06846 (SFD)ot
'P.O. BOX 1504 No 0'
Building 78-105 CALLE ESTADO r
' Address 44-180Site :tb€3S% Lart@. _ LA QUINTA, CALIFORNIA 92253
QuintA Associates
Mailing" "
'Address 43-675 Vashington 5t.
City'Zip
Palm Deser�° 92260
Contractor
€. G. Williams Dee Cc
Address
Sme
BUILDING: TYPE CONST. OCC: GRP: -
A.P. Number Tract •22982 -Phase IV 3
Tel. Cactus Flower
u
345-7544 Legal Description
110
5CaLot,
Project Description Plan • ',;,
.P. -
City
Zip
Tel.: \
,.
State Lic.
& Classif. 4,93919 •
City
Lic. # 1231
Sq. Ft. 2134'
No. No. Dw:'
Size -
Stories Units '
Arch., Engr:
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolitiont ❑.
'Address
Tel.
. x .. ,t�sq•r
�
City `
Zip'
State
•
Lic. #
LICENSED CONTRACTOR'S DECLARATION
a
• 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.
SIGNATURES DATE
owNEaBUILDERDECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business', and Pmtessions Code: Any city or county which requires a
Estimated Valuation'$113,413
-
PERMIT"
- • •-i .
AMOUNT', {;
i•
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
'requires the applicant for such pemrd to free a signed statement.that he is licensed pursuant to
the provisions or 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 penalty of not more than Eve hundred dollars,($500). -
O I, as owner of the property, y, or my employees with wages as their sole compensation,
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Butsness and
.Professions Code: The Contractors License Law does not apply [o an owner o/ property who
builds or improves thereon and who does such work himself or through his own employees, --
r:. provided .that: such improvements are, not intended or offered for sale. If, however, the building
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Plan Chk. Bal.
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..Const.
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Electrical + 1 •
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or improvement is sold within one year of• completion, - the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) i
❑'I, as owner of the property, am exclusively contracting with licensed contractors to coo-
' strucbthe project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does -not apply to an owner of property who buikis or onproves thereon, and who contracts for
Plumbingdo
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S.M•I,
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• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec •B. 8 P.0 Or,.this reason
Grading
Driveway Enc.
0-1 ji ` .- i'1'
Date Owner / .--lr's#.•.�'-+ L/' .
Infrastructure
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. ❑ Certified copy is hereby furnished.
RY's nh r
TOTAL
•
44
' CERTIFICATE OF EXEMPTION FROMi
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 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. ' -
REMARKS
Y
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Date Owner
NOTICE TO APPLICANT: If, after making this ,Certibcate of Exemption you should become 4
"-subject -to the Workers' Compensatkm provisions of the Labor Code, you must forthwith
. { comply with such provisions or M Permit shag be deemed revoked. i
ONE: - '
'Minimum Setback Distances
BY: - -
- -
F7gnt Setback from Center Line
Re f Setback from Rear Prop. Line
Side Street Setback from Center Line•
CONSTRUCTION LENDING ACENcr Vthe-
Ihereby affirm that there is a construction lending agency for the performance of for which this permit is issued. (Sec. 3097; Civil Code.) ; -• . _ f
work
Lender's Name t�'
Side Setback from Property Line.
Lender's Addressr -
This is a building permit when properly filled out,signed.and validated, -and is subject to
expiration it work thereunder is suspended for 180 days.- _f e;
FINAL DATE
INSPECTOR'
1 certify that I have read this application and state that the above information is correct.'
I agiee 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,
Issued -by:
by:
'Date Permit
r
-
„ 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 3 40?
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL 3 /S
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
WALL SO. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SO FT ®
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
$ plus x$
WATER PIPING
NOTE Not to be used as property tax valuation
/
FINAL INSP. �/ 2O G
(
FLOOR DRAIN
MECHANICAL FEES
ROOFING12 g
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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 ® 1 Vi c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
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
SETBACK
D PLUMBIN ^�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3 40?
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
! 49
R OR SEPTIC/fA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) YA1 G D C
(
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL 3 /S
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
/
FINAL INSP. �/ 2O G
(
FRAMING6 �� ��%
/
FINAL INSP. d
ROOFING12 g
VENTILATION
o pub//,`� X/ -0s
/� /
Q}�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
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ThisCertificate, issued, pursuant to the i6qu'ir6mfe'nts -of Section,366,6i M6 Uniform.Building!
_666,4'that at the, timeof, issuance this strictuee, was 46 1
.,,Code 'certii compliance with'the varioqs.l•
0 W the,., OtingtUildinb consfiruction',or, use:., .or• owing: -
Minan&es t 6tyzregul F the, following:
,-'
-BUILDINd, ADDRESS .44-180'.-SWEETBUSli LANE,
J
Use Classification-�SIDTGLE 'FAMILY DWELLING Bldg'. Permit No. 0 6 8 4�6r.
I'', Ir
V
"R73 'T — ' Z -�'Use'zone,�
',Group - „Type Construcfionj�� Fire one, --:l, SSR
7.
Ilk
Own er'of".Bjildihi'%�LA,,,QUINTA,,'ASSOCIATES ' 'Addres,s +43-8.75 WA-SHINGTON,SfkEET
City, LA= QUINTA, By_- '�
L014NI EDAY
gate AUGUST 29`1990
,
BuildingOfficial
POST IN'A CONSPICUOUS' PLACE