10071 (SFD)P.O. BOX 1504 N Q . 10071
Building 45-3� V Desert Eagle 7&105 CALLE ESTADO
Address 1 LA QUINTA, CALIFORNIA 92253
Development
Mailing
Address 45305 Desert Eagle Ct
City Zip Tel.
LaQu:inta 92253 772"-3336
Contractor
Warne ars Above
Zip
State Lic.
City
& Classif. 5355870
Lic. # 1615
Arch., Engr.,
Designer
Address
Tel.
j
Plan Chk. Bal.
City
Zip
State
621.50
Lic. #
� LICENSED CONTRACTOR'S DECLARATION
I hereby aff itm tha � e Ijcensed.under provisions of Chapter 9 (commencing with Section
X7000) of Dlvislon.3:of/the•Business and Professions Code, and my license is in full force and
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,after, 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 or sale.)
❑ 1, 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. ❑ 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 peon In any manner so as to become subject to the Workers' Compensation
Laws of Californirsa.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions or 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 it 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
BUILDING: TYPE CONST. OCC: GRP.
P. Number
Legal Description
Description
Model - 1406 Plan
Sq. Ft. No.
Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
95,2.61.90
PERMIT
AMOUNT
Plan Chk. Dep:
Plan Chk. Bal.
563.30
Const.
621.50
Mech.
62. 0 0
Electrical
132.73
Plumbing
t ' `
174.00
S.M.I.
9.60
Grading
20.00
Driveway Enc.
20.00
Infrastructure
2143.39
TOTAL
3745.50
REMARKS
i Q
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
IST FL. SO. FT. ® $
UNITS
SLAB GRADE coROUGH
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CARP. SO. FT.
TEMP. POLE
WALL SO. FT.
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
^.
FINAL INSP. / li
i� 111
WATER PIPING
NOTE: Not to be used as property tax valuation
_$
FLOOR DRAIN'
MECHANICAL FEES
ROOFING J�c� �(/�'
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
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. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
INSULATIONISOUND
SO.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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 C�
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE coROUGH
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 APPJEOUIP.
REINF. STEEL 6111,1 1,GAS
(FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
^.
FINAL INSP. / li
i� 111
FINAL INSP.
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING _O G L� i /J
ROOFING J�c� �(/�'
VENTILATION
,
`n
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
T, NG
MESH
INSULATIONISOUND
FINISH GRADING
n
FINAL INSPECTION- / /t
' t
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
- � � � • `SII i �' .� • ��I ., ' � - \
tit ��
I
T.
!
r a
1�Ut*n a
�
f lli
�
iI,
�
,�. ♦ ♦ 7 ♦ ♦ ♦
Ul t an t Ul
I � it
I
j
f
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was 'in compliance with the various
;�
I
ordinances of the City regulating building construction or use. For the following:
I
'
Oji,•'
BUILDING ADDRESS 45-330 DESERT EAGLE COURT
i
Use Classification SFD Bldg. Permit No. 10071
I�;;
I II
!
Group R3 Type Construction VN Fire Zone Use Zone SR
I`
r lI
Owner of Building GWR DEVELOPMENT Address 45-305 DESERT EAGLE COURT
I
I'
j
I
City LA QUINTA CA 92253
By: MARK HAROLD
I!
1
�
((� Date: 12-21-93
Building Official
POST IN A CONSPICUOUS PLACE
_
NANivG
-- -
Ta