003307 (SFD)13' r'd 6
Building
Address 7D-635 Bottl
Owner
P.O. BOX 1504
78-105 CALLE ESTADO
sh LA QUINTA, CALIFORNIA 92253
No. 003307
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 7A7 TZ_ A.P. Number 617-382-013
City Zip Tel.
Palm Springs 92262 322-1020 Legal Description
Contractor Project Description Single Pamily Dwellina
Starr Construction
Address
City Zip Tel.
Palm Springs 92262 322-3020
State Lic. City
& Classif. A-367-034 Lic. # 895
Arch., Engr.,
Designer
Address Tel.
City Zip State
- Lic. #
LICENSED CONTRACTOR'S 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.
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
[-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).
❑ 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.)
❑ 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 projects with a contractor(s) 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 thereof. (Sec. 3800, Labor Code.)
Policy No. - Company
D Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 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: 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 tfiat 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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof .this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft. 1529 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
SQA t:A>~ AA
PERMIT
AMOUNT
Plan Chk. Dep. 5230. 00
Plan Chk. Bal.
S 77.00
Const.
376.00
Mech.
36.00
Electrical
77 . -11r.
Plumbing(jls
Oil
S. M. 1.
Vii , IF, A
Grading
2n, Ain
Driveway Enc.
20. C0
Infrastructure
1,182.00
't! r 4 In "PrAW4 T.t7 YR rd_
6 R, P 7
TOTAL 52.217_ All;
A1.967, pt;
REMARKS
, tf =;
•
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 R t R Permit
Validated by:
Validation:
HARD COPY
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
N0. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
B GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. p
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT.
GAS (FINAL)
TEMP. POLE
WALL SO. FT.
DRINKING FOUNTAIN
SO FT ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
_$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
v 'I 13 t-� /�Ij)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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
S BACKROUND
PLUMBING!/,
UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR S PTI TAN
ROUGH WIRING
DUCT WORK
ROCK STORAGE
UND. REINF. WzP
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. r r /
^
FRAMING / /
FINAL INSP.
//� � (��
//LRNTOO�jJG�
:i/
v 'I 13 t-� /�Ij)
/J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING !2 (41
MESH
�C NSULATION/SOUND
' FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS_
GARDEN WALL FINAL
4 7— i3
P.O. BOX 1504 APPLICATION ONLY
Building7, 6 S i3 0 (L� 62U$ H LA QUINTA, CALIFORNIA 92253
Address
Mailing
Address _ I
2�7 �T�4pL1 Z w,,
City I Zip ITel.
2 Z GeZ I "S2 2—
Aaaress
!047
City, _* lZip _ Tel..
— /!>1
State Lic. City
8 Classif.X_ y%'3 Lic. #
Arch., Engr.,
Designer
Address
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Dlvlsion 3 of the Business and Professions Code,; and my liceennse:lon'full force and
effect. i ..�-r j�%/.� /f�
SIGNATURDATE
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, after, 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).
❑ 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 dmproves 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 contractors) licensed pursuant to the Contractor's License Law.)
❑ 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
❑ 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 parson 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.
4e
CONSTRUCTION LENDING AGENCY
1hereby 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 car lly 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 Address
City, Slate, ZIp
BUILDING DIVISION
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number—,/,' /7 _2�k Z —,0/_"-� L a i /7 3
Legal Description
Project Description
Sq. Ft.
Size /5 Z�
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation`
V v
PERMIT
AMOUNT
Plan Chk. Dep.
rq'u o
Plan Chk. Bal.
1777
00 —
Const.
s 1
Mech.
�"—
Electrical
Plumbing
S.M.I.
6N
Grading
Driveway Enc.
_9A_
Infrastructure
�—
�7./i .44 -AI
1?1N4iE Togo
TOTAL
REMARKS
A ,c,'_ t o A 7- zn u 7
i(i {HSH i 10IAL i
''j r:
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
GROUND PLUMBING
UNDERGROUND
NO. ELECTRICAL FEE
NO. PLUMBING FEES
1ST FL. SQ. FT. ® %
ROUGH PLUMB.
Q
UNITS
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
2ND FL. SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
YARD SPKLR SYSTEM
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
MOBILEHOME SVC.
BAR SINK
GROUT
POR. SO. FT. ®
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GAR. L 3� SQ. FT. ®
=$
06
1 POWER OUTLET
FINAL INSP.
ROOF DRAINS
FINAL INSP.
ROOFING
DRAINAGE PIPING
CAR P. SQ. FT.
FIRE ZONE ROOFING
SQ. FT.
FIREPLACE
DRINKING FOUNTAIN
SPARK ARRESTOR
{{r--WALL
kk4Ion SQ. FT. ® , SO
%OU
Od
URINAL
ESTIMATED CONSTRUCTION VALUATION $
MESH
WATER PIPING
INSULATION/SOUND
NOTE: Not to be used as property tax valuation
FINISH GRADING
FLOOR DRAIN
MECHANICAL FEES
CERT. OCC.
WATER SOFTENER
FENCE FINAL
VENT SYSTEM FAN EVAP.000L HOOD
INSPECTOR'S SIGNATURESIINITIALS
SIGN
WASHER(AUTO)(DISH)
GARDEN WALL FINAL
APPLIANCE DRYER
GARBAGE DISPOSAL
L
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
C
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET*
COMPRESSOR HP
—
POLE, TEMIPERM
Q
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
U
SHOWER
L�
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQ. FT. ® c
WATER HEATER�–
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® IA c
s
SEWAGE DISPOSAL
V
l Q SQ.FT.GAR ® lAc
6
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
3�
0637
2-1-F
'?
e ,
/0 5.
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./EQUIP.
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
F
4
O} C
V �
i
O4jNffN Cf111��r�
Mgr91 Isq
Dear Developer/Landscaper:
OFFICE OF
AGRICULTURAL COMMISSIONER
4080 LEMON STREET, ROOM 19
RIVERSIDE, CALIFORNIA 92501
(714) 787.2561
49-613 Hwy 86, Suite B-12
Coachella, CA 92236
(619) 342-8291
E. LEON SPAUGY
COMMISSIONER
JAMES O. WALLACE
ASSISTANT COMMISSIONER
Thank you for inquiring with the Agricultural Commissioner's Office regarding
local quarantine laws.
Any diseases or insects associated with the plants/landscaping material presented
on your landscaping plans do not pose a threat to the Coachella Valley Citrus,
Date, Grape, Vegetable, or Field Crop industry. We therefore approve your
landscaping plans.
If however, any substitutions of plants/landscaping materials within your plans
occurs between now and the actual planting date, you must contact this office
within 48 hours before delivery into the Coachella Valley. Also, the substituted
plants/landscaping material must be held for inspection upon arrival. Any sub-
stituted landscaping material found infected/infested with quarantine pests will
be immediately treated or shipped out of the Coachella Valley at the discretion
of the Agricultural Commissioner's Office.
Under penalty of perjury, I the undersigned will comply with the above.
Authorized Agent:
Name 112, _05 Je A F
Signature
Permit Numbers) 4� 87 JQ S D
2 -
4,
1
Date
I
Developer �0 Address 2 q • /
322 - /o
AGRICULTURAL COMMISSIONER'S APPROVAL �✓ �L Date
Authority cited: Agricultural Code; Sections 6301, 6461, 6462, 6464, 6501, 6521-
6524
cc: 2 Plan Check, Indio Office, Riverside Office