003390 (RPL)r.V. DVA
Building 78-105 CALLE ESTADO
13 Calle Serrano LA QUINTA, CALIFORNIA 92253
Address 48-1
Owner
FrAn k Rawl in nn BUILDING: TYPE CONST, OCC.,GRP..
Mailing,
Address Same A.R. Number La Guna Dela Paz
City Zip
ITe - 1. Legal Description
Contractor'WPa
Project Description
W T661 Plumbing '(All- America..,
Address
73-725 El Paseo §23C
City Zip . -Tel
Palm Deer -
92260 34063447
s
State Lic. City
& Classif. 404640 Lic. #
Arch., Engr.,
Designer
Address Tel.
CityJState . Zip Lic. #
LICENSED CONTRACTOR'S -DECILARATION'i
I hereby affirm that I am licensed under orovisions of 6hapter 9;(c mmencing,wi<hSection
7000) of Divl'sWO of the Businest and Professions C96,.and rny license 1cense isdh full force and
Sq. Ft.
Size. -
New 0
No.
Stories
No. Dw.
Units
Add 0 Alter 0 Repair 0 -Demolition 0.
I-A—A I / -3 - ��,u - 25 1
- .... . . . ..
. ... .
.
SIGNATURE -1 DATE
OWNER -BUILDER IDECLARATION,,10"I
I hereby affirm that I aVn exempt from the Contractor's License Law for.the following
reason: (Sec. 7031.5,Business and Professions gode: Any_ ql�y or;county which., requires a,
permit to construct, alter, improv . a, . demolish, - or repair -any stru&Vr;e,`pridr1to . its'Issuance also
• requires the applicant for such permit to file a signed statement,that he,WJicerised, pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencin6 with - 'Section 7000) of
"'Division 3 of theBusiness 'and 'Professions Code, or 'that -he is' exempt :ihdref;o;n, and the basis
;.,for the I 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).,
QI asq ner. of the, property, or, my employees with wages. astheir sole compensation, will
do ifie 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 'fheiedn 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
Estimated Valuation,
414,000
PERMIT
AMOUNT
Plan Chk. Dep.
Plan.Chk. Bal.
t7i 01
Const.
Mech..
Electrical'
I A JV)
• or improvement -Is sold within one year of completion, the owner -builder will have the burden
of proving that he did not dufld,or improve for the purpose of sale.)
Plumbing
14. CID
0 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)4icensed pursuant to the Contractor's License -Law:)
0 1 am exempt under Sec. B. & P.C. for this reason
S.M.I.
Grading
Driveway Eric.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
J 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
mpany
.0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)00a
I certify that in the performance of thp work for which this permit is issued, .l shall not
employ any person in any manner so as to become subject to the Workers" Compensation
Laws of California.
. fi
Z . —
Date_!_�_�owrjej
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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
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.) •
Side Street Setback from Center Line
Side Setback from Property Line
Lenders Name
FINAL. DATE
Issued by:
Validated by:
INSPECTOR
.'Date 9/21/A.`Permit
Lender's Address
T . his is a building permit when properly filled out, signed and validated,, and is subject to
expiration it work thereunder is suspended for 180 days.
.1 certify that I have read this application and state that the above information 4s correct
I agree' to comply with all city and couhty 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
Validation:
City, State, zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
ROUGH PLUMB. �(� �2 ?
YARD SPKLR SYSTEM
FOR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
GAS (ROUGH)
DRINKING FOUNTAIN
SQ FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
WATER SYSTEM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
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
SQ.FT.GAR ® 3Ac
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 & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. �(� �2 ?
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./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.
ROOFING
C
v
�98
REMARKS:
VENTILATION
FIRE ZONE ROOFING/
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL.
INSPECTOR'S SIGNATURESIINITIALS.
GARDEN WALL FINAL