05676 (BLCK)Building 80--611 CEMRPY ML
M ME RATH=
Address WME
City Zip Tel.
gUMA 92253
ContractorDANA T%ASONRY CO.
Address .
P.G. BOX 2556
City Zip
PAIM DES= I
92260
State Lic.
& Classif. .558133
Arch., Engr.,
Designer
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA,.CALIFORNIA 92253
619/251-1609'
Lic. #
CityI Zip I State
Lic. #
r LICENSED CONTRACTOR'S DECLARATION
I hereby affirm That'l am licensed: nder provisions of Clmpter 9 (commencing with Section
Division 3 of five B.Slness sett Professions Code and my license is in full force and
-SIGNATURE _ DATE
OWNER BUILDER DECLARATION
I hereby affign that 1 am exempt from the Contractors License law for the following
reason•. (Sec.. 7031.5.Busbreas and Professions Code: Any dry or county which requites a
perm* to construct, atter, Irprove, demolish, or reprr any structure, prior to f4,_aur�
bce also
r
nwpdms'the �pfir�t for arch pem to tie a .signed statement Met he is licensed pursuant to
five prodekne of the Contractors U mme Law, 8 (conmienci g w(M Sec0on 7000) of
Lltvfalon 9 e 1 the 8udwes and Professions Cede, w tlrat- he is exenpt therelmom, &red Bre basfs
for the .eaegsd eaenp0op_ Any violation of Sectbn 7031-5 by any appBcant for a pemdt
suto cta ttie appBraM to a uv0 penally of not more Oran five NrYrbod dofars (t500).
❑ 1, as owner of the properly, 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, iNdwess and
Profs wo Code: The, Contracterk License Law does not apply to an owner of properly who
buff or &Wrovos thereon and who does such work Idmseff or tluough ids own employees,
provided that such irprove mems are not ktended or offered for Safe. h however, the burfidamg
or Improvement is sok/ within one year of conpleum, the owner-budider wifl have the burden
of pmvbg that he did not build or i/prove for the purpose of salt_)
❑ I, as owner of the property, am exclusively contracting with -licensed contractors to con-
struct the project (Sec. 7044, Business and Avfessfons lode: The Contrectoes License Law
does not mpply to an owns► of property who builds or Improves thereon, and who contracts for
such prgieds wLM a armtrdOWS) licensed pursuant to the lontrachn's License Law)
❑ 1 am exempt under Sec -------R 8 P.C. for this reason
Date owner
WORKERS' COMPENSATION DECLARATION
Wexker affirm that I have a certificate of conserrt,to self -insure, or a certificate of
permflon Insurance, or a certified copy t_hereot (Sec. 3800, Labor Code.)
Policy No- Company '
❑ Copy In filed with the city. ❑ Certified copy Is hereby furnished.
CERTIFICATE OF E7®IPTION FROM
WORKERS' COMPENSATION INSURANCE
section need not be aoMpleted ff the permit is for one hundred dDbrs (t 100) valuation
1 certify.thatIn°the performance of the work for which this permit is issued, I shall not
=M= in any manner so as to become subject to the Workers' Compensation
Date [i,rnar
NOTICE TO APPLICANT: 0 atter malft Ilia CeN7Tcefe of Exempbb- you should become
ambled to the tlbrkeva' Compensation provisions of time Iabo. code, you rust forthwith
comp* with such progafone or ads puma shoo be deemed revoked.
CONSTRUCTION'LENDINO AGENCY -
1 herreby affirm that there is a construction lending agency for the, performance of the.
work for. which this permit is issued. (Sec. 3087, 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.
I certiry that I lave road this application and state that the above information is correct.
I agree to comply with all cily.and,county ordimrarcas.and state laws relating to.
building
Dornslrue:Uon, and thereby authorize representatives ,of ..MIs city to enter the above-
meMionad property fat inspection purposes:
Signature of applicant Date -
Mailing Address
city; Stale, Zip
No.
BUILDING: TYPE CONST. OCC: GRP.;
Number . PGA WEST
05676
Description
:t Description GARDEN WALL: 28 FM OF 6—FOM H1
Sq. Ft. No. No. Dw.
Size Stories -Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $700.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
25.00
Mech.
Electrical
Plumbing
S.M.I.
.07
Grading
Driveway Enc:
Infrastructure
TOTAL
—) e `
REMARKS
r ., ,1;,
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
4/25/89
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® E
UNITS
SLAB GRADE
ROUGH PLUMB,
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT ®
GAS (ROUGH)
METER LOOP
GAR. SO, FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. FT.
FINAL INSP.
DRINKING FOUNTAIN,
SO FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION E
=$
WATER PIPING
NOTE Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B:T.U.
SO. FT. RESID 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3bc
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
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.
E plus xi
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOU
FI ISH GRADING
INAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINRIALS
GARDEN WALL FINAL