04715 (SFD)--------- _-� - _ _--___ _ __._ ____-------------_______
0471
P.O. BOX 1504
Building34-50 78-105 CALLE ESTADO
Address 4,,LA QUINTA, CALIFORNIA 92253
Owner , , �..
- Alco Developmut ;Corp. BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address ' 69-734 HI.altb'w 111. 0118 A.P. Number 7744.275-003
City Zip Tel.
Rancho Mirmte 1 32279 328--kBIS Legal Description
� . • 4
Contractor Project Description ~S.F.33a
Address
City Zip Tel.
State Lic. City 1 -
& Classif. 387296 Lic. # 1034..., Sq. Ft. w IS 14 No.*
No. D.
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 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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct,<aRer,,imp rove, demolish, or repair any structure, prior to Ns issuance also
requires the appli"' L /oi such permit to file a signed statement that he is licensed pursuant to
the provisions ob!ihe" ontractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of,the Busir iIss 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
subjects Ihe.applicani to "s civil penalty of not more than five hundred dollars ($500).
❑ 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 of property who
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
orimprovement 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.)
O I, 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 contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I 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 certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any parso
Californian in any manner so as to become subject to the Workers' Compensation
Laws of .
Date Owner
NOTICE TO APPLICANT: If, alter making this Certificate of Exemption you should become
subject to- the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
,timated Valuation
$81s294
PERMIT
AMOUNT
Plan Chk. Dep.
%2 so.IDO `
Plan Chk. Bal.
$ 7S,46
Const.
379.00
Mech.
36.00
Electrical
766.95
Plumbing
105.Id0-
S.M.I.
3.71
Grading
20.00
Driveway Eno.
MOO
Infrastructure
11796,60
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
TOTAL
624764.72 �: / -1 ,
REMARKS
��•
ZONE: BY:
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
• work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATEI�J1
N}SPE{CTOR
This is a building permit when properly filled out, signed and validated, and Is subject to
�p!
�!I 8
expiration If 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
t -
WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE,
=II
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL $0 Fl y S
UNITS
COLL. AREA
// �//SETBACK.
(`�G.SLAB GRADE /2� % -vO
ROUGH PLUMB
YARD SPKLR SYSTEM
2ND FL SO FT. a
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR SO FT m
ROCK STORAGE
FOUND. REINF',
POWER OUTLET
ROOF DRAINS
GAR SO. FT. Cr
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO FT. a
GROUT
WATER HEATER
DRINKING FOUNTAIN
WALL SO. FT.
BOND BEAM
WATER SYSTEM
URINAL
SO. FT. (a
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION S
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
t p{�✓T
.�-•-.-�-- ��+
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH))
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE .ROOFING
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
MESH
SO. FT. c
WATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SO. FT. RESID g 1+i. C
SEWAGE DISPOSAL
SO.FT.GAR rg 3/� c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEEPL.CK.IEE
I CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
044
rJ-�,y
GROUNO PLUMBIN/,
UNDERGROUND
A.C. UNIT
COLL. AREA
// �//SETBACK.
(`�G.SLAB GRADE /2� % -vO
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
dE WER OR SEPTI �- J:��/
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF',
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
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.
FRAMING
FINAL INSP.
ittROOFING /
t p{�✓T
.�-•-.-�-- ��+
REMARKS:
VENTILATION
FIRE ZONE .ROOFING
FIREPLACE
SPARK ARRESTOR,
GAR. FIREWALL
LATHING
MESH
SULATIONISOUND/-i 1 -
C I ✓✓✓(/
FINISH GRADING
NAL INSPECTION - ��•�
CERT. OCC,
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL