9653 (SFD)�_No.
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 77-370 Camino Quint�tna LA QUINTA, CALIFORNIA 92253
Owner /C 13
Desert Cove Partners I
BUILDING: TYPE CONST._OCC. GRP..
Mailing
Address 601 University Ave #135
City ip Tel.
Sacramento 95825 1916/925-5300
Contractor
Rancho Capist-rano Dev.
Address
P. 0. Box 3003
Zip Tell:
Ci . t6im Desert 92255 564-0705
State Lic. City I
& Classif. 13 597975 Lic. # 1,51
Arch., Engr.,
Designer Glen -8. Enger
Address Tel.
.41700 Corporate Way 346-5018
City Zip State
'Palm. Desert 1 92260 ll 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 ____LATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5.Bush7ess 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 rive 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 improvements are not Intended or offered -for sale. lfi however, the building
or improvement is sold within one year of completion, the owner-buflater wift. have the burden
of proving that he did not build or improve for the purpose of sale.)
b 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 _____L.._Owner
WORKERT 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 Fer rson in any manner so as to become subject to the Workers' Compensation
Laws of Cali 0 n,.
Date — — — �__Qwner
NOTICE TO APPLICANT ff, after making this Certificate of Exemptiorl 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 Nam
Lender's Address
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 car 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 applicani —Date
Maili , ng Address
City, State, Zip
P. Number
Description
roject Description
9653
Santa Rosa Cove Condos
ZONE: BY:—
Minimum Setback Distances: �)05t%)
Front Siefib'ack fil CenterfLin't, 60-62 ;00
—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:
Sq. Ft.
21020
No.
Stories
No. Dw.
Units
_ize
New 0 Add 0
Alter 0 Repair 0 -Demolition 0
Estimated Valuation
171,727
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
729.00
Const.
891.50
Mech.-'
91.00
Electrical
3 3-2.7P.
Plumbing
162.50
S.M.I.
12.04
Grading
20.00
Driveway Enc.
Infrastructure
3863.86
Arts in Publ�c,
179.32
TOTAL
6062.00
REMARKS
"�ZZWI iA
10
10 VO4SH I
I U I AL I N,/ tVby, f �5V
ZONE: BY:—
Minimum Setback Distances: �)05t%)
Front Siefib'ack fil CenterfLin't, 60-62 ;00
—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
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. Fr. @
UNITS
SLAB GRADE
2ND Fl- SO. FT. @
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. @
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
CARP. SO. FT. @
&/-'
DRAINAGE PIPING
WALL SO. Fr. @
OTHER APPJEQUIP.
DRINKING FOUNTAIN.
SO. Fr. g
GAS (FINAL) TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PI PING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYEF1
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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 SYST�M- FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. @ c
BATH TUB
SPARK ARRESTOR
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1 V4 c
SEWAGE DISPOSAL
LgT41W
NG tot(
SQ.FT.GAR @ %c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERM FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT.FEE
SMIFEE PLUMB.FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
a)
GROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
I
FORMS ollni.
1,9 SEWER OR SE ROUGH WIRING.
DUCT WORK
ROCK STORAGE.
FOUND.REINF.6 J.('-/
&/-'
GAS (ROUGH)/ 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.-
FRAMING
FINAL INSP.
ROOFING
&L
VENTILATION
W—
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GARJIREWALL
LgT41W
NG tot(
MESH
INSULATIONISOUND 7 (ct
FINISH GRADING
FINAL INSPECTIONY",y4&
CERT. OCC.
FENCE FINAL
INSPECTOWS SIGNATURESIINITIALS
GARDEN WALL FINAL