9785 (RPL)Building
Address 44-185 Sweetbush
Ltldwik
Address same
4,
P.O. BOX 1504 N o . V
785
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 /
City Zip Tel.
La . Quari.a. 92253 3.20-2030
Contractor.
Rick Cochran
Address -
453.1 E. Sum*ny Dunes pd 4A
City Zip Tel.:
P.S. 92264 320-2030
State Lic. City
& Classif. 312674 Lia # 4
JILDING: TYPE CONST. OCC: GRP.
P. Number
Legal Description .
Project Description,
Pool. and Spa
Sq. Ft.
Size
No.
Stories
No. Dw
Units
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I ap.Iicense .under provisions of Chapter 9 (commencing with Section
7ff.c of Divi,/l9n/•3 of/t#fa Busine�•and Professions Code, and my license is in full force and
effect.
��'
//.. / a �.✓"'! .. � ,'"r /' �
SIGNATURE / ./.� .-:/ ��'"" C/ DATE
-
�` OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby. affirm that I am exempt from the Contractor's License Law for the following
�� �QO
reason: (Sec. 7031.5,Business and Professions Code: -Any city or county , which requires a
'prior
•^'
permit to construct, alter, improve, demolish, or repair any structure, to its issuance also
requires the applicant for such permit to file 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 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.($500).
Plan Chk. BBI.
U �J
$
_ ❑ 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.35.0
10
' 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.
- 24.00 '
.:,provided that such improvements are not intended or offered for sale. If,.however, the building
•j.,or Improvement is sold within one year of completion, the owner -builder will have the burden
-
Electrical
45.00
or proving that he did not build or Improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
r
Plumbing
27 ** 00
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.
1-• 20' -
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
_
❑ I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date Owner
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.)
Pol'I�cy No. .Company
Copy is filed with the city. ❑ Certified copy is hereby.furn!shed.
CERTIFICATE OF EXEMPTION FROM
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 tha work for which this permit is issued, I shall not
employ any parson 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
subject to the Workers' Compensation' provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lender's Address
This s 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 -
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.
Signature of applicant Date
Mailing tAddress
City, State, zip
0
-14
TOTAL-
REMARKS
OTAL REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from.Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DRAINAGE PIPING
WALL SQ. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SQ FT ®
GAS (FINAL) TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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.
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3bc
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE JELECT.FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING ley ( UNDERGROUND �� GC
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:
GAS (ROUGH) Zm / & 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.
��1
FINAL INSP.CV,-0
�3�
FRAMING
FINAL INSP. 3all( L
ROOFING
C).'L� ��C ✓�l
�
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIONW3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL