001460 (SFD)Building 44.436 W. SUrXl= � DS.
Address
Owner
ng
City - IZip
amu1ti �.
Contractor
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 001460
BUILDING: TYPE CONST. V N OCC: GRP. R 3
i*I% A.P. Number
Tel.
9 . „ rBOO--36' 5054 Legal Description
Project Description .moi
City Tel.
Nest= 92053 92053 " 340-55U
State Lic. City
& Classjf.. 44= Lic. # 2V
Arch., Engr., -
Designer Mdhasy B
Address I Tel.
.'�"w rf;1l.> V3i..l. - .76.7"7@l 1. .
City Zip I State
Palm$TtgB ... 92262 Lic. # -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that Ilam licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of theBusinessand.Professions Code, and my license -is in full lforce and
effect. .. f
Ji f ; i —? t
SIGNATURE +-./' 1 .P ? ¢ r Te ✓ DATE
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, 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
the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
- 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 ofnot more than rive hundred dollars ($500). '
❑ 1, 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 riot build or improve for the purpose.of sale.) . - - -
O 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 contractor(s) licensed pursuant to the Contractor's License Law:)
•O 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, or a certified copy thereof. (Sec. 3800; Labor Code.)
Policy No. - . Company
O Copy is filed with the city. - O 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
employany 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.
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 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 -of this city to enter the .above-
mentioned property for inspection purposes.
Signature of applicant 6rJ/l f!/)/ -' • % Date
Mailing Address v /`
City, State, Zip
HARD COPY
ZONE:
BY:
Minimum Setback Distances:
Sq. Ft. IM l7A7
Size (OR 433
No. No. Dw.
Stories - Units
New U Add ❑
�a
Alter ❑ Repair ❑ Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued -by:
Date Permit
Validated by:
Estimated Valuation
'
77W46.00
PERMIT
AMOUNT
Plan Chk. Dep.
- 3.05.72
Plan.Chk. Bal.
Const.3fi7
Mech.
37.30
Electrical
60.29
Plumbing
65.00
5.46
Grading
Driveway Enc.
Infrastructure+1ly°�A"1'tEd
t as a=
Wit
TOTAL
862.60 756.89
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. ® $
2ND FL.SQ. FT.
POR. SO. FT. @
GAR. SO. FT. 5
CARP. SQ. FT. 9
WALL SQ. FT.
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APP./EQUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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 ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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
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 APP./EQUIP.
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS_
GARDEN WALL FINAL
LICENSED CONTRACTORS OECLARATI
(commencing with Section 1000) of Divi
and effect.
License Class Lic: Number
Date Contractor
OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractor's License Law for Me
following 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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9 (commencing with section 7000) o1 Division 3 of the Business and Professions Code) or that he is exempt
therefrom and the basis for the alleged exemption. Any violation o1 Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (5500.):
0 I. as owner of the property, or my employees with wages as Meir sole compensation. will do the work, and the
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License
Law does rat apply to an owner o1 properly 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 improvemnt is sold within one year of completion, Me owner -builder will have the burden of proving that
he did not build or improve for the purpose o1 sale.).
O I, as owner of the property. am exculsively contracting with licensed contractors to construct the project (Sec.
7044. Business and Professions Code: The Contractor's License Law does'not apply to an owner o1 properly who
builds or improves thereon. and who contracts for such projects with a contractor(s) licensed pursuant to the
Contractor's License law.).
0 1 am exempt under Sec. B. & P.C. (Attached Certificate).
Date Owner
WORKERS' COMPENSATION DECLARATION: 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. Lab. C.).
Policy No. Company
O Certified copy is hereby furnished.
0 Certified copy is filed with the City Building Inspection Department or City Department.
Date' Applicant
PERMIT APPLICATION -
City of U Ouinta
Department of Building and Safety
This permit becomes void if work not commenced within 180 days from date of issuance, OR, if work has been suspended or abandoned for a period of 160 days.
CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE: This section need not be completed it
ON: I hereby affirm that I am licensed under provisions of Chapter 9 the permit is for one hundred ($100) o. less. I certify that In the performance of the work for Which this permit is
s
ion 3ofthe Business and Professions Code, and mylicense Isinfull force issued, I shall not employ any person In any manner so as to become subject to the Workers'Compensation Laws of
California.
APPLICANT NAME (L. F. MI)
JL Construction
ADDRESS
P.O. Box 173
CITY/COM WMITY/STATE/ZI P -
Nestor, CA 92053.
JOB SITE ADDRESS/SPACE
CITY/COMMUNITY/STATE/ZIP
La . to . CA 92253
BOK
PAG
PRC
C
TWN
RNG
.sE
S
19903
LOT
Elect, Fee 60.18
MOO
sa
.Plim-bin- Fee. 85.00
TRACT NAME HORIZON PAJ.L• S
OWNER NAME IL. F. Mn Gamzal Management Corp.
1�/1GJ.
CONTRACTOR -FIRM NAME .
J.L. Construction
ADDRESS
above
CITY/COMMUNITY/STATE/ZIP '
abipm
PRONE .
...756.88
LICNC /
* a eemtnt
ARC/ENG FIRM NAME '
Michael Buccino Assoc.
ADDRESS y
340 S. Farrell Dr. A212
CITY/COMMUNITY/STATE/ZIP '
'Palm Springs, CA 92262
P11pNE'• LICNC .
323-7877
TOTAL
FEE
USE OF PERMIT '
Single Famil Dwelling
Bl
ION,
FSB
Sea
SSB
11
RSa
'OFC
ZONE ORD •
LOT Sz
END
SIDE
Dale Applicant
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.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
0 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be
made in connection with work authorized by this permit, and that no building structure. Scaffolding. falsework, or
demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2. Grp 2, Art 2, Sec 341, Title 8.
C.A.C.)
0 As owner -builder, 1 will not employ anyone to do work which would require a permit from the Division of
Industrial Safety. as noted above. unless such person has a permit to do such work from that division.
0 Division o1 Industrial Safety Permit No.
Date Applicant
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. Civ. C.).
Lender's Name
Lender's Address
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 county to enter upon the above-mentioned property for inspection purposes.
Signature of Applicant or Agent Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that
the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling
construction, and authorize a representative of the City of La Ouinta Department of Building and Safety to enter
upon the property for which I have applied for this permit for the purpose of making inspections.
Signature of Applicant or Agent Date
Print Applicant/Agent Name 4 /0
APPLNRMT. -- "- DATE 2-2=85
S.F.D.
Pennit to construct 1247 sq. ft.
of
livingarea and 433 . ft. of
age
as a roved plans.
Meah. Fee 37.00
Plan Check Fee 307.96
Const. Fee 367.00
Elect, Fee 60.18
M Fee 5.46.
.Plim-bin- Fee. 85.00
Tnfrastructure
862.60
105.72 DEP. PAID
...756.88
* a eemtnt
with OnrfTrztmity t De
t
TOTAL
FEE
862.60
A i i / 6
.'.. FINANCE
D Zs 75&88 CK
VALUATION 77,9'48.00