15724 (SFD)Address I
Same as above
State•Lic. City 3324
& Classif.. $�"613�.�11 Lic. #
Arch.,. Engr.
'Designer Dauielian Associates
�xty
Corporate Park 714) 474-6030
CityZip State
92714 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that,l 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 fu !force and
effect. t � .�.. _ � s. ��- �,t}t!`
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and .Professions Code: Any city or county which requires a
permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
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 for a permit
subjects theapplicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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
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,
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
of proving that he did not build or knprove for the purpose of sale.)
p 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
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) (Icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
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.)
Policy No.
rT .Company
iGupy is filed with the city,. ❑ Certified copy is hereby furnished.
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 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
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS.($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR -IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND
ATTORNEY'S FEES.
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.
I agree to comply with all city and county ordinances and state laws relating -to building
construction, and hereby authorize representatives sof - this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft -2424 No. No. Dw.
Size . Stories Units
Nein;;) Add ❑. Alter ❑ Repair ❑ Demolition ❑
Permit noes not include block aii-11 or
I PGO;.
(Estimated Valuation $199i061.00
rr-nmt 1
Plan Chk. Dep.
Plan .Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc. -
Infrastructure
Arts In_ FUME
TOTAL
REMARKS
ces -
AMppO��UggNT
p115 9-55
I85►5V
0
,67...78.
.74 *W
19.:9.
20.00
r 00
J8.1-7
A s65
t.
IIQ.�i6
ZONE:
BY:
P.O. BOX 1504
No. 15724
Building
78-840 Spyglass
"?hili Driv 78-495 CALLE TAMPICO
SLA QUINTA, CALIFORNIA 92253.
Address
Side Setback frope Line
FINAL DATE
Owner
Xaa Quinta FL' 1may:s
ePermi
"Validated bv:
BUILDING: TYPE CONST. VN OCC: GRP. R3
Mailing
Address
355 Bristol'St.
Suite A
A.P. Number.
769--641-001
CityZip
Tel. y
Lot 71 Tract 25389-�1.
Costa Mess
926;6
71411540-6060
Legal Description
Contractor
Ay_
,Ayres Group
Project Description
Plan
S F D
Address I
Same as above
State•Lic. City 3324
& Classif.. $�"613�.�11 Lic. #
Arch.,. Engr.
'Designer Dauielian Associates
�xty
Corporate Park 714) 474-6030
CityZip State
92714 Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that,l 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 fu !force and
effect. t � .�.. _ � s. ��- �,t}t!`
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and .Professions Code: Any city or county which requires a
permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
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 for a permit
subjects theapplicant to a civil penalty of not more than five hundred dollars ($500).
❑ 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
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,
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
of proving that he did not build or knprove for the purpose of sale.)
p 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
does not apply to an, owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) (Icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
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.)
Policy No.
rT .Company
iGupy is filed with the city,. ❑ Certified copy is hereby furnished.
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 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
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS.($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR -IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND
ATTORNEY'S FEES.
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.
I agree to comply with all city and county ordinances and state laws relating -to building
construction, and hereby authorize representatives sof - this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq. Ft -2424 No. No. Dw.
Size . Stories Units
Nein;;) Add ❑. Alter ❑ Repair ❑ Demolition ❑
Permit noes not include block aii-11 or
I PGO;.
(Estimated Valuation $199i061.00
rr-nmt 1
Plan Chk. Dep.
Plan .Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc. -
Infrastructure
Arts In_ FUME
TOTAL
REMARKS
ces -
AMppO��UggNT
p115 9-55
I85►5V
0
,67...78.
.74 *W
19.:9.
20.00
r 00
J8.1-7
A s65
t.
IIQ.�i6
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line '
Side Street SetbajCMom Center Line
Side Setback frope Line
FINAL DATE
SPE
Issued by:
ePermi
"Validated bv:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2N1.) FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
POR.' SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEQUIP.
DRAINAGE PIPING
CAR P. SQ. FT.
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
o '
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN 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.
SO. FT. ® c
BATH TUB
GAR. FIREWALL
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+A c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/4c
HOUSE SEWER
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEEM.FEEPL.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
o '
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
'MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC. ,
FENQE FINAL
INSPECTOR'S SIGNATURES71NITIALS
a
GARDEN WALL FINAL
:,r>i /
]' C11-Y OFF LA OU10-A . -
.`% _�� ;�;.• BUILDING & SAFE1•'r DEPARTMENT�`�1 777-7012
`'�•-^; INNC fIC N H_=gUE✓S L.IPlE
777-7153
P
i r
nwnt3r __.._�?jai 1'�� w�:, `-'__
Contractor __Ayr(2s• Group��
Permit Number 15724
POST ON ,JO!Y IN CONSPICUOUS PLACE
IN;,:,F'EC•TUR MUS-1' SIGN ALL APPLIG.AE3l,r` srACE
J-06 ADDRESS -_:_79'-8_10 '_ f; (�
S F D Permit; doe3 nOt-. iAlC'111de
block %v a, 11S. or 0 o 1 ,
Or INSPECTION `ATE i- T6Y8P
F�OUNUAr!ON 8 SE'!'BACK �--••-_.__..____.
�rxY!INt , i (E.EL __ ..... ._..,--- •.�./`:. `.` /,. -.._. _.1 .\c.. �, _�
MAIN GfiUUNU `i Y'SfE.\! '
ORf;UND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL. ABCCIVEHAS BEL SIGNED a
�__,...
LONG RL . V SLAB
JOISTS 8 GIRDERS
FLEGT.... \L rtZ!;UNv' WORK
DO NOT POUR CC,)NL'' LTE UNTIL ALL ABOVE HAS BEL•'N SIGNED
ROUGH ELECTRIC
r.. _.._.._..
ROUGE! GA5 3 GAS li;S" -
riIFArING.t .-ENI' k,'C -► i-
l
... ......... .
BOND BEAM
O.K. TO WRAP
GROUT C!, 4' C-3 est _��• _
iNSULATiON
_ OVER No WORK UN", IL AL30VE HAS BEEN SIGNED
DRYWALL. iNTEHIOhN�-
FXI�_RIOR LATH - "" •�- ,.-I'�•s';:_�.-----• ,
Pt70L
REPLASTER _,._E
POOL FENt:E & GATE
SEWER 36-" IC FAtJK / ; Li i �/ �J .•._
_ FINAL`!
ELECTRICAL
PLUMBING ___ _
f-INAL GAS 1'ESl
i1EA'fhNG „AIC
HOUSE ry 1MBE115
JUL!!�r F :,' r,
PL Ell P + "
1-EMP P'C'-)INEE"i
"ABOVE APPROVALS OO NC; !' II IC;LUDE RIG?-tT-'f0 `
��' TURN ON UTILITIE;j OR OC,". JF'Y SUiLO!Na