04269 (SATT),.
fit
-4269
-' P.O. BOX 1504 ,
Building 70-411 Terra Cotta Ct. 78-105 CALLE ESTADO ^. .
:.:Address LA QUINTA, CALIFORNIA,92253
' Owner n
Soulevard
BUILDING: TYPE CONST. OCC. GRP.
Mailing
Address 777. S Main St • Suits fQ4
• rr - , .. ..
A.P. Number
' City.
Zip
Tel.
or, Imste
92686
714- 547t9O56
Legal MDescription
Contractor
Project Description re�•�•�«
Palm Royale Pian 3 iBuilding 13
Address'
City
Zip
Tel. ;
State Lic.
City
& Classif. ' '462814
Lic. #
Sq. Ft. No. No. Dw..'
Size - Stories 14, Units
Arch., Engr., w ^
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address--
Tel.
City, ,
Zip
State
• '
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of -Division 3•of the Business and Professions Code, and my license is in full force and
effect. wti -e F_ .
"� - J.• • f
•r`
SIGNATURE��:
'' Y' DATE
°� '''
OWNER -BUILDER DECLARATION'°
Estimated Valuation y ^
I hereby affirm that I am exempt from the Contractor's License Law for the following
Any
$56086
reason: (Sec. 7031.5,Business and Professions Code: city or county which requires a
•'
Permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permitto lila 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
, `
Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis
Any Section 7031.5 'any for
- ..•
Plan Chk. Dep.
• for, the alleged exemption. violation of by applicant a permit
' subjects the applicant to a civil penalty of not more than live hundred dollars ($500).
Plan Chk. Bal. 434404 '
❑ 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
Const. •*.y
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,
Mech. •
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 410
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-
att'f
Plumbing
struct the project. (Sec. •7044, Business and Professions Code: The Contractor's License Law
builds improves thereon,,and for
f�
S.M.I.
does not apply to an owner of property who or who contracts
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
4 V
Grading
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
A4,
Date Owner
Infrastructure tr •`+� .�
yyYYngpp-Aoe/ J Yard yyV O .11 ..-
Fringe-Toed
-
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. O Certified copy is hereby furnished.
'
TOTAL.YF9.%
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS N' - nr, a :. w ,. s • ray a J' ^
(This section need not be completed if the 'permit is for one hundred dollars ($100) valuation''
`�'�' �" f•i"`'"` `�'
• 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: If, after making this Certificate- of Exemption you should become
ZONE: BY:
subject to the Workers'- Compensation provisions of the. Labor- Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances: '
n '
'
Front Setback from Center Line
•
.
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, Civil Code.)
Side Setback from Property Line
' Lender's Name
_
Lender's Address
I'
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
Y
construction,. and hereby authorize representatives -of thls••city to enter the above
'
mentioned property for inspection purposes. ,
" Validated by:
` Signature of applicant" ^' Date
Mailing Address '�
� alidation:
City,- State, Zip
I
WHITE FINANCE PINK APPLICANT GREEN BUILDING,
GOLDENROD ''ASSESSOR'S OFFICE, HARD COPY -FILE
.. j?.i. +.. 1 .ya. . '..,r� � :,; tr!. ,...:.3;..'w. -�.e: i. , '! •rc ,::h`.?.!`t�''ac, ^i.r;. r..:.::•"
..'.t. i ^+". . _... i',1. , .; e ..1.0 c.�...,--..i. 'fo<: �t.¢tk:lr rv.'r.. '� _ _.i; _ .. _.?�.�a.:S. �..? ,.:IM;.:
CONSTRUCTION ESTIMATL
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT Qt $
UNITS
B GRADE 12 _C
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. a
$ FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. a
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR 50. FT. la
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. ra'
FINAL INSP.
WALL SO. FT. C
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
_ $
URINAL
SO. FT. rd
FINAL INSP. �/ T
l (
ING 7-Z
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
• FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
ILAUNDRYTRAY
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 @ t w c
SEWAGE DISPOSAL
SO.FT.GAR er 3/4c
HOUSE SEWER
FINAL INSPECTIOII1W
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE I L.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK
ROUND PLUMBIN >Z
UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE 12 _C
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
$ FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
EINF/. j/•(6/'
�C!
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
00
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. �/ T
l (
ING 7-Z
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
• FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
3
MESH
0,4
dtATIONISOUND r
FINISH GRADING
FINAL INSPECTIOII1W
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
,
GARDEN WALL FINAL