07283 (SFD)T4ht 4 4 a"
g/U 5KYGc)AR17 lit/,, Y
P.O. BOX 1504
Buildin '=w — - - -_ J,uc,� 7&105 CALLE ESTADO
g J LA QUINTA, CALIFORNIA 92253
Address . y
Starlight Dunes Partnershi
Address P.O. BOX 329
City Zip Tel.
La Quinta 192253 564-2228
Contractor
. RicK Johnson Construction
Address
Sates
State Lic. City
& Classif.397169 0 Lic. #202
Arch., Engr.;
Designer
Address Tel.
City ( Zip( State I
Lic. #
, I I LICENSED CONTRACTOR'S DECLARATION
hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
700 of Division 3 of the Business and Professions Code, and my license is in full force and
effect
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Lawfor the following
reason: (Sec. 7031.S.Business and .Professions Code: Any city or county which requires a
pennff to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile 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 applicant to a civilpenalty 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or reproves thereon mid who does such work himself or through his own employees,
providedithal' such improvements are not intended or offered for sale. If, however, the building
or improvement is salt within one year of completion, the owner -builder will have the burden
of proving that he did not build orsnprove for the purpose of sale.)
❑ 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 contracta(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
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.)
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 ($100) valuation
or less.) -
I 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 Il, 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 pemut shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 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.)
Lender's Name
Lenders Address
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.
1 certify that I have read this application and state that the above information is correct.
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-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Add
City,. State, Zip
No.
NG: TYPE CONST. • OCC: GRP
A.P. Number
Legal Description Lot 31
Project Description Frontier Mallei
07283
REMARKS -,•n A^ r r , ttn :t:
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 INSPECTOR
2/28/90
Issued by: Date Permit
Validated by:
Validation:
Sq. Ft. 2687
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair❑ Demolition ❑
Estimated Valuation
1Q,s2 66
PERMIT -
AMOUNT
Plan Chk. Dep. -
Plan Chk. Bal.
64`.l,VU
Const.
165.bu
Mech.
b3. u
Electrical
136..96
Plumbing
144.50
S.M.I.
'fit
Grading
Driveway Enc.
Infrastructure
.3,175 , 49
TOTAL
001. ! 3
•f f 7e,7, 7 7 7 :
REMARKS -,•n A^ r r , ttn :t:
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 INSPECTOR
2/28/90
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE /2/
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC
/[
N( O
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
/
7
C
GAS (ROUGH)
METER LOOP
DRAINAGE PIPING
CAR P. SO. FT. ®
REINF. STEEL
GAS (FINAL)
DRINKING FOUNTAIN
WALL SO. FT. ®
GROUT
WATER HEATER
URINAL
SO. FT. @
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
LUMBER GR.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
��
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,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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE7N`�
JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMB[
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE /2/
�)
Ql/ !%
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC
/[
N( O
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. G (
`
/
7
C
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus xi
=S
LUMBER GR.
FINAL INSP.
FRAMING S (fd f✓
FINAL INSP. fD O.Q
ROOFING
VENTILATION
��
(_ 1///
ifs Q� �,
REMARKS
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
96d I
LATHING V 21 leiD
MESH
INSULATIONISOUND� Td
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
GARDEN WALL FINAL
111=3 =
S w �"
.0 .
.
P.O. BOX 1504 No.
78-105 CALLE ESTADO ..
LA QUINTA, CALIFORNIA 92253 - y
Dunes Pa'rtnershi {
BUILDING. TYPE CONST OCC: GRP -ten
P.D. Box 329,. f �•'
A P Number
City1.
Zip
Tel. ::.
l:ot 31: `
La Quints
92253
564-2228
Legal Desch tion
es p.'
Plumbing
❑ 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
S.M.I.
Project Description " �1"t]ntier' ibdel '
Contractor
Ric Johnson Con'ttruction
# i
'. Address
{
Same
Side Street Setback from Center Line
I hereby affirm that 1 have a certificate of consent to self -Insure, or a certificate of
City
Zip
Tel
m•
Date 2/28J9"Permit' }
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. '
r
Validation:
v ` ,
J
State Llc. ' Clty
.a Classif391.169 : 8 _ Lt X202
Arch.;. Engr
-:Designer +,
Address , 3 r Tel
City Zip ' State .
Lic. #
LI ISED CONTRACTOR'S DECLARATION
1 here silvan that 1 am 4sbd under provisions of
Chapter 9 (commencing with Section
7000) of I 'sion 3 of the Bu ,Rem and Professions Code, and lit ense;s in IMI, erce and
SIGNATItmE t •"• GATE _.
OWNER -BUILDER DEculunoN Estimated Valuation
1 hereby aNirin that f am exempt from the Contractors License Law for the following
reason- (Sec 7031 5 BusIn and Pror Gbde Any or nk/n
essrorus cHy county IN
Sq. IF 2681 j No... , No: ow z f ;
Size Stories
,NeW O Add Cil :t Alter ❑ iepalr.0; ; Demo1dion
ow, a
ass after, improve, demwfsh, or repair any structure, prior to Its issuance also
- permit to construct,
.. requires the applicant for such permit to fie a_soied statement Mat he is licensed pursuant to
the provisions or the Contractors License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the [lushness and Professions Code, or that. he is exempt therefrom, and the basis
forMe alleged exemption. Any violation of Section 7031.5 by any applicant for a pert*
applicant to a civil penally of not more than five hundred dollars ($500)..
ner of the property, or my employees with wages as their sole compensation, will
do ork, and the structure is not intended or offered for sale. (Sec. 7044, Bufsness and
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 errployees,
provided that such improvements are not Intended or offered for sale. h, however, Me buki g
.. ..,,PERMIT' ;•
Plan Chk. Dep. - -
Plan Chk: Bal.
Const.'
'Meeh. . .
Electrical - -
or -improvement is sold within one year of conpkikin, the owner -builder wig have the burden •
of proving that he did not build d% irprove for the purpose of sale.)
Plumbing
❑ 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
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License law.) .
❑ 1 am exempt under Sec—' w & P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
Side Street Setback from Center Line
I hereby affirm that 1 have a certificate of consent to self -Insure, or a certificate of
Side Setback from Property Line
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3600, labor Code.)
INSPECTOR'
Policy No Company
Date 2/28J9"Permit' }
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. '
r
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed B Me pen* is for one hundred dollars . f$100) vahrabon
or fess.)
1 certify that in the performance of the work for which this permit is issued, I shall not'
employ any
California person in any manner so as to become subject to the Workers' Compensation
Laws of
Date Owner
NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of Me Labor Code, you must forthwith
comply with such provisions or this permit shag be deemed revoked.
CONSTRUCTION LENDING AGENCY . .11
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Clivi Code.) .
Lender's Name
Lenders Address
Tbk1s a building permit when properly filled out, signed and validated, and is subject to
ex if work thereunder is suspended for 1110 days.
i that I have read this application and state that the above information is correct
I comply with all city and county ordinances and state laws relating to building
cons .tion, 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
6�
-AMOUNT
-.645.90
-786.50
60.00
136.96
144.50
•9.38
3,178.49 --
TOTAL
$4961.73 ,— / '
REMARKS
,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
INSPECTOR'
Issued by:
Date 2/28J9"Permit' }
Validated by:
r
Validation:
v ` ,