001998 (SFD)4
P.O. BOX 1504 1110. 001998
Building 78-105 CALLE ESTADO
Address 78-540 Bottlebrush LA QUINTA, CALIFORNIA 92253
Owner xs ...
Dolt Hoi4fard
BUILDING: TYPE CONST. �3 OCC: GRP. P-3.
Mailing
Address617-381--iS 47
A.P. Number
City Zip Tel. ��� �'
Legal Description
Contractor Project Description $ • p:?.
Cherokee Construction
Address
above
City Zip Tel.- -
sTt frss , k1,easxt� a Hx��rti+
State Lic. City DTII 1362
& Classif. Lic. # Sq. Ft.' GIM 433No. 1 No. Dw. I
-Size Stories Units
mrcll., C:nyr., , . - _
Designer
New Q Add ❑
Alter ❑ Repair ❑
.
Demolition ❑
Address
Tel.
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side -Setback from Property Line
FINAL DATE
City
_
Zip
State
Lic. It.
Validated by:
/ r .LICENSED,CONT RACTOR'S DECLARATION .
I hereby affirm that I am licensed under provisions of Ch 3pter 9 (commencing with Section
7000) of D�i/vision 33 of•the Busin=Cnd•Profees/sions Code, aynd�my license lain fulllffo/r'ce- and
effect. X._ .a/ Il!" '9 '! 4`e ri 1 r'_.�"a. AA I
A38%3
1 16 115640 CK
' SIGNATURE -.f DATE-
.' OWNER -BUILDER DECLARATION
1 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, after, improve, demolish, or repair any structure, prior to 'its issuance also c
requires the applicant for such permit to rile 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).
❑ 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'lmproves 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 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. & P.C. for this reason
EStlmated Valuation.
(.r 70,619.80
v
PERMIT
_
AMOUNT
Plan Chk. Dep.. 250.00
Plan Chk. BBI. -
43.75
Const.
346.00
Mech. -
! at • �R
J�9 V
Electrical -74.41
Plumbing
77.00
S.M.L. - -
w -9n�
ask
Grading
20.00
Driveway Enc.
20.00
- Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, of a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. * Company '
17 Copy is filed with the. city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE t
(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: N, 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
1 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.)
Lenders 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. err`- ` .
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 authorise representative"s -of this city to enter the above-.
mentioned property for inspection purposes.
41
Signature of applicant �z�,p ✓ Date ` t 1
Mailing Address
City, State, Zip 1
HARD COPY
Infrastructure 1 1 1,059.30
ivira� I `/VaiVoYti I .i.��JV.LV
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 1 %`��Permit
Validated by:
Validation:
A38%3
1 16 115640 CK
c .•a CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. Q. FT. ®
GAS (FINAL)
WALL SQ. FT.
DRINKING FOUNTAIN
SQ. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
LxEINAL INSP. _✓
25�j
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
7,
GRADING
yd.
$ -Plus-X$-=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
PL FINAL INSP. % �!_
V
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SQ. 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
MESH
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 To
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 11-2-716
GROUT
WATER HEATER
SERVICE
LxEINAL INSP. _✓
25�j
BOND BEAM
WATER SYSTEM
7,
GRADING
yd.
$ -Plus-X$-=$
LUMBER GR.
AL INSP. S --Cu.
FRAMING
PL FINAL INSP. % �!_
V
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
// /
,c/GINAL INSPECTION S r
l
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL