07047 (SATT)Address 7435 Pecan fat
-Owner
bull P9 Se G any
Mailing
Address 42-600 Cook St,
_ City Zip -
Palm Desert 92260
Contractor
National Hertga e
Address .
m
Sa
P.O. BOX 1504 No 0704T,
7&105 CALLE ESTADO r ,
LA QUINTA, CALIFORNIA 92253 U t
BUILDING: TYPE CONST. OCC: GRP. '
Suite 200 A.P. Number PGA. WEST
Tel. S �o Legal Description Tract. 2'801 r
Project Description iPhidse 348 "' Plar 2€� t
& Land
}
City
Zip
Tel.:
Front Setback from Center Line
Rear Setback from Rear Prop. Line -
Side Street Setback from Center Line' '
y
State Lic.
City
FINAL DATE
INSPECTOR
& Classif. M8130
Lic. # 328
Sq. Ft. 2596
No. No. Dw. -
Validated by:
Size
Stories Units
Arch., Engr., ...
_
Designer
New O• Add:D.
Alter 0 Repair O Demolition.0
Address'
Tel.
;
City
Zip
State
Lic. #
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.
F
SIGNATURE DATE
-
:.'- ' OWNEWBUILDER DECLARATION
I hereby-affirmthat I am exempt from the Contractor's License Law for the followingjJ�,€i
Estimated Valuation
18
. reason: (Sec., 7031.5,Bushess and Professions. Code: Any city or county which requires, a
permit to construct, ager, i nprove, . demolish, or repair any structure, prior to 'its issuance also
-
requires the applicant for such permit to file a signed statement that he is licensed pursuant to,
PERMIT
AMOUNT
' the provisions of the contractors 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 Any Section 7031.5• 'any for
Plan. Chk. Dep.
.,
alleged exemption. violation of by applicant a permit
' subjects the applicant to a civil penalty of not more than five hundred dollars.(5500).
Plan. Chk. Bal.
_
I !,l
0 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. 70 44, Buisness and
Professions Code: The Contractor's License Law does• not apply to an owner of property whoU7
Const.�1�•..k%
builds or improves thereon and who does 'such work himself or through -his own employees,
Mech.
U. V�y''et
provided that: such irrrprovements are not intended or offered for sale. If, however, the building
-
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
.. of proving that he did not build or improve for the purpose of sale.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
195AD
• struct the, project. (Sec. 7044. Business and Professions Code: The Contractor's License Law
improves
(�
z bu •
- does not apply to an owner of property who builds or thereon, .and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
S.M.I.
Grading
-
01 am exempt under Sec B. 8 P.C. for this reason
Driveway Eno,
Dateowner
Infrastructure
; _a
t?S5 C.Fet]7 r
L.Uzz: `m
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. '
TOTAL
CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE
REMARKS
1, n ^s .. v n '.a n �: • t i.4 g t1
i
(rhs section need not be•completed if the permitis for one hundred dollars ($100) valuation
s t
' or less.)
- I certify that in the performance of thg work for which this permit is issued, 1 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: ff, after making this Certificate of Exemption you should become
subject to the Nbrkers' 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'affinn 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
Lender's, Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if 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'
Mailing Address
city,- State, Zip
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
=I13Permit,.
Issued by:
Date
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT. ®
FORMS
EWER ORSEV
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
aAS (ROUGH) �_l�y-�U
�^
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
I
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SO. FT.
=$
LUMBER GR,
FINAL INSP. /U 5 "'?O �j
URINAL
SO. FT. @
?`GOOFING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DiSH)
APPLIANCE DRYER
FIREPLACE
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,TEM/PERM
LAVATORY
HEATING SYSTEM 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% c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
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 GOND. SOLAR
SETBACK
OUND PLUM Gl
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER ORSEV
ROUGH WIRING
DUCT WORK
ROCK STORAGE
1 FOUND. REINF. _f.; r`
aAS (ROUGH) �_l�y-�U
�^
METER LOOP
HEATING (FINAL)
OTHER APPIEOUIP.
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. /U 5 "'?O �j
FRAMING �7_ d _
FINAL INSP.
?`GOOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL '
�J ///
ff__LATHING �,,21 4?o
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL