06752 (RC)• Z
' 414a
� .
P.O. BOX 1504 No. 06752
Building 78-105 CALLE ESTADO
Address 78-401 Highway III LA,QUINTA, CALIFORNIA 92253
OwnerDowney 1
Sa'tt'kp & Loan BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address
•• -- A.PrNumber-
City Zip Tel. _
Legal Description
Contractor Split siag3,e twit Office .space
Project Description
Gregory Carel, G.C. • - ' into two units:
Address
P. 0. Box 2828 _
City Zip Tela
Palm Desert 92669
State Lic. City
& Classif. 256290 Lic. # Sq. Ft. No. No. Dw.
Arch., Engr., -01 Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Address Tel.
City Zip State
Lic. #
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7�W0�) of Division1of the Busine5rid Professions Code, and my license is in full force and
.^u -t -,j.+rte
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following Estimated Valuation
reason: (Sec- 7031-5,13usibess and Professions Code: Any city or county which requires a
pemut to constrict, after, irprove, demolish, or repair any structure, prior to its issuance also
regimes the appkard for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter9 (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 exenpfion._ Any vfekiion of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the ap- I I fee civilpeceRy of not more than rive hundred dollars ($500). \
111, as owner of the property, or my employees with wages as their sole compensation, will: + Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and CpnSt
Professons Code-, The Contractor's license Law does not apply to an owner of property who •"
builds or Japroves thereon and who does such work himself or through his own employees, Mech.
such $j5
provided that suimprovements are not intended or offered for sale. /f, however, the building •
or iuprovement is said within one year of completion, the owner-buflder will have the burden Electrical I�•94
of proving that he did not build of irprove for the purpose of sale.)
❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con- Plumbing
struct the project. (Sea 7044, Business and Professions Code: The Contractor's License taw
does not appy to an owner of property who builds or improves thereon, and who contracts for S.M,I,
such projects with a ardractor(s) icensed pursuant to the Contractor's license Law.)
Grading
❑ 1 am exempt under Sec B. & P.C. for this reason
Drivewa Enc
Date Owner
WORKERS' COMPENSATION DECLARATION
w the affirm that I have a certificate of consent to self -insure, or a certificate of
pensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city- ❑ Certified copy is hereby furnished. _
t 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 thg work for which this permit is issued, 1 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. O, after making this Certificate of Exemption you should become
subject to the Workers" Compensation provisions or the Labor Code, you must forthwith
campy with such provisoes or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
LetMer•s Name
Lenders Addns
` This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 1130 days. h
1 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 Addtr»s
city. -State, Tip _
Y
Infrastructure
TOTAL
REMARKS
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 12/1.5/89 permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINGVEES
1ST FL SO. FT. a $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SD. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. a
SEWER OR SEPTIC TANK
ROUGH WIRING
GAR. SO. FT. a
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CARP. SO. FT. a
HEATING (FINAL)
WALL SO. FT.
REINF. STEEL
DRINKING FOUNTAIN
GAS (FINAL)
TEMP. POLE
URINAL
SO FT a
GROUT
ESTIMATED CONSTRUCTION VALUATION E
WATER HEATER
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
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. a c
BATH TUB
SO. FT. a c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID a 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR a V4c
HOUSE SEWER
GAR. FIREWALL
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 APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus xa
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
c-0
r
• Y
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
11
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL:d
1
i
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ut��tn� nn� �s'n�P� � tb�t�iun
ri
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that, at the time of issuance this structure was.in compliance with the various
ordinances- of the City regu n lati" g building: construction or use. For the following:
BUILDING ADDRESS— 78-401 Hwy 111-
'
Use. Classification Office Bldg. Permit No. 6752
B.2 VN CPS
Group Type Construction Fir* Zone Use Zone
Downey Savings &.Loan 3501 Jamboree Road
Owner of. Building Address
MT IN k GON111171CUOUS PLAC'a
wport each, 9A 92660 By; Lonnie Day
Date; July 31, 1991
Building Official