9647 (SFD)17
40�
(�� 0
T -&t 4 4 a"
. P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 77-360 Camino n -4 -4 -Ana LA QUINTA, CALIFORNIA 92253
Owner
AMOUNT
Desert Cove Partners
Mailing
601.64
Address 601 Unliversity Ave #135
-5ty
1p
ITel.
Sacramento—T95825
94�76
7.16/9"15-5300
Contractor
S.M.I.
Rancho Capistrano-Dev.
Corp
Address.
Driveway Eric.
P. 0. Box 3003
Infrastructure
City
Arts in
Public 70.57
T I.:
Palm Desert
l'i42255
364-0705
State Lic.
&CIassif. B 597975
TOTAL
City
Lic. #
Arcn., tngr.,
Designer Glen B. Onger
Address Tel.
41700 Corporate Way 3465018
City Zip State
Palm Desert 192260 Lic. # C12812 -
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
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 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).
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 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 Irnprovements are not Intended or offered for safe. If, however, the building
or improvement is sold within one year of completion, the owner-bullder will have the burden
of proving that he did not build or knprove for the purpose of sale.)
0 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
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
=any er rson in any manner so as to become subject to the Workers' Compensation
0 .
CaliF ni
Date_Owner
NOTICE TO APPLICANT., ff, 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. 309 7, Civil Code.)
Lender's Nam
Lender's Addre s
This Is a buildin� permit when properly filled out, signed and validated, and is subject to
expiration it work t ereunder is suspended for 180 days.
I cer tify 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-
Mailing Address
City, State, Zi
No. 9647
LDING: TYPE CONST. OCC. GRP..
P. Number
Description
Project Description Santa Rosa Cove Condos
Sq. Ft. No. No. Dw.
Size 1670 Stories Units
New 0 Add 0 Alter 0 Repair 0 Demolition 0
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
601.64
Const.
741.00
Mech.
60.00
Electrical
94�76
Plumbing
132.50
S.M.I.
9.03
Grading
20.00
Driveway Eric.
Infrastructure
2885.20
Arts in
Public 70.57
TOTAL
4 6 14 . 7 0
REMARKS
I U - TM 0. 1 -ITT'AL 1 4 6 14. 70
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: permit
bitte
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
I
YARD SPKLR SYSTEM
2ND FL SO. FT. @
DUCT WORK
ROCK STORAGE.
-
POR. SO. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. I SO. FT. @
FINAL INSP.
WALL SO. Fr. @
I
WATER SYSTEM
FINAL INSP.
FINAL INSP. I(Ijaip 1-.0
DRINKING FOUNTAIN,
SQ. FT. @
LUMBER GR.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
F 1�k "
,0,0 j�- . -is 44&if
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
1KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
I WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
ILAVATOR
HEATING SYST�M FORCED GRAVITY
AMPERES SERV ENT
ISHOWER
BOILER. B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. Fr. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ V4c
HOUSE SEWER
CERT. OCC.
IGAS PIPING
PERMIT FEE
PERM FEE
PERMIT FEE
DBIL
TOTAL FEES-
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMIFEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK (q
--GROUND PLUMBING UONDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
I
FORMS
c4k) lze
SEWER OR SEPTIC TANK —17&ttt ROUGH WIRING.
w , A
DUCT WORK
ROCK STORAGE.
-
FOUND. REINF.6 It t(k
GAS(ROUGH) co METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP. I(Ijaip 1-.0
GRADING
cu. yd.
$ _plus_x$
$
LUMBER GR.
FRAMING At
ROOFING ja�qjqj
F 1�k "
,0,0 j�- . -is 44&if
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LP
MESH
INSULATION/SOUND 11-12
FINISH GRADING
FINAL INSPECTION —
-T A j
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL I