002245 (SATT).0
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 80-520 FeWe Eemh LA QUINTA, CALIFORNIA 92253
Owner
No.. 002245
Mailing BUILDING: TYPE -CONST, OCC*. GRP. -
Address 75-005 C=Mfty ClUb Mivla A.P. Number
City Zip Tel.
.Pvam �. 92260 5&9_2.928 Legal Description
M_ Em RM OR
Contractor Tr,o'ect' Description' 10
. Address ..
PM'e •a
City
Zip
Tel.'
State —Lic.
City
BM 22=
& Clas.sif. 288230
Lic. # 328-
Sq. Ft. GAR- s92 No. I No. Dw.
-Size Stories Units
Arch., Engr.,
Designer
New 91, Add 0 Alter 0. Repair 0-
Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION -
d:hereby affirm that I am licensed under Provisions of Chapter 9 (6ommencing with Section
7000)0 iop 3 of the Business and -Professions Code, and my license is in full orce and
effect. •
DATE
6.WNER-BUILRtR DECLARATION
1 t(ereby�afilirm that I am exempt frorn'the Contractor's License Law for the following
Estimated Valuation
$AA4,517.00
reasori: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a"
PERMIT
AMOUNT
Permff'to construct, alter, Improve, detnotisli, 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
the provisions of the Contractor's Licensg Law, Chapter 9 (commencing with Section 7000). of
Division 3 of the Business and Professions Code, or that, hi�'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 civil penaltylof not more than five hundred dollars ($500)..
0 1, as owner of the property, or my employees with wages as their sole compensation, will
Plan Chk. Dep.
Plan Chk. Bl.
Bal.
46i.8 9
Const:'
545.50
do tfib work;�ancl the structure is not intended or offered for sale. (Sec. 7044, Buisness and.
Professions Code: The Contractor's License Law does not apply. to an owner of property who
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
or improvement is sold within one year of completion, the owner -builder *will,have the burden,
of proving that he did not build of improve for the purpose of sale.)
0 1, as owner of the property, am exclusively contracting,with licensed contractors to con-
mech.
55.00
Electrical
102.17
Plumbing
328.50
struct the project. (Sec.. 7044, Business and Professions.'Code: The Contractor's License Law
does not apply to an owner of properly who builds or improves thereon, and who contracts for
S.M.I.
9.84
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
El I am exempt under Sec. B. & P.C..for this reason
Grading
Driveway Enc.
Date Owner
Infrastructure
2,000.00
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
41#303.90
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one shundred dollars (S100) valuation
1�
or less.).. .
I certify that in the performance of thp 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: It, after making this Certificate of Exemption you should become
subject to the Workers" Compensation provisions of the 'Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
ZONE: BY:
Minimum Setback'Distances:
Front Setback, fromCenter Lin
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, CivilCode.) I.
Side Setback from Property Line
Lenders Name
Lender's Address
FINAL DATE INSPECTOR
This is a building permit when properly filled out, signed and validated, and Is subject to
expiration it 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 sof this city to enter the above-.
mentioned properly foi,inspection purposes. t
Signature' of applicantNY Date
Mailing Address
Issued by: Date -4-8-86 Permit
Validated by:
Validation:
A 5 0 9 1 4 8 3 3 9 0 CK
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL EEShmilikk
NO. PLUMBING FEES '
1ST FL. SQ. FT. p $
UNITS'
R"<SLAB GRADE �,
2ND FL. } SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL j SQ. FT. ®
OTHER APP./EOUIP.
DRINKING FOUNTAIN
SQ. FT.
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT f
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP..� L/
C�
FLOOR DRAIN
I MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
L,4 -FINAL INSP. Cl
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 j B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
GAR. FIREWALL 1
SO.FT.GAR ® 3/ac
HOUSE SEWER
�L/LLATHING G) 11
GAS PIPING
PERMIT FEE I
PERMIT FEE
PERMIT FEE
DBL
TOTfAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE I PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
R"<SLAB GRADE �,
fCSOUGH PLUMB. f ��
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
q SEWER OR SEPT T 96
G
BOUGH WIRING O //Q�
0 S
DUCT WORK
ROCKSTORAGE
\ FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
ecr[ REINF. STEEL 6 )
GAS (FINAL)
TEMP. POLE
GROUT f
WATER HEATER
SERVICE
FINAL INSP..� L/
C�
BOND BEAM i
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR. i
L,4 -FINAL INSP. Cl
%(C FRAMING at,�jFINAL
INSP.'a, �
/ ROOFING `l
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE 1
SPARK ARRESTOR 7
GAR. FIREWALL 1
�L/LLATHING G) 11
MESH
f
1 INSULATION/SOUND(
FINISH GRADING
FINAL INSPECTION �I
CERT. OCC. I
i
FENCE FINAL
1NSreG 1 UM A Dw NA I U Mr W IN r11ALD.
GARDEN WALL FINAL