The URL can be used to link to this page

06500 (SFD)P.O. BOX 1504 N Q . Building 78-105 CALLE ESTADO Address _ 44—I8.5 Tiara Prate LA QUINTA, CALIFORNIA 92253 Owner Triad 'Paeific Desert Development BUILDING: TYPE CONST. OCC: GRP. - Address' 74-923 .-Hovle 9130 La3:>; to ftablwtft TIT 23269 CityZip Tel. , Palm Dessert.T922613 3/ Legal Description _ Contractor Project Description Lfo�t. 1 � PIM �'R ' S�trfe • Address, ... v City`. Zip Tel.: ;t State Lic. City I & Classif. 505699 Lic. # 1383 , Arch Engr. Sq. Ft. 1813 No. - No. Dw. , Size Stories Units Designer New ❑ Add ❑ - Alter.❑ Repair ❑ Demolition ❑ Address Tel. t A CityZip State r -' Lic. # LICENSED CONTRACTOR'S DECLARATION lhai 'sed I hereby affirm l am4ii under,provisions-of-Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P Code, and my license i9h full force'and " `fessions • effect. 7 - SIGNATURE NDATE bb ' ^ , a dWNER-BUILDER DECLARATION I hereby affifTn that I am exempt from the Contractor's License Law for the following Estimated Valuation $100,293 0'� • reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a pemrit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also - - - - - requires the applicant for such permit to rde a signed statement that he is licensed pursuant to PERMIT_ AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section •7000) of k ' - 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 Plan Chk. Dep.' ; - subjects the applicant to a civil penally of not more than rive hundred dollars ($500). or . q 7 Plan Chk. Bal. as ...7 . ❑ I, as owner of the property, 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 Const. J1 iW . Pmfessfam.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, Mech. -.%{1' provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or 6nprove for the purpose of sale.) . • , . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 132.50, 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 projects with a contractor(s) licensed pursuant to the Contractor's License Law.) S•M.I, r 20;I - V. Grading 111 am exempt under Sec - B. & P.C. for this reason Driveway Enc. t' Date owner Infrastructure t 2,256:59' +' 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 �N fi ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. ld TOTAL: $31►74 ..3t • - :. , CERTIFICATE OF EXEMPTION FROM IN COMPENSATION INSURANCE •($100) REMARKS r - � r. A A i A, "3 !: , nf't %f\ (this section need not be completed it the permit is for one hundred dollars valuation t�--- iri,r�t�a+y �Aq�K G - J.'4.d�1.5ll,rk r �i S ' -� � 6 i `,��_�•4..414 •�r. or less.) certify that in the performance of the work for which this permit is issued, I shall not j', • ." employ any person in any manner so as to become subject to the Workers' Compensation Laws of California - -!r' Date Owner NOTICE TO APPLICANT., It, after making .this Certificate of Exemption you should become ZONE: BY: ' subject to the Workers'. Compensation provisions of the Labor Code, you must forthwith mrrtpywdhsuch provisions orthis permit shall bedeemed revoked. .- _ Minimum Setback DiStanbes: , Front Setback from Center Line ` Rear Setback from Rear Prop. Line - CONSTRUCTION LENDING AGENCY - 'Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the - - work for which this permit is issued. (Set:: 3097, Civil Code.) Side Setback from Property Line Lenders Name - Lender's Address FINAL DATE INSPECTOR 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. I certify that I have read this application and state that the above information is correct. • Issued by: Date " Permit 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. r Validated by: Signature of applicant Date .. Mailing Address' Validation: City,. State, Zip - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE 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. I Q POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SQ. FT. FINAL INSP. BOND BEAM WATER SYSTEM URINAL SQ FT ® GRADING cu. yd. $ -Plus-X$-=$ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES �i�✓ 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 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL INSULATIONISOUND 1 SQ.FT.GAR ® V4c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE M=CH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING, ELECTRICAL HEATING & AIR COND. SOLAR n 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 FOUND. REINF. I Q 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-X$-=$ LUMBER GR. FINAL INSP. 7 0 /,( FRAMING �U �ar Q FINAL INSP. ROOFING i/ �i�✓ J 7 REMARKS: VENTILATION FIRE ZONE ROOFING: FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING t MESH INSULATIONISOUND 1 FINISH GRADING FINAL INSPECTION - CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ` GARDEN WALL FINAL 1