05427 (SFD), -TA*tyl
iy P.O. BOX 1504 No. 9542.
Building 7&105 CALLE ESTADO i; • ,
Address 5439 SUS, �HX+L LA QUINTA, CALIFORNIA 92253 ,
Owner S33SE CMANY
Mailing, ^ BUILDING: TYPE CONST. •' OCC: GRP.- t
Address 42—Wo. COOK Si.. S R- 200
. _ A.P: Numbers . w
City Zip Tel-
PAL.DtSERT
92260 Legal,Description Gmmnns _.
Contractor*�' ��t y��wA�/���5, -.. Project Description its A .SE IE
Address .. 4.x d.� . S
FD
NATCity Zip TeL:
State Lic. City y
& Classif.. 288130 Lic. #, .20.. Sq. Ft. No. No..Dw.,..
r Size 3831 Stories - Units t,
Arch:, Engr.,
Designer, New ❑ Add'❑ Alter p Repair ❑ ~ ;y . Demolition ❑
Address- ' Tel.
• it
City` Zip State
u•
Lic- #
= LICENSED CONTRACTOR'S DECLARATION} x
(.hereby affirm that Gam 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. !y.
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 27Z.6S
reason:.(Sec.' 7031.5,Business and Professions Code: Any cityor county which requires•a
permit to construct, after, improve, demolish, or repair any structure, priorto its issuance also ;,•
requires the applicant for, such permit to rile a signed statement that he is licensed pursuant to - PERMIT - • ,1 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 for a permit - Plan Chk. Dep.` • . .
subjects the applicant to a civil penalty o/ not more than rive hundred dollars (8500). - -
.❑ I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 11 1.r a li'
a
t do the work, and the structure is not intended or offered for sale. (Sec: 7044, Buisness and
Piofessions Code: :The Contractor's License Law does not apply to an owner of property who Const. ! 'amu,
builds or improves thereon and who does such work himself,or through his.own employees, 1 -
provided that r. Mech. such improvements are not intended or offered fosale. If, however, the building
or improvement is soldwithinone year.of completion, the owner -builder will have the burden -Electrical yw, ZOU'7— -
of proving that he did not build or improve for the purpose of sale.)
O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing yl 1 •
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.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B.'& P.C. for this reason Grading w
Driveway Enc:
Date owner Infrastructure 6a 0•00
LESS CREDIT, 13,000.Wj �.p
WORKERS' COMPENSATION DECLARATION LOU � ' r, Ja •+
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy -thereof. (Sec. 3800, Labor Code.)
Policy No. - r Company
❑ Copy is filed with the city: O Certified copy is hereby furnished.
TOTAL i
CERTIFICATE OF EXEMPTION FROM REMARKS '
WORKERS' COMPENSATION INSURANCE`
Is section need not be con leted. i/ the y t r "
(This p Permit i. /or one hundred dollars (8100) •valuation ) R, ]�, i,y�p -/4 r3 .Y, .'�^gi + y��iwj-, - .(y; ? i .;
• 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. f
Date Owner
NOTICE TO APPLICANT -lf, after making this •Certificate o/ Exemption you•should become - ZONE: � - BY: � � � 1r,-�.:f
subject to 'the 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 a '
` 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
• Lenders Name t ,
Lenders Address FINAL DATE INSPECTOR
This is a building permit when properly filled but, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.' -c • �• 3/3/89.'
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 u
construction, and hereby authorize representatives -of this city -to enter the-
above-.
mentioned property for inspection purposes: i Validated by:'
Signature of applicant Date' '
Mailing Address " Validation:
City,, State, Zip
A r
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL, AREA
tYiB GRADE ?j
YARD SPKLR SYSTEM
2ND FL. SO. FT.
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
A
GAR. SO. FT. ®
POWER OUTLET
I ROOF DRAINS
M AI UND. REINF.
(ROUGH)
DRAINAGE PIPING
CAR P. SO. FT. ®
METER LOOP
HEATING (FINAL)
WALL SO. FT.
00
REINF. STEEL
DRINKING FOUNTAIN.
rr
URINAL
SOFT ®
GROUT
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
LUMBER GR.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
AMI 6
LAUNDRYTRAY
AIR HANDLING UNIT CFM
WOOFING
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% c
SEWAGE DISPOSAL
SPARK ARRESTOR
SO.FT.GAR ® V4c
HOUSE SEWER
AR. FIREWALL
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.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
tYiB GRADE ?j
R UGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SE
A
ROUGH WIRING
DUCT WORK
ROCK STORAGE
M AI UND. REINF.
(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
00
REINF. STEEL
S (FINAL) f
rr
TEMP. POLE
GROUT
WATER HEATER
qpWICE
u
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
AMI 6
FINAL INSP.
WOOFING
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REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
AR. FIREWALL
IN 4Azk
MESH
NSU TIONISOUND G
FIN/ GRADING
&LAL t� Z
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURcSlINITIALS
GARDEN WALL FINAL
t