04247 (SFD):s.04247
P.O. BOX 1504
Buildings 78-105 CALLE ESTADO
53
Address 880 PaVarro LA QUINTA, CALIFORNIA.92253
Owner r..
Coaohalltt 11611ey XAn Co. BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 247 E. Ta c;Uit^Z WgLV #2 A.P.,Number 774-175--007
City Zip Tel.
Palm Sorings 32262 322-11120 Legal Description
Contractor Project DescriptionStarr Conotruction
Address
City Zip Tel. `
State Lic. City
& Classif. 387934 Lic. # 854 Sq. Ft. 1,410 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.,
City( Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I a'm licensed under proSisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and=my license is sin full force and
effect.
SIGNATURE / E' DATE
e OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, 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
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
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 or improve for the purpose of sale.)
O 1, 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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DEeCLARATION
I hereby affirm that I have a certificate of/cons4ktt to self -insure, or a certificate of
Worker's Compensation Insurance, or a certifiedcopy-fhereof. (Sec. 3800, Labor Code.)
Policy No. Company l llv 4" a
❑ Copy is filed with the city. O Certified copy is hereby fu�i�ed.
CERTIFICATE OF EXEMPTION FROM
WORKERS'COMPENSATIONINSURANCE
(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 the 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., If, 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.
CONSTRUCTION LENDING AGENCY
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.)
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.
1 certify that I have read this application 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 of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
428
stimated Valuation
8751505
PERMIT
AMOUNT
Plan Chk. Dep.
4250 000
Plan Chk. Bal.
39,14
Const.
264.00
Mech.
'a3.00
Electrical
74.17
Plumbing
1051100
S.M.I.
5.36
Grading
20.00
Driveway Enc.
20.00
Infrastructure
t+ 638. P6
TOTAL
- a
REMARKS
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
706!88
Issued by: Date Permit
Validated by:
Validation:
1
WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE.P
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1S1 FL SO Fl rp $
UNITS
SLAB GRADE
2ND FL SO FT. a
BONDING
YARD SPKLR SYSTEM -
POR SO FT. a
MOSILEHOME SVC.
BAR SINK
GAR SO. FT. Cl
I IPOWER OUTLET
ROOF DRAINS
CARP. SO FT. f�!
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. a
OTHER APP.IEOUIP.
DRINKING FOUNTAIN
SO. FT. rd
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.COOL HOOD
SIGN
WASHER(AUTONDISH)
APPLIANCE - DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT . WALL FLOOR SUSPENDED
LAUNDRYTRAY
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 a- 1 V, c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR rg 3i.c
HOUSE SEWER
LATHING
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 8 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIAIS ,
GARDEN WALL FINAL
t E. LEON SPAVGY
�{ \ o1 f If E OF
,r--,; s AGRICUL'I URN. COINIMISSIONUI ,Ai�E!• o WALLACE .
,� ni IU �SSIVAIrr,,,•.,iSSw�ER
10
WEIGI ITS b.. MEASURES CLE�1E:+t aFwErislE
-�4-� SfAUn
49-613 Ilwy 86, Suite I1-12
,4�.,..,''' Concl,el:ln, CA' 9223E
g r 9 jib 619-341-8291
DATE 2 89 px" CASE 1.0 l2 8i1 S o C 2-OF
DEVELOPER' S NAMEe
TELL•", LONE: l 6 1 2 Z 0 2 a
9'o
Dear Developer:
After reviewing your landscapi.nq plans, all plant uV3terial listed'.is not illiolativir of quarantine laws governing, the Coacliella Valley., if substitutions
do occur and they, differ [roil plarnt material listed, this office artist be.'Ootified
i�m�diately.
Thank you Lorprotecting and preserving the Coacliella Valley's pest-free environi>en't•
Agricultural Camussioirers OUice '
cc: Indio and Riverside Office