08592 (SFD)Building
Address
Owner
Mailing
Address
City
Contractor
Address"
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5-355P.O. BOX 1504
78-105 CALLE ESTADO
'('tact #2393=5 DO= PalMhUlas LA QUINTA, CALIFORNIA 92253
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State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer
Address " Tel.
City P Zi State
pt%eA 331c>gT Lic. #
LICENSED CONTRACTOR'S DECLARATION
I herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Divisiom3 of the Business and Professions Code, and my license is in full force and
effect. I >
_�OWNEWBUILDER 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 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 offeied 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.)
❑ 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.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
h WORKERS' COMPENSATION DECLARATION
fI 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
❑ 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 thg 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, 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
Ihereby 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
No. 08592
BUILDING: TYPE CONST.
OCC. Gfi
A.P. Number
Legal Description
LoT
Sq. Ft.
Size. 2830
Project Description 3tt•
frw-6. A.%S ftpe=—
Alter ❑ Repair ❑
Demolition ❑
Sq. Ft.
Size. 2830
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
102,642.00
PERMIT
AMOUNT
Plan Chk. Dep.
M.ij}o
Plan Chk. Bal.
2$6."
Const.
630.00
Mech.
53.50
Electrical
iQ7.s�
Plumbing
126.50
S.M.I.
7.21
Grading
Driveway Enc.
Infrastructure
2,309.45
TOTAL
3 50.85
REMARKS
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-f.` 5i 4�F:w'ti .F, 4131-'1rV e,
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 4/3/94 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE l
'(TOUGH PLUMB. ��—�9�
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. gQ, FT. ®
DUCTWORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT.
GAS (FINAL)
WALL SQ. FT.
DRINKING FOUNTAIN.
SO FT ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
VENTILATION
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 a•OGROUND
PLUMBINL
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE l
'(TOUGH PLUMB. ��—�9�
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER O v
OUGH WIRING.//-7—fo
DUCTWORK
ROCK STORAGE
A -FOUND. REIN ��T - Li'V
OJIGAS (ROUGH) JR`Zy—' D
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. !j� ia�q
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
FRAMING — 9p
FINAL INSP.' �� (h
//
ROOFING
1 we 1 i-7-qo
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 11-07r-* c
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
Y2�
CERT. OCC.
FENCE FINA
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INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
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This Certificate issued pursuant: to the requirements of Section 306 of the Uniform Building
i Code certifying that at the time of issuance this structure was in compliance with the various
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ordinances.of the City regulating building construction or use. For the following:
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BUILDING ADDRESS 45-335..Desert Eagle Court
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Use Classification Single Family Dwelling Bldg. Permit No. 8592 10
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Group ft3 Type Construction VN Fre Zone Use Zone SR
Owner of Building GWR Development Address 859 N. Mountain Avenue #15B
city rUpland, CA 91786
By;Mark Harold
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Dote; November 24, 1993
Building Official
'POST IN A CONSPICUOUS PLACE
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