04900 (SFD)44
` x P.O. BOX 1504
Building„� 7&105 CALLE ESTADO
Address 00 SlPTEt Aie �.'Ota>� L ^^.LA QUINTA,, CALIFORNIA 92253. ••
a
Owner
Dai*.Con Development
Mailing
Address` 68-713 Fa rea Radd. #i
City; 4 ZipTel.
+IuA ' o"dra�1 City 92234 773-9'
• ' •�„ 04900
BUILDING: TYPE CONST. OCC. GRP.
A.P..Number.. - .. ere 18 QUIInta
.1124 Legal Description F ,
,L;ontractor Project Description -F Iae 2222 o Phase I
Lot 24
Address,
City, ' ; Zip Tel.
V.
� yState Li City
& Classy f. '. r 43077 Lic. # 1219 � ,•
1` Arch.; Engr.,,
'Designer
Address Tel.
City Zip State
i Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I ain licensed under provisions of Chapter 9 (commencing with Section
71X)0) of Division .3r of the Business and Professions Code, and my license is in full force and
effect.; s,/VF-t � r ��w .^-^ % ^� 7,^ .If �
1
SLGNATUREr DATE
Sq. Ft. 2222 No., 2 No.'Dw.
Size Stories Units a
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
i
I OWNER -BUILDER DECLARATION
1 -hereby affirm that I am exempt from the Contractors License Law for the following
Estimated Valuation
0 11 161 f
t�fi 1
• reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a
permil ,to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such to file a signed statement that he is licensed to
PERMIT
•
'
permit pursuant
the provisions -of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
AMOUNT ^ ,
Division 3 o 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
Plan Chk. Dep.
'
subjects the applicant to a civil penalty of nol more than five hundred dollars ($500).
Plan Chk. Bal.
►.. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will
8 ,` 387.64
do the work; and lhe,structure is not intended or offered for sale. (Sec. 7044, Bussness and
Professions Code: The Contractor's
nS. �
Const.
�{�
License Law does not apply to an owner of property who
builds:or improves ;fhereon and who does such work himself or through his own employees,
Improvements intended
Mech.,
7 r
Q�
provided that, such are not or offered for sale. If, however, the building
or improvement Is,'sold:within one year of completion, the owner -bulkier will have the burden
Electficar-a Z”' `, V,
C ct
1 8 5 19
of proving that he did not build or improve for the purpose of sale.)
�
' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
98a (}p
.. struct.the, project. �(Sec:.7044, Business and Professions Code: The Contractor's License Law
j
does not apply to an owner of property who builds or Improves thereon, and who contracts for
S.M.I.
.- such projects witha contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
0,1 am exempt under Sec. B. & P.C. for this reason
-�
Driveway Enc.
Date Owner t
Infrastructure
-
s
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
Copy is filed with the city. ❑ Certified copy is hereby furnished.
•
TOTAL7�}sC`ti,.i5
�/+ -� %_C�i•t{_.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
' ^"' ` . ' "* rar ' * "• - - ! - ; £ 3
This section need not be completed if the
. ( permit is for one hundred dollars ($100) valuatkai
-
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.
'
.,'NOTICE TO APPLICANT., If,*•alter making this Certificate of Exemption you should become
ZONE:
BY:
. subject_ to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
Minimum Setback Distances: - �- -
`
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
This is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE
I
.IqN- SPE OR
�JO
expiration it work thereunder is suspended for 180 days. +
1 . ,
I certify that;,) 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.
^ V
Validated by:
Signature.of applicant Date
r
„ Malling'Address
Validation:
' City, State, Zlp'
t
WHITE - FINANCE PINK APPLICANT GREEN BUILDING, GOLDENROD ASSESSORS OFFICE HARD COPY = FILE •.
y.c. t� t�.�rt �f:. ._,L'4'..±n ra`r r:.:�•,i ..i:,. .... ,.11•r,. iS.:.3-:. .. i- ',. is-.�: t..=.�,:., 1-,.�:�:.'r �.�..._.,.,a...>w -_. fit..'`_ �.ro�-_:•.. ._.. ..
CONSTRUCTION ESTIMATE
- NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO F1 (p $
UNITS
B GRADE 4 —�
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. gt
FORMS
SEWER OR SEPTIC
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. a
/TANK
GAS (ROUGH) 'C�5/�/
TER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. @
P. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT. a
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. @
.= $
LUMBER GR.
FINAL INSP. '
/
FRAMINGlaq,
1 c
URINAL
SD. FT. (d
1
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
VENTILATION
; FLOOR DRAIN
MECHANICAL FEES
FIRE ZONE ROOFING
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
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
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a 1 %A c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/.c
HOUSE SEWER
FENCE FINAL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
ME:;H.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
S BACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE 4 —�
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC
ROUGH WIRING
DUCT WORK
ROCK STORAGE
UND. REINF.
/TANK
GAS (ROUGH) 'C�5/�/
TER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)Cr (L� U'(
P. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
.= $
LUMBER GR.
FINAL INSP. '
/
FRAMINGlaq,
1 c
FINAL INSP.
ROOFINGq
1
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND 6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESINITIALS
GARDEN WALL FINAL