07374 (SFD)T4
4 4a"
P.O. BOX 1504 No. 07374
Building 44-125 CminQ AM 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Venture
BUILDING: TYPE CONST. OCC: GRP.-
A.P. Number Tract 24517 • Rand Ocotillo
Mailraring-Adams
ing
Address 42-600 Cook Street, Suite 135
City
Zip
Tel.
Palm Desert
92260
3454541
Legal Description
Project Description
Plan 2 a Lot 31
Contractor
William Development Corporation
Address
Sam
City
Zip
Tela
State Lic.
& Classif. 493119
City
Lic. # 1231
Sq. Ft. 2344
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
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 Jicense is in full force and
effect. (
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affipn that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,8usbass and Professions Code: Any city or county which requires a
permit to construct, alter, reprove, demolish, or repair any structure, prior to its issuance also
requires the appfcaot for such permit to lie a signed statement that he is licensed pursuant to
the provisions of the Contactors 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 viofaticn of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a chdpenally o/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 Contractors 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 wl'hih one year of ckmplebon, the owner -builder will have the burden
of proving that he old not build or reprove 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 bulls or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec_ B. & P.C. for this reason
Estimated Valuation
r�a
4GSi
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
—"'
-,608-.5(
Const.
So. W
Mech.
1..-
t,�t7.'JRJ
Electrical
♦ Q
Plumbing
S.M.I.4
Grading
Driveway Enc.
Date Owner
Infrastructure
��1;'SLL♦ C
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers 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.
TOTAL
CERTIFICATE OF EXEMPTION FROM
COMPENSATION INSURANCE
(This section need not be completed d the pemrit is for one hundred dollars ($100) valuation
or less.)
I certify that in the perfomance of thg work for which this permit is issued, I shall not
employ any n m any er so as to become subject to the Workers' Compensation
Laws of C.Iir a persomann
REMARKSWORKERS'
t"h r5t [ x ` i
i V J � �..f'� it l . LIT ttl_ f ' ' 4 } i 4. 7)d –
Date Owner
NOTICE TO APPLICANT. ff, after making this Certificate of Exemption you should become
subject to the Workers' Ckwpensaton provisions of the Labor Code, you must forthwith
comply with such provisions or this perm slag be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, C" Code.)
Side Setback from Property Line
Lenders Name
FINAL DATE
INSPECTOR
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration it 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 -of this city to enter the above-.
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit
.�
Signature of applicant— Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRAD
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF. �Z'Jl
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAP P. SQ. FT. ®
WALL SQ. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ FT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ -Plus-X$-=$
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP. 7_C
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REMARKS:
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SQ.FT.GAR ® 3/ac
HOUSE SEWER
q
INSULATIONISOUND
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 GRAD
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTI V15
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. �Z'Jl
GAS (ROUGH) 6(kch O C6
l It
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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./ L
(
/
FRAMING /tel / RQ Li�
J
LLLpiQ
FINAL INSP. 7_C
ROOFING q[
C
PrIf to
IqO LP
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
Nv LATHING 10-/510
MESH
q
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL