07285 (SFD)Building
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
Starlight Dunes Partnership
Mailing .
Address P,,0. B" 7t9E_
City Zip Tel.
La Wnt& 1 92253 564-222€
Contractor
Rick• J.Ahsfln Construction
Address
Same
City Zip Tel.:
State Lic.City
& Classif. 397169 B.' Lic. # 202
Arch., Engr.,
Designer
Address' Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLAMATION
I hereby affirm that 1 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. i
OWNER -BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,0uness and Professions Code: Any city or county which requires a
Permit to construct, after, improve, demolish, or repair any structure, prior to its Issuance also
requires the applicant for such permit to Me 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 permit
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
do the work, and 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
birds or improves thereon and who does such work himself or through his own employees,
Provided. that: such improvements are not intended or offered for safe. If, however, the building
Or improvement is said withbn one year of completion, the owner -builder will have the burden
of proving that he did not brutd Or improve for the purpose of sale.) -
❑ 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
doesnot apply to an owner of. property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Cormpany
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM.
WORKERS' COMPENSATION INSURANCE
'(This section need not be completed ff the permit 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 anyperson 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
subjact to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such Provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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.).
Lenders Name--
Lenders,
ame
Lenders, Address
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that I have read this appliption and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives rot this city to enter the • above-.
mentioned property for inspection purposes.
.Signature of applicant Date
Mailing Address
City,. State, Zip
No. 07285
BUILDING: TYPE CONST. OCC. GRP
A.P. Number
Legal Description Lot 33
Project Description Frontier ftdel
Sq. Ft. 2637 No. No. Dw.
Size Stories x• _- Units
New ❑ Add ❑ Alter ❑ : Repair ❑ Demolitiori ❑
Estimated Valuation
141a266
PERMIT. -`-
AMOUNT
Plan Chk' Dep.
Plan Chk. Bal.+
Const.
r�
Mech.
Electrical
d 6.9D
Plumbing
344.Ou
S.M.I.
. J6
Grading
Driveway Enc.
Infrastructure
i 49
TOTAL
#4961.73
REMARKS
�• � .. .t .?�t c�-� � +.�i � 1€s:..
� • =��ar1 � c r .1., ,.
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
2/28/90
Issued by: Date Permit
Validated by:
.Validation:
Aw CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES >
'1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO 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
SLAB GRADE s` Z �F/�/
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH WIRING.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROCK STORAGE
LAUNDRYTRAY
AIR HANDLING UNIT CFM
CAS(ROUGH) /�JG
/ /W
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
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1'A c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GRADING
cu. yd.
$ plus x$
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBINGJELECTRICAL HEATING & AIR COND. SOLAR'
.r�9rr�.�rf
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE s` Z �F/�/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
r
iK I
SEWER OR SEPTIC7W1
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. n9
`s
!Jv
CAS(ROUGH) /�JG
/ /W
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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 �h
FINAL INSP. � Ql
ROOFING
/}q /�
Ul/
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
DING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION; �l(/
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1