The URL can be used to link to this page

05364 (SFD)Building Owner C&tyl 4 4 a "0 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 247 R. lARQUITi #2 City Zip Tel. PALM SPR.TiiCS 92262 322•-1020 Contractor STARR Cb IMI UCTIOR Tela State Lic. City & Classif. 387934 Lic. # 89S Arch., Engr., Designer Address Tel. City I Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Mof Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,8rrsimess and Professions Code: Any city or county which requires a pemrit to construct, after, improve, dernoksh, or repair any structure, prior to its issuance also requires the applicant for such permit to fife a signed statement that he is licensed pursuant to 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 vbfAbn or Section 7031.5 by any applicant for a permit subjoNs the applicant to a civilpenalty of not more than rive hundred dollars ($500). ❑ 1, 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 Conlraclor's License Law does not apply to an owner or property who bu8ds or improves thereon and who does such work himself or through his own employees, provided that suchrtprovemenls are not intended or offered for safe. If, however, the building or improvements 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 contractors to con- 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 such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION r 1 hereby affirm that I have a certificate of consent to self -insure, orta certificate of Wo> fiefs Compensation Insurance, �ycertified copy thereof. fSec. 3860, Labor Code.) Poli No ❑Copy is filed with ills city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ("his section need not be completed it the permit is for one hundred dollars ($100) valuation or less.) 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 owner NOTICE TO APPLICANT: d after making this Certificate or Exemption you should become subject to the Workers' Cortpensation provisions of the Labor Code, you must forthwith Comply with such Provisions or thfs permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1hereby 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 Lenders Address This is abuilding permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 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 Addr�c City, State, Zip BUILDING: TYPE CONST No. OCC: GRP. 05364 A.P. Number Legal Description_ 1n*! 77 1%1k 712 "nit. #tt Project Description Sq. Ft. No. No. Dw. Size 1410 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. 250,11f) Plan Chk. Bal. 7,12.59 Const. 536,00 Mech. 0, Electrical Plumbing 157.5n S.M.I. S-144 Grading mrin Driveway Enc. 7-0.0n Infrastructure 1.679.85 TOTAL , -_ REMARKS y AAV. 1 011 It h A"0 7 /1 i" b• e 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 2/15/R9 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL SQ. FT. STORAGE TANK YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS OTHER APPJEQUIP. REINF. STEEL DRAINAGE PIPING CARP. SQ. FT. GROUT WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ LUMBER GR. WATER PIPING NOTE Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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 BATH TUB MESH SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1% c SEWAGE DISPOSAL FINISH GRADING SQ.FT.GAR ® VAc 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 SETBACK C �( GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA �j LAB GRADE �i/J ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI ROUGH ROUGH WIRING ([ DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. PO El/— GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING 6 2 FINAL INSP. ROOFING 7- / �� % ��' Y C (� J 0 Lj1 s REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL I G MESH INSULATIONISOUND FINISH GRADING rte, FINAL INSPECTION i/ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL I� E -r' '``',�}lx'ir'�t"�`�"--�✓��' W1`�rl.,�f'�vY�-a-`."R,�+'+r''�:a bt^�v'-'�L�si3an:.7s"`'iJ�'Ifii�`�'k`r�,r•'�'k.vP Buena Engineers, Inc. 79-811 Country Club Drive, Suite 4 Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131 Client Client Address Client Phone 6 DATE w e/ TEST LOCATION JOB NO. - mol PROJECT LOCATION -4Q N REFERENCE CURVE CONTRACTOR DENSITY IbsJCu. ft. OWNER .5mtI.-IZ � WEATHER OPTIMUM MOISTURE CONTENT % TEMP. oat AM ° at PM PRESENT AT SITE IL TEST NUMBER TEST LOCATION LOT NO. ELEVATION FIELD TESTING REFERENCE CURVE MOISTUREDRY CONTENT % DENSITY IbsJCu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY IbsJcu.ft. OPTIMUM MOISTURE CONTENT % IL b 1 , REMARKS: fob tcm lU 1 f1 U 44A 100-f 5 21 1 CLIENT REPRESENTATIVE SIGNATURE PORT TECHNICIANS SIGNATURE