13942 (AR)• 4 4 "
P.O. BOX 1504
Wilding48-130 Paso Tiampo 78-105 CALLE ESTADO
lddresLA QUINTA, CALIFORNIA 92253
)wner T.D. Desert Development L.P.
Mailing "• - . ___ _ __ __ _� __
kddress P.O. Box 1716
BUILDING: TYPE CONST
A.P. Number
Zip Tel.
La Qui.nta, ► 92253 (619) 771--194' Legal Description_
;ontractor "•' .' rx rirts3a.
sparks CAn>atructi011� Inc. Project Description
tdd';sb. Box 1716
Quinta o GFSr"' 92253 1 ' '*( 619) 771--194
tate Lic. xs O / q U ! 4I City 2996
Classif. Lic. #
trch., Engr., Robert Lamb hart Architects
lesigner
Street 11415) 986-4260
'it Francisco, 4^M 94111 State 02711
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that°I am licensed under provisions of Chapter 9 (commencing with Section
F000) of Division 3'of the Business,and Professions Code, and my license is in full force and {
affect.. t i j Y
LGNATURE ,f - — DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
:ason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
armil to construct, after, improve, demolish, or repair any structure, prior to its issuance also
squires the applicant for such permit to rile a signed statement that he is licensed pursuant to
ie provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
fvision 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
u the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
jbjects the applicant to a civil penalty of not more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will
0 the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
rofessions Code: The Contractor's License Law does not apply to an owner of property who
ullds or improves thereon and who does such work himself or through his own employees,
rovided that such improvements are not intended or offered for sale. If, however, the building
improvement is sold within one year of completion, the owner -builder will have the burden
r proving that he did not build or improve for the purpose of sale.)
1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
truct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
oes not apply to an owner of property who builds or improves thereon, and who contracts for
uch projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
I I am exempt under Sec. B. & P.C. for this reason
ate Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Yorker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
>olicy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
This section need not be completed it the permit is for one hundred dollars ($100) valuation
r less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
mploy any person in any manner so as to become subject to the Workers' Compensation
aws of California.
late Owner
R)TICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ubject to the Workers' Compensation provisions of the Labor Code, you must forthwith
omply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
ork for which this permit is issued. (Sec. 3097, Civil Code.)
:nder's Name
-nder's Address
This is a building permit when properly filled out, signed and validated, and is subject to
(piration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
)nstruction, and hereby authorize representatives of this city to enter the above-
entioned property for inspection purposes.
gnature of applicant Date
ailing Address
ity, State, Zip
No. 13942
OCC. GRP.
Spot 37 Tract 27840
Addition
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date
Validated by:
Validation:
Sq. Ft.
Size 112
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
;$,325.E30
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
70.20
Const.
108.00
Mech.
21.0 0
Electrical
8.92
Plumbing
.00
S.M.I.
. $
Grading
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
Issued by: Date
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
v
2ND FL. SQ. FT. @
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. I SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
CC/V yCi�
1 ��
SQ.FT.GAR ® 3/ac
HOUSE SEWER
VENTILATION
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
DUCT WORK
ROCK STORAGE
FOUND. REINF.
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
CC/V yCi�
1 ��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
-
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL