9652 (SFD)4 0. 4 4
P. BOX 150
Building 78-105 CALLE ESTADO
Address 77-350 Camino Quintana LA QUINTA, CALIFORNIA 92253
Desert Cove Partners
Mailing
Address 601 University Ave #135
City
Zip
Tel.
Sacramento
95825
16/925-5300
Contractor
Rancho Capistrano D&v. Corp
Address
P. 0. Box 3003
City
Plan Chk. Bal.
Tel.:
Pala-. Desert
lZiP9221555,
564-0-705
9tate Lic.
&CIassif. B 597975
City
Lic. #
Arch., Engr.,
Designer Glen B. Enqer
'Address Tel.
41700 Copporate Way 346-5018
City Zip State
Palm esert -192260 Lic. # C12812
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7M)tof Division 3 of the Business and Professions Code, and my license is in full force and
e
SIGNATURE OATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
.reason: (Sec. 7031.5,Susiness 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 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
9
for the alle ad exemption. Any violation of Section 7031.5 by *any applicant for a permit
subjects the applicant to a civil penalty of not mo�re than five hundred dollars.($500).
0 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 Contractori 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. It, 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.) .
b I, asowner 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
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 if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thp work for which this permit is issued, I shall not
employ any Fernsion in any manner so as to become subject to the Workers' Compensation
Laws of Cali 0 a.
Date—L—_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 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
Lenders Addre
This is a building permit when properly 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.
Signature of applicant —Date
Maili , ng Address
City, State, Zi
No. 9652
BUILDING: TYPE CONST.—OCC. GRP.-
A.P. Number
Legal Description
Proiect Description Santa Rosa Cove Condos
Lot 205 Plan
Sq. Ft. No.
Size 2320 Stories
No. Dw.
Units
P.
New 0 Add 0 Alter El Repair 0 . -Demolition 0
ZONE: —BY:
Minimum Setback Distances:
Front Setback from Center Lin
—Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
—Side Setback from Property Line
FINAL DATE —INSPECTOR
bate� --Permit
Issued by: I, � , NJ
Validated by:
Validation:
Estimated Valuation
i7l,727
PERMIT
AMOUNT
Plan bhk. Dep.
Plan Chk. Bal.
729.00
Const.
891.50
Mech.
91.00
Electrical
112.78
Plumbing
162.50
S.M.I.
12.04
Grading
20.00
Driveway Enc.
Infrastructure
3863.86
Arts in Publi.,
179.32
TOTAL
6062.00
REMARKS
A 41 11 A
ZONE: —BY:
Minimum Setback Distances:
Front Setback from Center Lin
—Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
—Side Setback from Property Line
FINAL DATE —INSPECTOR
bate� --Permit
Issued by: I, � , NJ
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
ROUGH PLUMB. BONDING
2ND FL. SO. FT. @
STORAGETANK
YARD SPKLR SYSTEM
POR. SO. Fr. @
MOBILEHOME SVC.
BAR SINK
GAk SO. FT. @
POWER OUTLET
ROOF DRAINS
CAR P. SO. Fr. @
REINF.STEEL 0 L-tt tt 'r
DRAINAGE PIPING
WALL SO. FT. @
DRINKING FOUNTAIN.
SO. FT. @
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
LUMBER GR.
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DIS H)
APPLIANCE DRYER
VENTILATION
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, TEMIPERM
LAVATORY
HEATING SYST�M 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 @ 1 V4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/4c
HOUSE SEWER
FINISH GRADING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE rPLCK.FE1E
CONST. FEE ELECT.FEE
SMIFEE 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)
STORAGETANK
FORMS
L f2 SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF. '9011911b?
GAS(ROUGH) tc D METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF.STEEL 0 L-tt tt 'r
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
-cu- yd.
$ _plus_x$
$
LUMBER GR.
FINAL INSP.
FRAMING /sAr/ 0
FINAL INSP.
ROOFING Wq0? ('
DMI�3 /0//
'Prewmp 161;,rlil -c-P
t(vic-o
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
SING I I 11,2 tCt t
MESH
INSULATIONISOUND 711 6�r�
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINMALS
GARDEN WALL FINAL I