002911 (SFD)44
P.O. BOX 1504
Building� 1. 7&105 CALLE ESTADO
AddressLA QUINTA, CALIFORNIA 92253
No. .002911
Owner
Sww*ee BUILDING: TYPE CONST. ` OCC: GRP.•
Address , v..00s ,c
City
-.
Contractor
mall-ie3
Address
City
State Lic.
& Classif.
" Arch., Engr.;'
Designer
lTJiay Club Drive A.P. Number
Zip Tel.
9220 568—MA - Legal Description
Project Description TIM WWI �W, 15 A
MAN 3C
Zip Tela
City 1627Lic. #.322 Sq. Ft. MIG No. No. Dw.
Size W.. 424 • Stories Units
New IA Add ❑ Alter ❑. 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 V -
7000) of Divisiom3 of the Business and Professions Code, and.my license is in'full force and
effect. ✓�?' F. `� ._ .. . - i li
SIGNATURE Y ,r' ,DATE
�dWNER-BUILDER DECLARATION EStlmated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the -following t s'
reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county. which requires a- . ii
permit to construct, alter, improve, demolish, or repair any structure; prior to. its issuance also
requires the applicant for such permit to file a signedstatementthat he is -licensed pursuant to - PERMIT. -
r 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 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 or not more than five hundred dollars ($500).
O 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, Bwsness and
Professions 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,
. 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 -builder will have the burden
of proving that he did not build or improve for the purpose, of sale.)
❑ I, as owner of the property, am exclusively contract ing.with licensed contractors to con-
- Struct the project. (Sec. 7044, Business and. Professions Codee The Contractor's License Law
does not apply. to an owner of property who builds or improves :hereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. 8 P.C. for this reason
Const.
'
Mech.
Electrical'
Plumbing
S.M.I.
Grading
Driveway Enc.
Date owner
Infrastructure
Front, Setback from Center. Line
WORKERS' COMPENSATION DECLARATION
" I' hereby affirm that I' have a'certificate of consent to self-ihsure, 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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (S 100) valuation
• or less:) –
I certify that in the performance of thg work for which this permit is issued, 1 shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY -
TOTAL
REMARKS
hereby affirm that there is a construction lending agency'for the performance of the.
AMOUNT
46040
-34'. 010 -.
67.41
&7.50.
7."A
Date' Owner
NOTICE TO APPLICANT: if, after making this Certificate or Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you mdst*forlhwim
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
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 it work thereunder is suspended for 180 days.
I that I have
Permit
certify read this application and state that the above information is correct.
-agree
Issued by:
Date .2--d—R7
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.
,
Validated by:
/i
Signature of applicant Date
Mailing Address `"` i
Validation:
City, State, Zip j
A 7 2 8 5
2 10 275121 U
HARD COPY
CONSTRUCTION ESTIMATE "
NO. ELECTRICAL FE
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT. ® .
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT.
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB. - _
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH) -/G-� 1
!
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3/ac
HOUSE SEWER
&&FRAMING �-_ r_ C
FINAL INSP.
GAS PIPING
PERMIT FEE
REMARKS:
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICIFEEMECH.FEE
PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK - ��.�
&Z GROUND PLUMBINV,,;L<
UNDERGROUND
A.C. UNIT
COLL. AREA
/// SLAB GRADE 3 r .� 3 -�
ROUGH PLUMB. - _
ONDING -!
HEATING (ROUGH)
STORAGE TANK
ZeFORMS Z_ [' / �'�
SEWER OR SEPTIC TANK
4ROUGH WIRING �r F
1
DUCT WORK
ROCK STORAGE
Q�FOUND. REINF. -`�- ��
GAS (ROUGH) -/G-� 1
!
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
2/,<REINF. STEEL _�;.,,12 -4F
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
INALINSP.6�-a��
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
-Plus-X$-=$
LUMBER GR.
AL INSP.6-Z!i_..b'
7c
&&FRAMING �-_ r_ C
FINAL INSP.
eG�ROOFINGy`�
�2 ./w � L� A,
( ' g CA --
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
FIREWALL
,/GAR.
a4ATHING
MESH
kle INSULATION/SOUND
FINISH GRADING
/b✓ FINAL INSPECTION
v 0
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL