05610 (RPL)T4'!t 4 4 Q"
Building 44-185 MICO IYR.
Address ✓
cactus. Flawar
Mailing
Address
City lZip ITel.
Contractor
Wifo=ia P001a & Spas
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 05610
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Cactus nowe ;
Legal Description
Project Description PCQT°
Address a
67-722 Rin Rd.
Ci Zip Tela
;'athe(lral City 92234 9/ 23--7303....
State Lic. ' City
& Classif. 185102 0-53 Lic. # .. , Sq. Ft. No. No. Dw.
Arch., Engr., Size Stories Units
Designer �6�— New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
f IfICENSED CONTRACTOR'S DECLARATION
7�reoby offirm thats o 13 of�I1 11
1!'�B�un}ess3�anfd Pdr'ofection
onsfCO�e Chapter
my I cense iso ngfulltfosce and
effect. .. ,`�,i�C.00I;/-s �
SIGNATURE "' - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a
permit to construct, after, brprove, demolish. or repair any structure, prior to its issuance also
requires the applicant for such permit to No 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 curl penalty of 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
bolds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for safe. If, however, the building
orirnprovement is sold within one year of completion, the owner -builder wig have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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 bu>Ms or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 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 elf jns'ure, or a certificate of
Workers Compensation Insurance, or a certified copy thereoVif c. 9800, Labor Code.)
Policy No Company �_-- e"�:i� - d
❑ Copy is filed with the city. ❑ 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 the work for which this permit is issued, I 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: d, after making this Cerbrrcate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
compfy 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.)
Lenders Name
Lenders Address
" This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 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
Mailing Address
City, State, Zip
Estimated Valuation��
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Front Setback.from Center Line
Plan Chk. Bal.
4,915
90 t
Const.
126.00
Mech.
24.01)
Electrical
30.00
Plumbing
27,00
S.M.I.
.77
Grading
Validated by:
Driveway Enc.
Infrastructure
TOTAL
REMARKS
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
4/6/89
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT, ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT,
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING CJ/((/!/,
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT, ®
GAS(ROUGH /
METER LOOP
GAR. SQ. FT, ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT. ®
TEMP. POLE
DRAINAGE PIPING
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SQ FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
FRAMING
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 3/ec
HOUSE SEWER
INSULATION/SOUND
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 GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING CJ/((/!/,
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS(ROUGH /
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEELY �!
AS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
GRADING
cu. yd.
$ -Plus-x$-=$
LUMBER GR.
FRAMING
FINAL INSP.
ROOFING
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
".
GARDEN WALL FINAL
taft-r Si:a L
R
See I111016tiza Note Below
3/8"x5- le` screws into atwia at 16" D.C.
Below Grade
Conti uout
Plate
joist manger or Solid Blocking
Vail rafter to llocking
i
ALL MS-m-IMm 4 - 16 d salla or bolt ;: •. y� P
SWU M Vp- 10_'I Grade .•s , : �GY
TI WUURi VMDDC lobed Aaeaora V is Coot. IUB w SII
CCOE T
V 4.Ap HEADMf�edde,.s •
douglas lit lID.1 '
FPJ-M SPAN S �" tib" ��,� ��,• ��; site ag>an 5#xe 6p*.d
Gradi a9 ti 6x4. S' � '
P5 20-70
�5Ab
9 4
(feet 6 lat-hes) Il s
17'
2x4
j16' ti.c.
24*
11-2
9-0
110-8
6-6
7
65
6-9
5-2
2,-S
12" c.c.
17-10
17-5
13.0
13-7
10-0
13-3
12-4
42
9`
2x8
16• o.c.
21-5-
19-10
1 10
1.54
11-E,.
24- -
17-6
16-3
1 -1
12=8
32- -
14-5
13.0
I -0
10-2
7-0
F0250-14 3 (R12167) I&
4x14.......20' 4$14+ i4
ITY .1�:.
ING 8 Walkes iA � (MEN , .� • 301
COPMM
CEPTED ED � 4j12p it ass x(3/12 ice.
97
UBJECT fQR�� TiDAAS�fl� drain.
'
• AND ALL AP LICA =ER