04283 (MFD5)Building
Address
Owner
Mailing
Address
City
Contractor
Address
City
04283
P.O. BOX 1504
78-027 Cobhlt Drive LkOUINTA, CAL FORNIA 92253
Boulevard Davelopmont
BUILDING:TYPE CONST' ` ' OCC. GRP.
T
Zip I Tel.
A.P. Number
613-790-008
Legal Description
Project Description At. ild i na 19
State Lic. City
& Classif. Lic. # Sq. Ft
Size
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divislo�n.3 of the Business and Professions Code, and my license is in full force and
effect. a.✓ �✓t'i i` J : !i.afr�
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Susiness 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) 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 the applicant 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 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 contractors) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. 8 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
•"'r •,i:,c's
❑ Copy is filed with the city. O Certified copy is hereby tfurnished.
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, alter 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 Date
Mailing Address
City, State, Zip
.763. _ , No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
4
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
`� > +�- •
Const.
J1LI4 • UU
Mech.
.4 u
Electrical
; _ �, '�, fil1(l •
Plumbing
�? 3 •
S.M.I.
• `�
Grading
Driveway Enc.
Infrastructure
t •
TOTAL
4w A,k)1!3•13 1 r�►b { `1�'"�,. �.�
REMARKS
W'; I)Mff VU .f11W_4ytX W0.61 IV
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 IJSP,�EC�T�O�R
Issued by: Date JJ // Permit
Validated by:
Validation:
WHITE -FINANCE, PINK -APPLICANT, .GREEN -BUILDING, GOLDENROD - ASSESSOR S OFFICE, HARD COPY -FILE •
A
5
CONSTRUCTION ESTIMATE `;
NO. ELECTRICAL FEES
NO. PLUMBING FEES
ISI FL 50 Fl W $
UNITS
SLAB GRADE ®��
UGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. /G
S (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. Cr
TEMP. POLE
z,
$ plus x$ _$
GROUT
DRAINAGE PIPING
CAR P. SO FT. is
FINAL INSP.
ROOFING
DRINKING FOUNTAIN
WALL SO. FT. Q
REMARKS:
VENTILATION
URINAL
SO. FT. a
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISHI
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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. Q� c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID (a 1V: c
SEWAGE DISPOSAL
SO.FT.GAR @ ti:c
HOUSE SEWER
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 .
/ gs
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE ®��
UGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.� /
S (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
z,
$ plus x$ _$
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
LUMBER GR,
FINAL INSP. � ��
cu. yd.
FRAMING rr
FINAL INSP.
z,
$ plus x$ _$
t
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
�U R
I
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING Q
(y
MESH
INSULATION/SOUND t.
6
FINISH GRADING
'FINAL, INSPECTION
CERT,. OCC.
FENCE- FINAL
INSPECTOR'S SIGNATURESIINITIALS
,
GARDEN WALL FINAL