07077 (SATT)P.O. BOX 1504 N Q 7� 7'7
Building 7&105 CALLE ESTADO
Address 74-845 Pecan Val ley LA QUINTA, CALIFORNIA 92253
Owner
SU6ris° Company BUILDING: TYPE CONST. OCC: GRP.
Address 42-6E0 Cook St. Suite' 200
A.P. Number PGA WEST
CityZip Tel.
Palm Dese . 92260 568_2828 Legal Description '$�"8G 24801
Contractor -Phase a4B Plan 3€ HR '
tlatibnai Mortgage Und Project Description
Address
Same
City Zip Tel.:
.State Lic City i
8+ Classif. 288130.'Lic. # 32$ Sq. Ft. 221 'No. No. Dw.
Arch., Engr:,
Size Stories Units +
Designer New ❑ Add'❑ Alter ❑ Repair ❑ Demolition ❑
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
t.
7000) of Division 3 of the Business and Professions Cade, and my license is in full force and
effec
SIGNATURE - - - DATE _
OWNER -BUILDER DECLARATION Estimated Valuation
1 hereby affirm that I am exempt from the Contractor's License Law for the following $194,692
reason: (Sec. 7,031:5,Bs-Dress and Professions, Code: Any city or county which requires a -
permit to construct, alter, improve, demofsh, or repair any structure, prior to its issuance also: AMOUNT
requires the applicant for such pemu7 fr7e to a signed statement. that he is licensed pursuant to PERMIT
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 alleged exemption- Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.
subjects the applicant to a ch d penally of not more Man five hundred dollars.(5500). C3
.p I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.- <<
Professions Code: The Corttrnc[ors License Law does not apply to an owner of property who
builds or inproves thereon and who does such work himself or through his own employees, Mech. - 8.913
provided that: such 6rprovements are not untended or offered for sale. It, however, the building or improvement is said 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 sate.) . . '
+
O 1, as owner of the property, am exclusively contracting with licensed contractors to torr Plumbing t}r:WJ
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 S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) .
Grading
❑ 1 am exempt under Sec - B. & P.C. for this reason
Driveway Enc.
Date owner Infrastructure >.t#a�rty�tF,r`J
Y
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to.self-insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.) '
Policy No. Company
❑ Copy is filed with the city- ❑ Certified copy is hereby furnished.
TOTAL Sts .illi
CERTIFICATE OF EXEMPTION FROM REMARKS Afs-.A':E'a.,i1 .'^eel $•: 7"i.{e`,•-+��A.r:'y - s f
WORKERS' COMPENSATION INSURANCE
(This section neednotbe eonp(eted If the pemnft 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 arty manner so as to become subject to the'Workers' Compensation'
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become... - ZONE: BY:
subjectto the Mrkers' Compensationprovisions of the Labor Code, you must forthwith
comply with such provisions or this Permit Shall bedeemed revoked . Minimum_ Setback Distances: - - -
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY $Iris Street Setback from Center Line
------;--
I hereby affirm that there is a construction lending agency for the performance of the
• ~work for which this permit is issued. (Sec. 3097, CW Code.). Side Setback,from Property Line
Lender's Name
`Lenders Address FINAL DATE INSPECTOR
This is A building permit when property filled out, signed and validated, and is subject to. r
expiration if work thereunder is suspended for 1110 days-' 2/13/90
I certify that I have read this application and state that the above information is correct. • ISSUed by: Date Permit
1 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 Validated by:
Signature of applicant Date
Mailing Address Validation:
City,State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. Fr. ® $
UNITS
q46LAB GRADE��
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
WER OR SEPT -1T
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
! ?(/rv�
giAS (ROUGH v2
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. Fr. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
WALL SO. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO FT ®
FINAL INSP. �(J yQ
v- FRAMING 6 1,T,g?,o
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
i —�Z � �,Gc G
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDiSH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE 1'1PL.CK.FEE
TNST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
7
A15ROUND PLUG Vt/-Cn,
UNDERGROUND
A.C. UNIT
COLL AREA
q46LAB GRADE��
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
WER OR SEPT -1T
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. .22
v
! ?(/rv�
giAS (ROUGH v2
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. �(J yQ
v- FRAMING 6 1,T,g?,o
FINAL INSP.
1// - O �y `
ROOFING 5 ,J � T�/O
�0. w � rv� 02
i —�Z � �,Gc G
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
CATHING �.
MESH
, -Ow.
I NSULATIONISOUNItd-
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL