Loading...
05728 (SFD)4 P.O. BOX 1504 No. 05728 Building 53--175 BM1�A,^� 7&105 CALLE ESTADO AddrPcc LA QUINTA, CALIFORNIA 92253 ICCTWIN A KWUA` ! maillilly Address 247 E. TARQUM WAY 02 City PALM SPRIMS (Zip 92262 11419/322'— 1020 I Contractor STARK CONSTRUCTION I ress 9XV. City lZip Tel. State Lic. 1 Lic.City# 995& Classif. 387934 Arch., Engr., Designer Address I Tel. City( Zip ( State I Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirrn that I am licensed under Provision's of Chapter 9 (commencing with Section 7000) of bivision-3 of the Businessand P fes�,sirons'Code, and my license is in full force/and effect 1 a_, nom.. - c^C. 1_'wc t*!'ll!%A SIGNATURE 0 1' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason- (Sec. 7031.5,BusheSS and Professions Code: Any City or county which requires a permit to construct, afer, improve, demolish, or repair any structure, prior to its issuance also requires the appicant for such Penn# to fie a signed statement that hes licensed pursuant to the pmvsbrrs of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of Ore Business and Professions Code, or that. he is exarrpt therefrom, and the bass for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a Civ# penafy of not more than rive hundred dollars ($500). 0 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, Busness and Prolessbns Code: The Contractors License Law does not apply to an owner of property who Lxdi s 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. ff, however, the building or knprovemermt is sold within one year of completion, the owner-buider will have the burden of proving that he did not buil or 'reprove for the purpose of sale.) 0 I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) 0 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. tflereof,(Sec!3800, tabor Code.) Policy No Company 0 Copy is filed with the city. 0 Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff 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 person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: ff, 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 Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lenders 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 certify that 1 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 Add City, State, Zip BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-065-024 Legal Description LOT 9 BLK 204 UNIT xa Project Description SFD 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 IINSP CTTOR 5/1189 Issued by- Date Permit Validated by: Validation: Sq. Ft. 1409 Size No. 1 No. DIN. Stories Units New 19 Add ❑ Alter ❑ Repair ❑ Demolition ❑ 430 SQUUE FM GARAGE 170' 6 • ti= SCE r a . Estimated Valuation $76,360•00 PERMIT AMOUNT Plan Chk. Dep. 250000 Plan Chk. Bal. • Const. • 00 Mech. • Electrical U Plumbing U7.50 S.M.I. • Grading E1. Driveway Enc. 20.00 Infrastructure �� '�•� TOTAL REMARKS mO 1 10 TIMitj -11 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 IINSP CTTOR 5/1189 Issued by- Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. a $ UNITS IGROUND LAB GRADE OUGH PLUMB /Q BONDING Y ARD SPKLR SYSTEM 2ND FL. SQ. FT. a FORMS EWER OR SE ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. a GAS (ROUGH) METER LOOP GAR. SQ. FT. a POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. I SO. FT. a GROUT WATER HEATER WALL SO. FT. a FINAL INSP. DRINKING FOUNTAIN. BOND BEAM WATER SYSTEM URINAL FT a LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ F AMING WATER PIPING NOTE: Not to be used as property tax valuation Q� T b /U✓/ —� l�y CAAAY- FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRYTRAY AIR HANDLING UNIT CFM 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. a c BATH TUB SQ. FT. a c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 1+/4 c SEWAGE DISPOSAL SQ.FT.GAR a 3/ac HOUSE SEWER FINAL INSPECTION 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 PLUMBING UNDERGROUND A.C. UNIT COLL. AREA IGROUND LAB GRADE OUGH PLUMB /Q BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SE ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 8 $ GRADING cu. yd. —Plus—x$—=$ LUMBER GR. F AMING FINAL INSP. ROOFING e� Q� T b /U✓/ —� l�y CAAAY- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 4 09 THING MESH INSULATIONISOUND / FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL 4 P.O. BOX 1504 APPLICATION ONLY Building Address �y 4z_,?�,q5 LA QUINTA CALIFORNIA 92253 Mailing Address a '7/7 %A/ -/©4t , rz �l/A City Zip Tel. S7z z. G z 3 z z -ia Z Contractor / -77—.4 _41.E C'a - 1 s r.r� _.� n_ -Y-.er� �/ State Lic. I City. & Classif. -7 8 7 c} 3 Lic. # Arch., Engr., Designer Address Tel. City IZip I State I Lic. # LICENSED CONTRACTOR'S DECLARATION 1he by affirm that I am licensed under tovisions of Chapter 9 (commencing with Section . ' on 3 of t id P frissions Code, and my license is in full force and SRE r • DATE OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bugness and Professions Code: Any city or county which requires a permit to condmrd, after, irprove, demolish. or repair any structure, prior to its issuance also requires the applicant for such pemail 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 aleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civilpenally of not more than rive hundred dollars ($500). ❑ 1, 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 Contractors License Law does not apply to an owner of property who build; or improves thereon acrd who does such work himself or through his own employees, provided that suchrrprovernents are not intended or offered for safe. If, however, the building or awrovement is sold wihir 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.) ❑ 1, 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 pmiects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec w, & P.C. for this reason Date Owner WORKERS COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of conse#1 to s If -in ure, or a certificate of Worker's Compensation Insurance, or a certified copy err o ( 3800, Labor Code.) Policy No Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it the perm is for one hundred dollars ($100) valuation or less.) 1 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 Cakdomia. Date Owner NOTICE TO APPLICANT: ff after making this Certificate of Exemption you should become subject to the (porkers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or his 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.) Lender's Name Lender's Address This is abuilding permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 100 days. 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 Address City, State, Zip BUILDING DIVISION BUILDING: TYPE CONST. . OCC. GRP. A.P. Number 7 7--% - c 6 j- d Z d 0 Legal Description L or 9 AGK Z s[ uv Zes Project Description Sq. Ft. Size /mac 9 No. No. Dw. Stories / Units New,lq Add ❑ Alter ❑ Repair ❑ Demolition ❑ y'3o' 40' GA.e,aG C Estimated Valuation 1 PERMIT AMOUNT Plan Chk. Dep. o p Plan Chk. Bal. -2_12 Const. S Mech. 51 C-40 Electrical Plumbing S.M.I. -39 Grading ab Driveway Enc. 2e.ja Infrastructure 6 . 1Z rcfsr1,91A,� o J TOTAL o Lo REMARKS Ant~ x nn < n ,r r A cr /W. AC -no An 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. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. 5.0. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SD. 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 BOND BEAM WATER SYSTEM URINAL SO. FT. ® _$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax,valuation _ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Buena Engineers, Inc. 79-811 Country Club Drive, Suite 4 Bermuda Dunes, CA 92201 • (619) 345-1588 / 328-9131 A Client Name Client Address Client Phone DATE ,' 3U�j E 3C) tCi P'� JOB NO. PROJECT LOCATION CONTRACTOR STA P TZ OWNER WEATHER C C {- F\ TEMP. o at AM 1 ° at PM PRESENT AT SITE MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % TEST NUMBER TEST LOCATION !% [ U S (.- �i\ � LOT NQ ELEVATION FIELD TESTING REFERENCE CURVE MOISTURE CONTENT DRY DENSITY lbs./Cu. ft. MAXIMUM DRY DENSITY % MAXIMUM DRY DENSITY lbs./cu. ft. OPTIMUM MOISTURE CONTENT % 1 (� 2 X11 SCS X5.1 tc.�. 1(- .2 t c. t� 7 (V 1 i 3 t 't S A �? I X I r 1 1 IC l JE 1< L REMARKS: �k v- F t-1 t t-- .2 IT S,1-5 {w 1 I I"..a N. (�N u t� (1.1� c�'i. A r? v�- (-. ti (U (S -i l 2 L `+ !L 1 F. K� . rtic 6206 CLIENT REPRESENTATIVE SIGNATURE f l FIELD REPORT 1 4A TECHNICIANS SIGNATURE