001486 (SATT)r. QUWA
10 P.O. BOX 1504 No. 001486
Building 79"393 MrPaIM Circle QUINO
Address TA, CALIFORNIA 92253
Owner _
BUILDING: -TYPE CONST. VN OCC: GRP. R3
Mailing
Address 4+ Q%;#mss Aft A.P. Number
City Zip aha Tel.
fl#.'357- %54, Legal Description
Contra_ ctoIr Project Description bi="M palm
s7e�. rffi�3:�6314i23 .
Address... -..... 146 Units Pasidential DSWA
'City
'.
State Lic.
& Classjf: 442322
Arch., Engr.,'
Designer
Address
. '2AA e
173
Zip Tel.. -
92053 340--55n...
City UIS 3 L4
Lic. # 237 Size
Ft. No. No. Dw.
Size 433 Stories Units
Tel.
New Add ❑ Alter ❑ Repair ❑
Demolition ❑
City - Zip
State
.Lic. # _
LICENSED.CONTRACTOR'S DECLARATION
I hereby affirm that,l am licensed under provisions of Chapter 9 (commencing;with Section
7000) of Division 3 off the Business and Professions Code; and my licensee is I, full force -and".
effect. . , ~/ i( l• Ar f.
SIGNATURE - - - " f' DATE
OWNER -BUILDER DECLARATION
EStlmated Valuation
' I hereby affirm that I am exempt from the Contractor's License Law for the following
7031.5,Business Code: Any
'
•reason: (Sec.. and Professions city or county which requires a
Ipermit to construct, alter, improve, demolish, or repair any structure, prior to its issuance.also
! l • e:Eatf
- -
requires the applicant for such permit.to file a signed statement that he is licensed pursuant to
PERMIT, • AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
i
' Division 3 of the Business and Professions Code, or that. he'is,exempt therefrom, 'and the basis
for the Any Section 7031.5 by 'any for
_
Plan Chk.. Dep.. - -
alleged exemption. violation of applicant a permit.
' subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I,
.105.%2
Plan Chk.: Bal. 202.24
❑ 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
Const. 367.00
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,
'
Mech.37.1713
provided that such improvements are not intended or offered for sale. If, however, the -building
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical 6(} 18
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.
�y
Plumbing 85.00
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. .. 5.46
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
.. ❑ I am exempt under Sec. -B. S P.C. for this reason
Driveway Enc.
Dale owner
Infrastructure DeferwCl t as wgewtmt.
With '(k9m. Dne 1. Direct=
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
O Copy is,filed with the city. ❑ Certified copy is hereby furnished.
TOTAL %2'0610 .$8
_
CERTIFICATE OF EXEMPTION FROM
REMARKS
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 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: If, alter making this Certificate of Exemption you should become
BY:
subject to the Workers' Compensation provisions of` the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
_ZONE:
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
'This
FINAL DATE INSPECTOR
- is a building 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.
Issued by: Date - Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize trepresentatives of this city to enter the; above-
mentioned property for inspection Puurpposes. !
�1 ?+•'
Validated by:
Signature of applicant / i , Date =
Mailing Address
Validation:
City, State, Zip '
HARD COPY
l
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING SEES
IST FL. SQ. FT. @ $
2ND FL. SO. FT. @
POR. SO. FT. @
GAR. SO. FT. @
CAR P. SO. FT.
WALL SQ. FT. @
SQ. 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.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP.IEQUIP.
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.
SQ. FT. @ c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/.c
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 APP.IEQUIP.
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.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
NSPtG 1 UM'S WUNAI UXt511N1 I IAL5
GARDEN WALL FINAL
v
PERMIT APPLICATION
City of U Quinta
Department of Building and Safety
This permit becomes void it work not commenced within 180 days from date of issuance. OR. If work has been suspended or abandoned for a period o1 18D days.
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE: This section need not be completed it
LICENSED CONTRACTORS 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.
License Class Lic. Number
Date Contractor
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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
such permit to file 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 violation of Section 7031.5 by any applicant for a permit
subjects 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 do the work, and the
structure is not intended or offered for sale (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 does such work himself or
through his own employees, provided that such improvements are not intended or offered for sale. If, however, the
building or improvemnt is sold within one year of completion. Me 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 exculsively contracting with licensed contractors to construct the project (Sec.
7044. Business and Professions Code: The Contractor's License Law does rat 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.).
O 1 am exempt under Sec. B. d P.C. (Attached Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a
certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.).
Policy No. Company
O Certified copy is hereby furnished.
O Certified copy is filed with the City Building Inspection Department or City Department.
Date Applicant
APPLICANT NAME (L. F. MI)
JL Construction '
ADDRESS
P.O. Box 173
CITY/COMMIAJITY/STATE/ZIP
Nestor; CA 92053
JOB SITE ADDRESS/SPACE
CITY/COWLPNITY/STATE/ZIP
La. to CA 92253
BOK
I PAG
PRC
I C
mech. Fee 37.00
TNM
RNO
SE
S
19903
LOTS
(p
qW Fee 5.46
Moo
se
TRACT NAME
HORIZION PALMS
OWNER NAME (L. F. MI) Cimneral Management Corp. '
CONTRACTOR -FIRM NAME
J.L. Construction
ADDRESS
above
CITY/COMMUNITY/STATE/ZIP
PHONE. I
UCNC .
t Department
ARC/ENO FIRM NAME
Michael Buccino Assoc.
ADDRESS
340 S. Farrell Dr. A212
CITY/COMMUNITY/STATE/ZIP
Palm Sminas, CA 92262
PHONE a LICNC •
23-7877
USE OF PERMIT
Single Farni1v Dwelling
BL
ZON,
FSS
SSB I
SSB I
RSB
DEC
ZONE ORD •
LOT SZ
I I
END I
SIDE
the permit is for one hundred ($100) o. less. 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 Applicant
NOTICE TO APPLICANT: If, after 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.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O 1 hereby certify that no excavation live (5) or more feet in depth into which a person is required to descend, w ill be
made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 32, Grp 2. Art 2, Sec 341, Title 8.
C.A.C.)
O As owner -builder. I will not employ anyone to do work which would require a permit from the Division of
Industrial Safety, as noted above, unless such person has a permit to do such work from that division.
O Division of Industrial Safety Permit No.
Date Applicant
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance
o1 the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
I 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 county to enter upon the above-mentioned property for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling .
construction, and authorize a' representative o1 the City of La Ouinta Department of Building and Safety to enter
upon the property for which I have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name ( 10 (1' ,9 )A
APPL/PRMT f. y - DATE
t- 5-22=85
S.F.D.
Permit to construct 1247 sq. ft.
of
living area and 433 sq. ft. of garage
as per approved plans.
mech. Fee 37.00
Plan Vheck Fee 307.96
Const. Fee 367.00
Elect, Fee 60.18
qW Fee 5.46
.Plumbing Fee 85.00
TnfrastrUCtUre
862.60
105.72 DEP. PAID
756.88
*Tkaferred pampmt as = agreerribint
t Department
TOTAL •
FEE •
862.60
M 1 L U 4 L D / 7 6, 8 8 6K
FINANCE VALUATION F77,948.00