07276 (SFD)Address 43-635 Skyward Vag
Owner
Starlight Danes Parti
Mailin
Address P.O. Box 329
CityZip
. La Quinta 92253
T4'!t 4
P.O. BOX 1504 No. 472.76
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
5&1-2228
Contractor
"
RicK Johnson'Constru'Ction
Address . .
Same
State Lic. City
& Classif. ,397163 8 Lic. # .202
Arch., Engr.,-
Designer
Address- Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect w t
_SIGNATURE A DATE
OWNER -BUILDER DECLARATION
I hereby affhyn that 1 am exempt from the Contractor's License law for the following
reason: (Sec- 7031-5,Business and Professions Code: Any city or county 'which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
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
'subjects the-appkant to a iivipenalty of not more than rive hundred dollars .($500)-
❑ 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, Suisness and
Professions Code: The Contractors 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. ff, however, the building
orimprovement is said within one year of completion,- the owner -budder will have the burden
of proving thid he did not build or krprove for the purpose sof sale.)
❑ I, 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) licensed pursuant to the Contractor's License Law.) -
❑ I.am exempt under Sec B. & P.C- for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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.
CERTIFICATEOF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(rhis section need not be completedif the permit is for one hundred dollars (8100) valuation
or less-)
1 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 Calrfomia
Date - Owner
NOTICE TO APPLICANT: d 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.
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, CW1 Code.)
Lenders Name
Lenders Address
This' is a building permit when propeity filled out, signed and validated, and is subject to
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.
1 agree to comply with all city and county ordinances and state Jaws 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
City, - State, . Zip
BUILDING: -TYPE CONST. OCC: GRP. -
,A.P.,Number
,Legal Description tut 24
Project Description Frohtfer Motel
Sq. Ft. 2687
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition :1
Estimated Valuation
$1.41.,266
'
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
�..
Const.
lab. bu
Mech.
,. 100
Electrical
136.96
Plumbing
144.50
S.M.I.
9..
Grading
Driveway Enc.
Infrastructure
TOTAL
bl. / ,%�Ai�a✓
REMARKS
::a y` r taeN ;, wF . .
sl. -JI -y
wit
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSeaggPEttCT3.OQR
G�tCAJ��
Issued by: ' Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE QO�
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
DUCT WORK
ROCK STORAGE
FOUND. REINF. Q�
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) C� �!=
DRAINAGE PIPING
CAR P. SQ. FT. ®
WALL SQ. FT.
WATER HEATER
DRINKING FOUNTAIN
FINAL INSP.
URINAL
SOFT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.%2 �� 90 =
FLOOR DRAIN
MECHANICAL FEES
ROOFING
1
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
INSULATION/SOUND
FINISH GRADING
SO.FT.GAR @ 3/ic
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 , i ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE QO�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK/?O
UGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. Q�
GAS (ROUGH)/` � �494
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) C� �!=
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.%2 �� 90 =
FRAMING Lh
FINAL INSP.
ROOFING
1
VENTILATION
T/ l wylp �p r7
(�
O , `
C. �J
REMARKS.
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
HI G
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL