11236 (SFD)Building
Address 51-945 BERMUDAS
Owner
WES DEVELOPMENT
Address 4102 MARBLE `MIDGE
• rl
P.O. BOX 1504
78-105 CALLE ESTADO l
LA QUINTA, CALIFORNIA 92253�r
City Zip Tel.
SHINGLE SPRIT GS 95652 1916-676-3300
Contractor
STOCKMAN HOMES
City lZip I Tel.:
State Lic. City
& Classif. B1 642$48 Lic. # 2534
Arch., Engr.,
Designer STUDIO 4
Address Tel.
- 949 UNIVERS12Y #100 9169.20-1159
CityZip State
SACR&4ENTt} Lic. # 220044
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of ChaptEr9�( ommencing with Section
efffeectofDivision the -Business And �Profes ons Gude, and my h nse is in full force and
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's Lirense 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 rive 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
or improvement 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.)
❑ 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 propertywhobuilds 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. & 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
iii Copy is filed with the city. ❑ 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 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, 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.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
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.
1 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 Address
City, State, Zip
No. 11236
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 773-184-022
Legal Description LOT 10 BLOCK 121
Project Description .PLAN 3
Sq. Ft. No.
Size 1680. Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation $99.664
PERMIT t `
AMOUNT
Plan Chk. Dep. '
Plan Chk. Bal.
$S28.45
Const.
639.50
Mech.
60.00
Electrical
' 115.30
Plumbing
109.50
S.M.I.
10.00
Grading
20.00
Driveway Enc.
Infrastructure
2,204.10
TOTAL $3,6864`94
REMARKS
1�:_a'1:�i.3ff` �::ilfiMLJ i` :x+'�i��.t►::
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING.
DUCT WORK
DRAINAGE PIPING
CAR P. I SQ. FT.
FOUND. REINF.
GAS (ROUGH)
WALL SQ. FT.
HEATING (FINAL)
DRINKING FOUNTAIN.
SQ FT ®
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GROUT
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.l lA
(J�
LAUNDRYTRAY
AIR HANDLING UNIT CFM
ROOFING 9l�lel96 ? / /J
VENTILATION (�� %
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
�t°
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID (gyp 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
RING
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
i
SETBACK
00,
GROUND PLUMBING 1jLqJNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMSSEWER
n `FPTi� T�+++�
94
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE q a [
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus
x$ _$
LUMBER OR.
FINAL INSP.l lA
(J�
FRAMING Q 5[ 1;U-9
FINAL INSP. � /
1w I
ROOFING 9l�lel96 ? / /J
VENTILATION (�� %
Q�e� `O//�/�p q q�
lr ( Gl (o`
REMARKS:
T _
i 5 Q O /
ad
r T- s
FIRE ZONE ROOFING
FIREPLACE
�t°
LC
` (Z « ,`
SPARK ARRESTOR
GAR. FIREWALL
RING
MESH
INSULATION)SOUND d iL 0
FINISH GRADING
FINAL INSPECTIONI�.
II LLL
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL