14939 (RPL)P.O. BOX 1504 N 0. 3. R U -5 V
Building f0-495 CALLS TAMPICO .
Address 7 —790 Spyglass kill Dr. LA OUINTA, CALIFORNIA 92253
Owner Charles & Candace McBrayer
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address 25141 Tia Savo Cerro
A.P. Number
City lZip Tel.
is,4guna Ni:aei, „A 92677 (714)495-8269 Legal Description
ContractorP601- and Sa
California V'49dls a Spas Project Description P
Address
t#I--.90 Bocirdiialk #tit
Cityip . - Te1 .:
Palms Desert, CK 922:1 340-9000
State Lic. City
& Classif.. C5--6561'28 Lic. # 355
Arch., Engr.;
Designer
Address Tel.
City Zip State
A C. #
LICENSED CONTRACTOR'S DECLARATION
I hereby �affirm r!hat 1 am licensed under provisions of Chapter'9 (commencingwith Section
•7000) of/Division 3 of the Business and Professions Code,•and my licenseis.in full force.and
effect- l..p+j ,. ,...1ti..I
Sq. Ft. No. No. Dw.
Size Stories -Units
New ❑ • Add ❑ Alter ❑ Repair ❑ Demolition ❑
'OWNEWBUILDER DECLARATION
Estimated. ValUatlOn
AA oo�� A/�
��,V 0 0
I hereby affirm that I am exempt from the Contractor's License Law for the following
•
V . V
reason:. (Sec. 7031.5,Business and Professions,. Code: Any 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 permit to rile 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 Cade, or that. he is exempt therefrom, and the basis
for the Any Section 7031.5 by. any for
Plan Chk. Dep.
'
alleged exemption. violation of applicant a permit
subjects sire applicant to a civil penally of not more than -rive hundred dollars (5500). '
.Plan Chk. Bal.
75
❑ I, as owner of the property, or my.employees with wages as their sole compensation, will
p .
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and . '
Const.
rj}♦�
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improvesthereon and who does such work himself or through his own.employees,
Mech..
nf3
4 00
provided that such- Improvements are not Intended or offered for sale. If, however, the building
o .
or Improvement is sold within one. year of completion, the owner -builder will have the burden
Electrical
- 45.00 .,
of proving that he did not build or improve for the purpose o/ sale.) _
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
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.1.
such projects with a contractors) (rcensed 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 heieby affirm that I halve a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, ora certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company.
O Copy.is filed with the city, ❑ Certified copy is hereby furnished.: - ,
TOTAL
3 8.75
CERTIFICATE OF EXEMPTION FROM
REMARKS
• - 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 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'.
'subjecf
BY:
to the Workers' Comperisation provisions of the Labor .Code, you must forthwith
.ZONE:
-
Distances:.
comply with such provisions or this permit shall be deemed revoked.,
Minimum Setback
Front Setback from Center Line
Rear Setback.from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND
'SUBJECT
;SldeStreetSetbackfromCenterLine
SHALL AN EMPLOYER TO. CRIMINAL PENALTIES' AND CIVIL FINES UP -TO ONE -
•.
HUNDRED THOUSAND. DOLLARS ($100,000);.IN.ADDITION TO THE COST OF.COMPENSATION,
. Side Setback from Property Line -
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE -LABOR CODE, INTEREST, AND
r
ATTORNEY'S FEES.
his a
DATE
INSPECTOR
T is buildingFINAL
permit when properly filled out, signed and validated, and is'subject to
expiration it work thereunder is suspended for 160 days.
d
I certify.that'I have read this application and state that the above information is correct.
Issued by:
Date Permit
1 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=.,
Q
mentioned property for inspection purposes.
Validated by:
Signature of applicant _ Date
• Mailing Address
Validation:
I
City, State, ZIp
I
MAK 4
�4g
,,
16y
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SQ. FT. a $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
'BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC TANK
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. SO. FT. ®
HEATING (FINAL)
WALL SQ. FT.
REINF. STEEL
DRINKING FOUNTAIN.
SQ FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FRAMING
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 Vac
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
IAECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
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.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
NSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL