05832 (AR)Building
Address 78e-724 LA
Mailing
Address p.0. BOX 356
City' Zip
1A QU=A l92253
Contractor
Zip -
TAI
,9�44Q
P.O. BOX 1504 No. 05-832
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number �.
el. .
564—,4832 Legal Description
Project Description ADDITI ,
i
State Lic:
City
& Classif.48753�a
Lic. #
Sq. Ft.
No. No. Dw.
Arch., Engr.,
Size
Stories Units
Designer
New ❑ Add•❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
B fi
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm hat I am licensed uri el provisions of Chapter 9 (commencing with Section
7000) f UnnsiogG
of the Business and Professions C �erid y license is in full force'and
effect
tali • i i v tr
SIGNATURE DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
j j 77�.C3fi
reason: (Sec. 7031.5,Busness and Professions Code: Any city or county which requires a
Permit to construct, alter, irprove, demolish, or repair any structure, prior to its issuance also
requires to applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Dress and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Arty violation of Section 7031.5 by •any applicant for a permit
Plan Chk. Dep.
subjects the appfrant to a avilpenally of not more than rive hundred dollars ($500).
Plan Chk. BBI.
- �$ 5,5
❑ 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
Const.Professions
251.00
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,
Mech.
provided that such krprovements are not intended or offered for sale. If, however, the building
Or mprovement is sold within one year of completion, the owner -budder will have the burden
Electrical
15.00
of proving that he did not build or krprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
51.00
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,I,
1. 40
• such projects with a cerdractor(s) licensed pursuant to the Contractor's License Law.) � -
.
❑ I am exempt under Sec a. 8 P.C. for this reason
Grading
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATIOI�PECLARATION
I hereby affinn.that I have a certificate of cbnse,gt to self Insure, or a certificate of
'f3j¢ep
Workers Compensation Insurance, or a•certi� cd�her 3800, Labor Code.)
Policy No Company
❑ Co is filed with thecity. . ❑ Certified co r i
PY � ty. copy is hereby furnished.
� 'r -
_
TOTAL
1 )(I
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
n A R nA « ; ^. !t kin • i"e I g tl „F
(This salon need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the Pertomtance 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: fl, after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Comply *ZIP such Provisions Or this Permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
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
Lender's Address
This is a building permit when property filled out, signed and validated, and is subject to
FINAL DATE
INSPECTOR
expiration it work thereunder is suspended for 180 days. ew
, 5/30/89
I certity that 1 have read this application and state that the above information is correct.
I
Issued by:
y
Date Permit
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_
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
A.C. UNIT
COLL, AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
ROUGH WIRING
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SFT.
Q.
HEATING (FINAL)
OTHER APPJEQUIP.
WALL SQ. FT. @
GAS (FINAL)
DRINKING FOUNTAIN
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ plus x$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SO. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® Vdc
HOUSE SEWER
GAR. 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
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 GFL
FINAL INSP.
e//�RAMING � �G��
w
FINAL INSP.
ROOFING
%G
/
/
REMARKS:
VENTILATION
FIRE ZONE. ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
i({.ATHING
MESH
�ASULATION/SOUND2`
l FINISH GRADING
FINAL INSPECTIOv/0-�;,7047
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
,82-879 Highway 111
Indio, CA 92201
CERTIFICATE OF SCHOOL FACILITY FEE WAIVER '
T0: DATE:
This is to certify that ,7r
developer of which is
1 ocated at. % 7_c7 within
this school district, is not required to pay school facility fees
pursuant to the authority generated by Go nment Code Section 53080.
Building permits for the project indicat above may now be issued by your
jurisdiction. IF VALUATION INDICA 0 UILeERMI EXCEEDS $20,000,
THIS WAIVER IS VOID AND A SCHOOL IL EST AID PRIOR TO
ISSUANCE OF BUILDING PERMIT. A
for DESERT SOS UNIFIED SCHOOL DISTRI
White -Building Department Yellow -Facilities Planning Pink -Developer (10)-38
UI I II,E or
AGRICUL i UVAL CU.%IMISSIONER
AND
WI:IGI I I'S b. MEASURES
49-613 Hwy 116, IWIte II -12
Cnrrchellr►, (;A 92ZJ6
619-342-0291
E. LEON SPAUGY
co••rua �ur..tn
)WNIES o WAUACT
t:lEMENI PENVENIS1E
SLAUR
DACE o , q CASc I u .
IUEVE;WI'Ett' 5 I,W-IEs
ADDRESS
trE�chltc�wcl t b l9 1Q
I -at 13 0 Le6p,4 6,,h s— Q
Dear Developers
After reviewing your landscophiq plalls, till lilt -lilt m3teria.l listed is Ilot 3.1
violation o[ quarantine If) -4s Coachella Valley. 1[ substilutiol►s
do occur aid they di[[er [rul► plait material listed, tills 0[[ice must be notified
iunl>ediately .
,fllaulk you [or ptvtectbly aild preserving the Coachella Valley's lest -free elvirO1t1131t-
Aj uLtural Caultissk6er s UL [ ice
ccs 11010 auld Riverside U[[ice
a