07270 (SFD)' ui�crcu
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address M90 Sktv^ward is V LA QUINTA, CALIFORNIA 92253
Owner
Starlight Dunes Partnership
Mailing
Address P.O. Box 329
City JZip Tel.
La Qu.i : a -92253 564"2228
RkO Johhsm Construction
Address
. Same
City ZiD Tel.:
State Lic. City
& Classif. 397169 Lic. # 202
Arch., Engr.,
Designer
Address Tel.
:City.IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 affirm that I am license&under provisions of Chapter 9 (commencing with Section
7000) of bi0.vision 3 of the Business and Professions Code, and my license is in full force and
effect -
SIGNATURE DATE
OWNEt-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason fSec. 7031.5,Litsbess and Professions Code: Any city or county which requires a
permit to construct after, irpmve, demofsh, or repair any structure, prior to its issuance also .
repines the appicaHI for such permit to file a signed statement that he is licensed pursuant to
the provisions of the l:anUactoe!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 appicad to a cavil penally of no! more than rive hundred dollars (5500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the wok, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Conbactot's License Law does not apply to an owner of property who
'bu7ds or iWmres thereon and who does such work himself or through his own employees,
provided that such irprovanents are not intended or offered for sale. If, however, the budding
or Improvement Is sold within, one year of completion, -the owner -budder will have the burden
or provig that he did not bald or irymve for the purpose of sale.) .
❑ 1, as owner of the properly, am exclusively contracting with licensed contractors to con-
struct the project (Sec 7044, Business and Professions Code: The Contractor's License Law
does not appy to an owner of property who builds or improves thereon, and who contracts for
such pn*cts with, a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
. Date Owner I
WORKERS' COMPENSATION DECLARATION
lI hereby that 1 have a certificate of consent to self -insure, or a certificate of
Workers
Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polity 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 ff the permit is for one hundred dollars ($100) vahslion
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 California
Date Eimer
NOTICE TO APPLICANT: 9, after malug this Certificate of Exemption you should become
subject to the N6rkers' Conpersation provisions of the Labor Code, you must forthwith
conpfy with such provisions or this peri 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, C" Code.)
Lenders Name
Lenders Address
This is abuilding permit when property filled.out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that 1 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 irspection purposes.
Signature of applicant Date
,. Mailing Address
City,_ state, Tip
No. 07270
BUILDING: TYPE CONST. - OCC: GRP.
A.P. Number
Legal Description Frontier — Lot 18
Project Description
Sq. Ft. 2687 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $141.266
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
i6b,'W
Mech.
fa luu
Electrical
Plumbing
144. bU
S. M.I.
�..i
Grading
Date Permit
Driveway Enc.
Infrastructures
34.ji�3
TOTAL
HtMAHKS C,3ffi¢<Yi ka°t sfi f 4 •f t/• t iia
hi� 11
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
SLAB GRADE
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT.
FORMS
SEWER OR SEPTIC TANKLRO G IRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH) /� t7 METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
WALL SQ. FT.
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
—Plus—X$—=$
URINAL
SO FT ®
FRAMING gz G f)
FINAL INSP. /p l �, L
l
ESTIMATED CONSTRUCTION VALUATION $
J/y►(/ _ p
V "� l w Pop
12dlld 10
L
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
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.
SQ. FT. ® c
BATH TUB
INSULATIONISOUND
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V/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 PLUMBI% j', /� ELECTRICAL HEATING 8 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 TANKLRO G IRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. t O Q�
v
GAS (ROUGH) /� t7 METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) — j7- / — TEMP. POLE
/
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
—Plus—X$—=$
LUMBER
LUMBER GR.
FINAL INSP. �iC-(�0- /U
FRAMING gz G f)
FINAL INSP. /p l �, L
l
ROOFING *'-r /S' (� p / (1
J/y►(/ _ p
V "� l w Pop
12dlld 10
L
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
75 io
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION/6((j 9 C
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL