such improvements are not intended or offered for sale. If, however, the building
Mech. n • "3`
.53.50 -
or improvement is soM witlhir one year of completion, the owner -builder will have the burden
' • -
ElectricalZ
Of proving that he did not buil or improve for the purpose of sale.)
J , • ,' • }h 1•'•
3
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing`1 lz ,. i '
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. 6.23
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - -
Sec
❑ 1 am exempt under SeR_ & P.C. for this reason
Grading
Driveway Enc. r-
,Date Owner •
Infrastructure '2:21.•.9cPs' ,
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 Company
❑ Copy is filed with the city. ',.0 Certified copy is hereby furnished.
-
TOTAL . rturr
S CERTIFlCPMINSURANCE
REMARKSWORKERSWNENSATION x,: ±:. • k ayr.,.,,, -. ,e.• , is
(This section need not be oonpaeted it the Permit k for one hundred dollars (57001 valuation-A'•t,1`i!-,;ftltjj}S •,A', +4 =f e r,t.77
t,-;.
;,irj .
orless.)
I certify that in the performance of the 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: d after ma" this Certificate of Exemption you should become
ZONE: '- 'BY: -
subject to the Workers" Conpesation Provisions of the- Labor Code, you must forthwith
- Comply With Such Provisions OrOnPem*Stroll bedeemed revoked . - - - t
-
Minimum Setback Distances:
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
I ..
work for which this permit is issued. (Sem. 3097, Cine code.)
Side Setback from Property Line
Lender's Name
. - r
Lenders 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. cerlity that I have read this
?-: p15~$9
application and state that. the aboveinformation is correct.
I agree to
Issued by: Date Permit'
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
ValldatlOfl: -
City„ State, Zip
c •, _
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SO. FT. ® $
UNITS
COLL. AREA
2ND FL SQ. FT.
K-OUGH PLUMB.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
AS (ROUGH) ,.
DRAINAGE PIPING
CAR P. I SQ. FT.
OTHER APPJEQUIP.
REIN F. STEEL
WALL SQ. FT. ®
O
DRINKING FOUNTAIN,
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
f
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(AUTO)(DISH)
APPLIANCE DRYER
i _ •,
FRAMING 1(i('+ Y
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
/ /
ea
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.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
SETBACK
GROUND PLUMBING
P,
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE/y F%
K-OUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
`
FOUND. REINF. { 7 ZQ Q
N
AS (ROUGH) ,.
%METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REIN F. STEEL
GAS (FINAL) (/J
O
TEMP. POLE
GROUT
WATER HEATER
f
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR_
FINAL INSP. 7j+
i _ •,
FRAMING 1(i('+ Y
FINAL INSP. Q
/Jl <fi( '7
ROOFING 'Z 7 C
/ /
ea
i
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR FIREWALL
LATHING t,V I/
MESH
Of
INSULATIONISOUND /of 711/09
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
I