06503 (SFD)Building
Address 44-495 Tiara Place
Owner
Triad Pacific Desert
Address 74-923 Havley #130
City,
Zip
Palm Desert 92260.
Contractor
2263-
Contractor
"Same
,'Address
.N
' City lZip
& Classif.
Arch., Engr.,
Designer
- Address"
City
I herebv affirm
505599
P.O. BOX 1504 No.. 0603
78-105 CALLE ESTADO i
LA QUINTA„CALIFORNIA 92253
)eVe.Ioomat . BUILDING: -TYPE CONST.•= OCC: GRP..
A.P. Number .� •'Zig Highlands TT .23260
,
Legal Description
Project+Description' y1.6ta P$:3St C
Tel.:
City
Lic. # 1333 Sq. Ft. 1563 No. No. Dw.
Size Stories' Units-
New ❑ Add ❑ Alter ❑ ' Repair ❑ Demolition ❑
Zip �,f State
Lic. #
rf .LICENSED CONTRACTOR'S DECLARATION, _
at I am licensed ,d& provisions of Chapter 9 (cmmencing ,with
of thWBusiness dfProfessions Code, and my license is in.full f
'OWNER -BUILDER DECLARATION' '
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,8usiness and. Professions Code:' Any city or county which requires a
Permit to construct, after, improve, demoTrsh, or repair any structure, prior to its issuance also
requires the applicant for such permit to Tile 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 ch d penally of not more than Ove hundred dollars ($500).
O I, 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 Irnproves thereon and who does such work himself or through his own employees,.
provided Nat such improvements are not Intended or offered for sale If however the building
l
y
t
Estimated Valuation
97.591
PERMIT ; AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. 3.'' 489.07
Const. 5115..
Mech. $t•t3
or improvement is said within one year of completion, the owner -builder will have the burden
Electrical
of proving that he did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
` %2a�3• v,
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.)
,
Grading
❑ 1 am exempt under Sec B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
1r }497VsGl13..
WORKERS' COMPENSATION DECLARATION.
'
I hereby affirm that 1 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.)
jl .
Policy No. Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL
$3,333.24
CERTIFICATE OF EXEMPTION FROM —
WORKERS' COMPENSATION INSURANCE '-'."iLst:^a.
REMARKS
In
•,S:" .aiid..A:� 2'FAi3 S -
!s section need not 6e,'v''
(Th completed if the permit is for one hundred dollars (8100) valuation -
:ai?
-
• or less.) -
I certify that in the perforrnance 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: ft, after, malmrg this Certificate of Exemption you should become
ZONE:
BY:
subject: to the Workers' Compensation provisions of the tabor Code, you must forthwith
• comply with such provisions or this permit shall be deemed revoked.
- `
Minimum Setback Distances: '
.Front
Setback from CenterLine '
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY' '
'Side Street Setback from Center Line
' I hereby affirm that there is a construction lending agency,for the performance of the
• work for which this permit is issued. (Sec. 3097, CW Code.) ..
,
Side Setback from Property Line •.r. • -
Lender's Name
Lenders Address
FINAL DATE
INSPECTOR
' 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.
Issued by:
Date Permit 'V
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..-
Validated by:'
Signature of applicant Date'
'
Mailing Address '
Validation:
City,. State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ, FT. ®
ROUGH WIRING
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
GAS (ROUGH) �/���VJETER
i L
LOOP
DRAINAGE PIPING
CARP. SO. FT. ®
REINF. STEEL
GAS (FINAL)
TEMP. POLE
DRINKING FOUNTAIN.
WALL SQ. FT.
GROUT
WATER HEATER
SERVICE
URINAL
SQ. FT.
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
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(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID a 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3Yic
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/ E}CTRICAL HEATING & AIR COND. SOLAR
s-nrr��sr�a
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
O�
FOUND. REINF. �O 'L1 jjQ�Q
GAS (ROUGH) �/���VJETER
i L
LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$'
GRADING
cu. yd.
plus -x$-=$
LUMBER GR.
FINAL INSP. y 90
FRAMING
INSP.j
ROOFING f Z
IN `
REMARKS:
VENTILATION
FIRE ZONE ROOFING w`
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHIN
MESH
INSULATIONISOUND I QI
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS_
GARDEN WALL FINAL