003025 (SATT)Building
Address 55-604 Piaast u rs
Owner
9. 1mri 4
llc&-ty� 4 4.Q".
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 75--005 Cl try Club, Drive
City Zip Tel.
Palm IDesert' 92260 56€-2828
Contractor
Address
City lZip' Tel.
State Lic.
& Classif. .288150
Arch., Erigr., -
Designer
Address
JILDING: TYPE CONST.
P. Number
No. 003025
OCC: GRP.
egal Description
roject Description PGA West Phase 6B
Plan- 0 M .
City
Lic. # 328 Sq. Ft.
Size
New Q
1. 1 Tel.
City Zip State
_ Lic. #'
LICENSED CONTRACTOR'S DECLARATION
•C 2596 No. No. Dw.
M- 577 Stories Units
Add ❑ Alter ❑ - Repair ❑ Demolition ❑
I hereby affirm that I am licensed under provisions or Chaptec.9 (commencing with Section
70 130) of Division'3 of the Business and Profess ions. Code, and. my license is imfull,force and
effect. •" -i /�
REMARKS
SIGNATURE - 1 - / DATE
OWNERrBUILDERrDECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated. Valuation
reason: (Sec. 7031.5,Business and Professions Coder Any city or county which requires a
PERMIT
Permit, to construct, atter, improve, demolish, or repairany structure, prior. to its issuance also
requires the applicant for such permit to file 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 permitPlan
Chk. Dep.:
' subjects the applicant to a civil 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'
Plan Chk. Bal.
COnSt.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisriess and
Professions Code: The Contractor's License Law does not apply:to an owner of property who
Mech.
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. If, however; the building
- Electrical
or improvement is sold within one year of completion, the owner -builder will have the burden'
of proving that -h ' e did not build or improve for. the purpose of sale.)
Plumbing
❑ 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 builds or improves thereon, and who contracts for
S. M. 1. '
such projects with a contractors) licensed pursuant to the Contractor's License Law.) -
0 1 am -exempt under Sec. -B..& P.C. for this reason .
Grading
Driveway Enc.
.DateOwner
Infrastructure
Minimum
f
WORKERS' COMPENSATION DECLARATION f'f
I hereby affirm that I have a 6ertificate.of`consenflto self -insure, or a:•certificate,of
Worker's Compensation Insurance 'or a certified copy,.thereof,(Sec. 3800, Labor Code.) /
Policy No. " ' C *111 k: ,'- ' : Y 'Ye s'--.: A 1, 1
❑ Copy is filed with, the city. O Certified copy. is hereby furnished.
'
TOTAL
y^Ai E S � p 67 �'C3 s�idV
AMOUNT
.;r
8525.3£3
633.00
yy 55.40
1�2 � 5f3
12_57
2800.00
CERTIFICATE OF EXEMPTION FROM
REMARKS
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 thg 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.
Dale Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
ZONE:
BY:
- subject to the Workers" Compensation provisions of `the Labor Code, you must forthwith
Setback
Distances:
comply with such provisions or this permit shall be deemed revoked.
Minimum
Front.Setback from -Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side 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, Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL.DATE
INSPECTOR
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.
4/218.7
I certify that I have read this application and state that the above information is correct.
Issued by:
Date Permit
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.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
A%664
4 3 4 i -t.23 11
HARDCOPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
&LAB GRADE S -19? -0?
2ND FL. SQ. FT.
ONDING C/ Q -g-7HEATING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO, FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SQ. FT.
44AS (ROUGH) JV -9-51
DRAINAGE PIPING
WALL SQ. FT.
OTHER APP.IEOUIP.
DRINKING FOUNTAIN
SQ. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
/
^ 1'` �: �U C(�
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEEMECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING I ELECTRICAL HEATING & AIR COND. SOLAR
I CSETBACK L/ -0v
AROUND PLUMBI'KJrd-o?4 ^s
UNDERGROUND
A.C. UNIT
COLL. AREA
&LAB GRADE S -19? -0?
ROUGH PLUMB.
ONDING C/ Q -g-7HEATING
(ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPT / -3
ROUGH WIRING
DUCT WORK
ROCK STORAGE
n//ZOUND. REINF. LI _�Q -c
44AS (ROUGH) JV -9-51
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
C REINF. STEEL �.r��o ?
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
$
LUMBER GR.
FINAL INSP.
u/CFRAMING -S 7
FINAL INSP.
'
✓lOOFING D/-'Ck
(4%v
/
^ 1'` �: �U C(�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
(,KGNSULATION/SOUND)-
FINISH GRADING
'FINAL INSPECTION!`��/f-&�
VV
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS.
-
GARDEN WALL FINAL