07288 (SFD)4
f �- ` - P.O. BOX 1504
Buildings .y 78-105 CALLE ESTADO
Address " l i°""�" LA QUINTA, CALIFORNIA 92253
Owner
Starlight Dunes Partnership
Mailing
Address P.O. Box 329
City Zip Tel.
. . la Quinti 92253 56 2228
Contractor
Rick Johnson constrlsction
Address
S;
City lZip Tela
State Lic. City
& Classif. 397169 8 Lic. # 202
Arch., Engr.,
Designer
Address Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed ender provisions of Chapter 9 (commencing with Section
7 Divisions 31of the Business"and Professions Code, and my license is in full foreeand,
and,
SIGNATURE s DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,13usiness and Professions Code: Any city or county which requires a
permit to construct, ager, 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 civil penally of Trot more than rive hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the stricture 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 thereon and who does such work himself or through his own employees,
provided that suchrrprovernemis are rrot Intended or offered for sale. If, however, the building
or Improvement is sob wdhri.w year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of safe.)
O 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 braids or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
❑ 1 am exempt under Sec- R- & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm 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.)
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 the 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: ff, 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 proymbm or this pem* shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued- (Sec. 3097, Civil Code.)
Lenders Name
Lenders Address
This is a building permit when property 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.
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 Address
City, State, Zip
No. 07288
BUILDING: TYPE CONST. W OCC: GRP.
A.P. Number
Legal Description Lot. 35
Project Description Horizon el
REMARKS *04 7: T,� , _<!, a:, rl
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft.284
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolitioln ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
2/28/9()
Issued by:-
Date Permit
Estimated Valuation
$108,064
PERMIT-
AMOUNT
Plan Chk.' Dep.
Plan Chk. Bal.
555.49
Const.
671.03
Mech.
60.00
Electrical
116. 38
Plumbing
126.50
S. M.I.
7.63
Grading
Driveway Enc.
Infrastructure
2(4431, 44
TOTAL
$3,96s.44
REMARKS *04 7: T,� , _<!, a:, rl
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
2/28/9()
Issued by:-
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SQ. FT. ® $
UNITS
SLAB GRADE S�(?i/QO
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
FORMS
//
SEWER OR SEPTI 7A L
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH) Z�
7
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SQ. FT. ®
s
LUMBER GR.
FINAL INSP. ��9r
FRAMING �� L
URINAL
SO FT ®
J t*LR
D !//` 1 — -J
7
�� / nrle
f(� O L�
(\
6
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
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
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
FINAL INSPECTION S C L
SO.FT.GAR ® V4c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEEPLUMB. FEE
STRUCTURE PLUMBING J ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE S�(?i/QO
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
//
SEWER OR SEPTI 7A L
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.G /y1
GAS (ROUGH) Z�
7
METER LOOP
HEATING (FINAL)
OTHER APPIEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu.Y d.
$ —plus -x$_=
s
LUMBER GR.
FINAL INSP. ��9r
FRAMING �� L
FINAL INSP. SA?el– P
ROOFING (,-
J t*LR
D !//` 1 — -J
7
�� / nrle
f(� O L�
(\
6
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THI G
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION S C L
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
t