04357 (SATT)r.
TA
P.O. BOX 1504
Buildin
�— 78-105 CALLE ESTADO
Address 53369 Ta ng'lewo ,•, .... LA.QUINTA, CALIFORNIA 92253
Owner
su=ise company
_ Mailing,
Address_ 75-005 Country alub Dr. _
City - Zip Tel. q�y
Valor Desert 9226P..-568"�2Q2Qi
Contractor
. National Mortgage
r -
7I
�A3357
'.i
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number - .. kISA West — 'The Greens
Legal Description
Project Description ` Phase 7G
City
Zip
Tel. w
! r�h
State Lic.rA r $
City
& Classif.
Lic. it -
Sq. Ft. 1700
No. No. Dw.'.
Size
Stories Units'
Arch., Engr.,
Designer
New'❑ Add ❑
Alter ❑ Repair ❑. Demolition ❑
Address
Tel.
" City • '
Zip
State
_ ,
Lia q
LICENSED CONTRACTOR'S DECLARATION
Ihereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7n, of Division 3 of the Business and Professions Code, and my license is in full force and
effect_
SIGNATURE - DATE
1OWNER-BUILDER DECLARATION
Estimated Valuation
I
-I•hereby affirm that I am exempt from the Contractor's License Law for the following
1120 769
. reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
• d 7
permit to , construct, after, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rife a signed statement that he is licensed pursuant to
PERMIT
-
•AMOUNT
the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Cade, or that. he Is exempt therefrom, and the basis
Any Section 7031.5 by 'any for
Chk. Dep.
- i -
�, 1
for the alleged exemption. violation of applicant a permitPlan
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Plan Chk. Bal.
❑ 1, 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
.401.27
Const. '495.50Professions
•
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,
Mech.
A.111
•"1f /i.0
339
provided that such improvements are not intended or offered for sale. If, however, the building
V
r
or improvement is sold within one year of completion, the owner -builder will have the burden
Electrical
` 72.50
of proving that he did not build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
105,00
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
S.M.I.
0.44
such projects with a contractor(s) licensed pursuant tothe Contractor's License Law.)
Grading
O 1 am exempt under Sec. B. & P.C. for this reason
"
Driveway Enc.
Date "'Owner
Infrastructure
1
�. r
tv�l3ri`.�I
r. WORKERS' COMPENSATION DECLARATION
Ix trasa'X€ Ct'rur2 Waw y 4 00 '
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
.O Copy is filed with the city. ❑ Certified copy is hereby furnished.
- -
TOTAL
+� - Y 4F,Y • as i Yf-i 1, IF�. , ij
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
+(This seefion-need not.be completed if the permit Is for oris hundred dollars ($100) valuation
r ft'��-" "3t. e.t111 Illi R`-�.-f =,3r!. '�•-ir "
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.
r
Date _*Owner
NOTICE -TO APPLICANT: g, 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:
-' d
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
FINAL DATE
INSPECTOR `
' 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./
2 6 13 8
I certify that I 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-
bove
Mentioned
mentioned property for inspection purposes. .
- Validated by:
3: i
Signature of•applicant • Date '
Mailing Address
Validation:
City,. State, Zip
.O.< � WHITE -FINANCE, PINK APPLICANT, GREEN -BUILDING,' GOLDENROD - ASSESSORS OFFICE, HARD COPY.- FILE J.,
I'•�S �. ��is?!R-.e'�Jl..'.-�1��t 1.'a`�.S�P .,. "i,!_ v w _, ..flu,:.tf.f.-�.,5:•.. J-TIiN,,.r.)' Rn...1�k .....'�:. u.n .. r.a.. -• .... _.-: v.J, �.. ...- u,:!-..�r...�-_u<'w.•1.t?...a. -. r: �'t...:�J+Y'.3 •-i ('.�.� fti ...
CONSTRUCTION ESTIMATL
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT (a S
UNITS
SLAB GRADE
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
FORMS
SEWER OR SEPT"C TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FTat
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OUTLET
ROOF DRAINS
GAR SO. FT. aPOWER
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SO FT. 6
FINAL INSP.
WALL SO. FT. (d
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
_$
URINAL
SO. FT. (d
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTONDISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
ILAUNDRYTRAY
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 g I'A c
SEWAGE DISPOSAL
SO.FT.GAR (g 3/.c
HOUSE SEWER
J �61I CTION/
/
GAS PIPING
PERM17 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 SEPT"C 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
INSULATIONISOUND
FINISH GRADING
J �61I CTION/
/
"
CE 7. OCC.
FENCE FINAL 1
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL