ELEC (08195)a
'TA
No. 481.95-
P.O. BOX 1504
Building
7&105 CALLE ESTADO
r- Address $�i�F Q LA QUINTA, CALIFORNIA 92253
Owner`
BUILDING TYPE CONST: OCC: GRP.
Address 600 Ceok Street. Suits 200 A.P. Number PGA West r
City �" •'' Zip .. .. • . TIO.. -
Pal* iDeSe1"L W260 568'.2828 Legal Description ' TR , 2480I Phase SH
Contractor. Tem. Pomr
Project Description
t3 !>e eila.
Address �; .•.: .
City Zip Tel..' "
State Lic ' -% City
a Cjasslf }<< 288130 Lic. # 321f - Sq. Ft. No. No. 'Dw
..Arch:' Engre a. ..
Size Stories Units
'Designer•.:.; - New ❑ Add;❑ Alter ❑ Repair ❑ ; `Demolition ❑
-Address Tel.
Zip State r ,
a Lic. # A light•
r LICENSED CONTRACTOR'S DECLARATION "
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section e
000) of Division 3 of tthelBussiness and''Professions Code; and my license is in full force and
affect.
f (f
SIGNATURE / DATE
OWNER•BUILDERDECLARATION y J • c:^.
I.hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation
r_ason.,(Sec. 7031.5;Buslness and Professions Code: Any city -or county which requires a
p9rmli to construct,' alter, improve, demolish, or repair any structure, -prior to its issuance also AMOUNT
.,.(:?quires the applicant for such permit to file a signed statement that.he is licensed pursuant to PERMIT.- _
tae provisions of, the Contractor's License Law, Chapter 9 (commencing with Section 7000) of -
.+ &ivision'3 of. the, Business and Professions Code, or that. he isexempttherefrom,, and the basis
fer the alleged- exemption. Any violation of Section, 7031.5 by 'any applicant for a permit, Plan Chk. Dep: • ;��
sijbiects the applicant to a civil penalty of not more than five hundred dollars ($500). - -
O I,'as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
co the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and. Const'
.
Professions Code: The Contractor's License Law does not apply to an owner,of property who
bAds- or, improves., thereon and who does such work himself or through his own employees,
pMech-
ovlded that-such'improvements are not Intended or offered for sale. If, however, the bu.ilding r
c improvement. issold within one year of completion, the owner-builder will have the burden Electrical
a proving that he did not build or improve for the purpose of sale.) 30-00
-
O I, ct the pas owner of the property, am exclusively contracting with licensed contractors to con- Plumbing t'
struroject: (Sec. 7044, Business and Professions Code: The Contractor's License Law
toes not apply to an owner of property who builds or improves thereon, and .who contracts for S.M.I.
. r such projects with a contractors) licensed pursuant to the Contractor's License Law.)
„� , Grading
f7 I am exempt undenSec B: & P.C. for this reason
✓1 �' Driveway Enc. ,
Date o e��. Infrastructure. y,
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that I have a certificate of consent to self-insure, or a certificate of
•Norker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
'olicy No. .Company I• -
❑ Copyis filed with the city. O Certified copy is hereby furnished.
TOTAL30 J00
CERTIFICATE OF EXEMPTION FROM w REMARKSQj• Q};.,&rte " .f�-�..•gF� �,; _-
• `• WORKERS' COMPENSATION INSURANCE
IV an
,This section need not be. completed if the permit is for one hundred dollars (S 100). valuation - -
I certify that in the performance of thg work for which this permit is issued, I .shall,not
employ any, pperson 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 become ZONE: BY:
--+ub)ect -to the Workers' Compensation provisions of the Labor Code, you must forthwith
Minimum Setback Distances:
•:omply. 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 ,_,
v+ork for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property, Line
L=.nder's Name
Landers Address FINAL DATE 1 '' INSPECTOR
This is a building permit when properly filled out; signed and validated, and is subject to c q
expiration if work thereunder is suspended for 180 days. *J,L7)(�� c
*I certify that I have read this application and stale 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 c
construction, and hereby authorize representatives of this city to enter the -above-. `
a
• 'nentloned property for inspection purposes. •Validated by:
Sgnature of applicant Date
Mailing Address Validation:
City, • State; o Zip
',� .t q r 4 �, _ T. jl r..y� j•;Et ,c... �t � i�..� 0 __dbrl - �•- ,w h:,.a•� '1
.w s'2 i .lis ti r'{ i• �? �- +�, r - c • i ;.s �t xa�+• "• i �3 r +� i, i• s •'iY1 r ` .. f? �'.i'.<t+ t p x "�;' �'•
!� k• .i .-r.k • y ,_': ,''x,R;. a :t ""_ t,L a Y 4S r•y ,,,, :;,may, stir a i:G- •t• •;i;i. rt, .'�'..y :.,- w.a+r. s r_, .'�F .. -
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
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
NAL INSP? 971
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL