003591 (SFD)'.
4,4
P.O. BOX 1504 -No.. 0 3 5 91
Building 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
.
Owner
Danny. Dav
Mailing
BUILDING: TYPE CONST: • OCC: GRP.-
Address s 9 v;
A.P. Number 774.101@40�7
City Zip Tel.
ir. QV-,. ,-..
Legal Description
- Contrac or
Project Descriptionxr ti
Address
City JZip .. - Tel.
State Lic.
City
& Classif.
Lic. #
Sq. Ft. No. No. Dw.
Size 1843 Stories Units
Arch: Engr., .�. - . _ _ .
Designer
New ❑ Add ❑ Alter Repair ❑
Demolition ❑
Address
Tel.
980 Garage
1�2 Patio.
City
. . . . _.
Zip
-
State
Lic. #
20r3' Cif 31 .'block wall ^
LICENSED CONTRACTOR'S DECLARATION __•
-1791 - of 31 wood fC81€ ce
I hereby affirm.that I 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. ..
_
SIGNATURE DATE
OWNER•13UILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's; License' Law .for_the following
reason_: (See.. 7031.5,Bus/ness 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 file a signed statement that he Is licensed pursuant to
the. provisions of the Conbactor's License Law; Chapter 9 (commencing with Section 7000) . of
Division 3 of the Business and Profeaskins Code• or that, he is exempt therefrom,. and the basis
for the auaged exemption. Any violation of Section .7031.5 -by 'any applicant for a permit.
subjects me applicant to a dull penalty of normore than five hundred dollars ($500).
❑ 1, as owner of the ro
p perty,.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 Coder The Contracto_r's Ucense Law does not apply to an owner of property-who
- bunds or Improves thereon end who does such, work himself, or through his own employees,
provided -that Such krii rovements are not intended or offered for sale. If, however, the building.
or Improvement is sold within one year of completion, e owner-builder will have the burden -
th
of proving that he did not build or improve /or the purpose of sale.) -
Estimated Valuation
-. PERMIT - -AMOUNT -
,Plan Chk. Dep.
Plan Chk_. Bal. 339.69
Const. �s c
35o 50
Mech. :3 br u 00
Electrical - - - - e `��
Plumbing
105 ,18t)
D 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
such projects with a contraCtor(s) licensed pursuant to the Contractor's. License Law.)
El am exempt under Sec •. - B.,B P.C. for-this reason
r
S.W. -
7.04
Grading
�� ��
Driveway Enc.
20.00
r� r
Date ! j owner
Infrastructure , 1. c , 2"1
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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
_
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
-
(This section need not be completed if the permit IS for one hundred dollars ($100) valuation
or less.)
certify that in the performance of the work for which -this permit is issued; I shall not
employ any person irrarly manner so as to become subject to the Workers' Compensation '
I aws of California
Date Owner _.
NOTICE TO APPLICANT. N, alter making this Certificate of Exemption you should become
-subject to the Workers' Compensation provisions o/ the Labor Code; you must foRhwilA
comply with such provisions or this Permit shall be deemed rewked. - - -
ZONE: BY:
-
Minimum Setback Distances:
-
Front Setback,from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Ihereby 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 Street Setback from Center Line
Side Setback from Property Line
Lenders 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 1110 days.
I certify that I have read this application and. state that the above Information Is correct.
I agree'fo comply with all'city and county ordinances-and state laws relating to.bulldfng
construction, and hereby authorize, representatives -of this city to enter• the above•.
mentioned property for inspection purposes.
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. 0 $
UNITS
!
COLL. AREA
SLAB GRA DD EE -/
YARD SPKLR SYSTEM
2ND FL. SO. FT. 0.
BONDING
POR: SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING
DUCT WORK
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (ROUGH)
WALL SQ. FT.
METER LOOP
DRINKING FOUNTAIN
SO FT @
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: loot to be used as, property tax valuation
FLOOR DRAIN
h MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
LUMBER GR.
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
FIREPLACE
SQ.FT.GAR ® 3.c
HOUSE SEWER
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 S.AIR COND. SOLAR
SETBACK % _
ROUND PLUMBIN93-D 8:
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRA DD EE -/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
6e FORMS
��
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
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.
�OOFING y- -may
t7ooT"� �_
9—T R--
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITUILS.
GARDEN WALL FINAL