06868 (SFD)Address 44-060 'Sweetbush L
Owner
La QIP rota ASsociat
'Mailing - • .
Address` 43,„875 Washington
City . ^ Zip
Pa1n ftse 922
Contractor -
k -' ' E.G. Hillitms 9ey.
Address
�.
• City; Zip
State Lic.
& Classif. 493919'.
Arch.,-
93919'-
Arch.,- Engr:, "
Designer.' -
Address- , "
St.
Tel.
P.O. BOX 1504 NO. 40000 t•.
7&105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 .'
BUILDING: TYPE CONST.• - OCC: GRP.,
A.P. Number Tract 22982-- Pha1Sa IV
•' 341 ^ Legal Description Cactus Flower
Project Descriptions Plana ' S1R "" Lot i14
, U
�Ity
Lic. # 12.31 I.Sq. Ft. 2134. No.
Size - Stones
Tel.
New ❑ Add ❑ ~. Alter ❑
No: Dw. s f?
Units
Repair ❑ ± 'Demolition•❑''''
:City.
Zip
State
Lic. #
x
- LICENSED CONTRACTOR'S DECLARATION.
'
1 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
- 7+?
•
effect: -
,. - • 't! ..
it
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I am exempt from.the Contractors License Law for the following
Estimated Valuation �1;3 413-,
y- -
reason: (Sec. 7031.5,Business and Professions Code:. Any city or County which requires a
'
v
.1. --
permit to construct, after, improve, demolish, or repair any structure, prior to its , issuance also
• requires the applicant for such permit to.fde a signed statement that he is licensed pursuant to
PERMIT . - • AMOUNT-- : '• '
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of -.
u_ t• _ - 1 „
.. 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 fora permit
Plan-Chk. Dep: - - • ' "'' •_•;
• "
subjects the applicant to a civil penalty of not more than five hundred dollars (8500).
�,
Plan Chk. Bal..
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
Const.
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
"
-
Mech. ,
builds or improves thereon and who does such work himself or through his own employees,
'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 .- _ { ' (3 •'
of proving that he did not build or improve for the purpose of sale.)
-Plumbing.
❑ 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
_
S,M,I, - 1 .' �.A
does not apply to an owner of property -who bmlds�or improves lhereon,'and who contracts for
,'• . such projects with a contractors) licensed pursuant to the Contractor's Law.) -
..• j.
Grading
❑ 1 am exempt under Sec._g g P.C. for this reason fr i`
Driveway Enc. r
r•3 _,J ;} / ., ` / •-'
Date ownerr
Infrastructure ,. a• '
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy -thereof. (Sec. 3800, Labor Code.)
-
7
Policy No. Company
❑ Copy, is filed with the city. O. Certified copy is hereby furnished.
_
TOTAL 1J. f yI/. - iia • it f
'
f
CERTIFICATE OF EXEMPTION FROM
` WORKERS'.COMPENSATION INSURANCE
REMARKS ~ ?
)' ' �'"� '' w v�
V V - - •• '-- _ - - i:•
.. •• (This section need not be completed If the pemrit is for one hundred dollars (8100) valuation'
or less.)' •- .. - . - - - :.
. .
' 1 -certify that in the Performance of thg work for which this permit is issued; I shall not
v employ any person in any -manner so as to become subject to the Workers' Compensation
r
Laws of California
' Date Owner
rshould
" NOTICE TO APPLICANT: 8, after making this Certificate of Exemption you become
- -'the
--ZONE'- -• ••' BY:' -
subject -to Workers' Compensation provisions of the Labor Code, you must forthwith
Comply with such provisions or this permit shall be deemed revoked. -
'Minimum Setback Distances: _ '� •--'
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 ' j
Lender's Name
Lenders Address
•
FINAL DATE INSPECTOR
_ , , , .. -
This is a building
g pertnifwhen properly filled out, signed and validated, and is subject to ..:
'expiration
> it work thereunder is suspended for 180 days. -•
g
1�1� [ �
I certify that I have read this application and state that,the above information is correct.'
by: ` 'Date ` I Permit'-
1 agree to comply with all city and county ordinances and state laws -relating to building
�'ISsued
, F
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 ' r
ValldatlOn: a 1
City, State, Zip
, jl '� 'Iii , ,.;. .. • .. -. 7 .. -.
.•• ./. •J -� � t •
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL SQ. FT. ® $
UNITS
SLAB GRADE '=�j/�QO
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
SEWER OR SEPTICis
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)/�f/ QD
7Y
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CARP. SQ. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
LUMBER GR.
FINAL INSP. 410190 L �
/y
FRAMING ! ��®�
URINAL
SQ FT ®
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(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR, SUSPENDED
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAR. FIREWALI.�
�o
IKITCHEN 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
FINISH GRADING
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
N ECH. FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
OUND PLUMBING//(# 9
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE '=�j/�QO
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTICis
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)/�f/ QD
7Y
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL 3 f/S g�r
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP. 410190 L �
/y
FRAMING ! ��®�
r
FINAL INSP. [ Q
VVV
ROOFING SC
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALI.�
�o
LATHING
MESH
INSULATIONISOUND Qf%
FINISH GRADING
FINAL INSPECTION
((G
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL