07376 (SFD)4
4
P.O. BOX 1504 No. 0737
Building$ CaAi# � Azul 7&105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Waring -Adams Venture
MailinBUILDING:, TYPE CONST. OCC: GRP.
Address 42-600 Cook 'Stmt, Sete 1.35 A.P. Number Tract 2451.7 - Rancho Ocotillo
City Zip Tel.
Pais Desert 92260 345-7541. Legal Description
Contractor Project Description Plan 2 C Lot 33
.. William Development Corporation
Address
Ste
CityZip Tel:
State Lic. City
& Classif. 49391.9 Lic. # 1231 Sq. Ft. 2344 No. No. Dw.
Arch., Engr.,
Size Stories Units
' '
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City JZip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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. 1 . I 1 /i , y .m 1 . fir
SIGNATURE DATE
OWNEWBUILDER DECLARATION Estimated Valuation reason:
ih
I hereby affirm that I am exempt from the Contractor's License Law for the following �iLS,YG
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 AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
the provisions or the Contractors 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 Plan Chk. Dep. -- - �
subjects the applicant to a civa penalty of not more than rive hundred dollars ($500). �• - r1YQ ♦ �
Plan Chk. Bal.
❑ 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 Const.•
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, Mech.
provided that such improvements are not intended or offered for sale. It, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical � •
of proving that he did not build or Improve for the purpose or sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con Plumbing 1+`}•
• 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 S.M.I. �•�
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
- ❑ I am exempt under Sec B. 8 P.C. for this reason Grading
Driveway Enc.
Date Owner Infrastructure
ds xL.�L
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.
TOTAL 14,614.710 1-1_D111-1,
CERTIFICATE OF EXEMPTION FROM REMARKS A^ n
is
WORKERS' COMPENSATION INSURANCE ' n� f *1T
(This section need not be completed ff the permit is for one hundred dollars ($100) valuation + � � ) Ll t AL 3 'FSA rf ' r
orless.),
I certify that in the performance of thg work for which this permit is issued, 1 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 ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. 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, Civil Code.) Side Setback from Property Line
Lender's Name
Lenders Address SPECTOR
This is a building FINAL DATE IN
permit when properly filled out, signed and validated, and is subject to SPECTO �
expiration if work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADFVS 7,(-y
ROUGH PVUMB.
YARD SPKLR SYSTEM
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
ROUGH WIRING
DUCT WORK
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
QMETER
LOOP
HEATING (FINAL)
DRAINAGE PIPING
CARP. SO. FT. ®
GAS (FINAL)
WALL SQ. FT.
DRINKING FOUNTAIN.
GROUT
URINAL
SQ FT ®
SERVICE
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ —plus—x$—=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING (� �$ (ZO co
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,TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ao
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. FEE1
STRUCTURE PLUMBING /ELECTRICAL HEATING & AIR COND. SOLAR
��6?9
SETBACK
GROUND PLUMBING ��
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADFVS 7,(-y
ROUGH PVUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE
TJ K
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. v
AS (ROUGH)
d
QMETER
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. d
FRAMING d CA
FINAL INSP. L LO
ROOFING (� �$ (ZO co
Prt r
1,0 /(l of C h
REMARKS:
VENTILATION`
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
IREWALLL/C7
FIREWALL/C)-
�?04*GAR.
'VI -LATHING
'VI-LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
t