001735 (SFD)tyl
P.O. BOX 1504 N Q . 001735
Building, 78-105 CALLE ESTADO
Address 51-817 Vela= LA QUINTA, CALIFORNIA 92253
Owner
Joe mwlar� BUILDING: TYPE CONST. � OCC: GRP:
Mailing •�
Address A.P. Number
• City Zip Tel. . •-�. Legal Description
Contractor
i8E30fProject Description 5.x'.3•
a _
Address.. - � " 014. I.WfOtr re -roof =Mpleft fiame
ftad - � . to :ed . 3.. � 34.3,b t v
City . - ... .- mmuo .Zip - -Tel.' . ._ ..
9225 345-3751 2 l..vmrs 35 1b feltvith crusbad rcck and
State Lic. City =a
& Classif. 274 92;. Lic. # 32 Sq. Ft. No. No. Dw.
" Size- Stories -Units,
Arch., Engr.,_
Designer New Qi Add ❑ Alter 0 = Repair Demolition ❑
Address Tel.
City Zip State
Lic. # •
_ LICENSED CONTRACTOR'S DECLARATION _.
--I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 OO) of Division 3.of the Business and Professions Code, and'mylicense is in full force and
effect.. 1! Ip.- a... - , 1
SIGNATURE i DATE _
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for. the following ����
reason: (Sec. 703i.5,Business and. Professions Code:.Any city. or. county which requires. a- . !
- 00
permit to construct, alter,, Improve, demolish, of repair' any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement. that be, 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 Code, or that. he is� exempt therefrorb, and the basis-
'for the alleged exemption. Any violation of Section 7031.5'.by 'any applicant for a -permit' Plan .Chk.' Dep.
subjects theapplicant to a civil penalty of not more. than five hundred dollars'(S500):
❑.I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COf1St.
Professions Code: The Contractor's: License Law does not apply to an, owner of property who -.�►t
builds or improves thereon and who doessuch work himself.'or through his own employees, ''Mech.
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-builderwill have the burden EleCtrICBI
of proving that he did not build. or,improve for the purpose of sale.j -- , . . -
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
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. - -��
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ..
C1.1 am exempt under Sec. B. 8 P.C. for. this reason Grading
Driveway Enc.
Date owner Infrastructure
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.) - - -
Pdlicy No. Company
❑ Copy is,filed with the city., ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM -..'REMARKS
WORKERS'. COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100)' valuation
or less.) - - • •-
certify that in the performance of thg 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: 1f, after 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
A 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 Setbackfrom 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. INSPECTOR
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that .the above information is correct. Issued by: Date's Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives --of this, cityto enter the above
mentioned property for inspe�,gn purposes:_, -e Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
A2741 10 1 •..• 21 0 -0 -
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
FOR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT. ®
GAS (ROUGH)
DRAINAGE PIPING '
WALL SO. FT.
OTHER APP.IEQUIP.
DRINKING FOUNTAIN
SO FT ®
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.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
I PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & 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 FANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
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
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL
Affordable Housing Program
�� F H LBa n k Attachment 98: Project Readiness
San Francisco Building Permit Readiness or Issuance
General Inforlmation
Project Name Parcel Number
Regional REO Rentals 773-174-004
Address
51820 Avenida Velasco
City County State
La Quinta Riverside 1.CA
Building Permit Readiness
Is a building permits) ready to be issued by the appropriate local government agency based on submitted and ❑,Yes D No
approved site and building plan review for all proposed project units?
If yes, provide the following information:
Building Permit Ready Letter Date
Note: Submit one certification for each parcel number.
Building Permit Issuance
Has a building permit(s) for this project been issued by the appropriate local government agency based on �� ❑ No
submitted and approved site and building plan review for all proposed project units?
If yes, provide the following information:
Building Permit Issuance Date Building Permit Expiration Date
l - ;Zg 8
Note: Submit one certification for each parcel number.
Has a Certificate of Occupancy, final building permit sign -off, or Notice of Cpletion been issued for the
completion of construction or rehabilitation? om�i s ❑ No
If yes, provide the issuance date:
,/lGun12 '0 i sh o1gr 8 013 - 9 -f
Attach a copy of the building permit ready letter or building permits approved and issued for this project Points will not be
awarded if a copy is not provided with Attachment 9B. This form must be reissued/re-executed with each new round.
Local Building Official Authorization -
Local Building Offs ial Name Title
Local Building Offici 1 Signature Date
T14 o ff elcl
FC 2262 (7/09)
u
M1
f