10407 (SFD)• I
414Q
IiuCV
P.O. BOX 1504 No. 10407
Building 78-105 CALLE ESTADO
Address 79-31,60 desert Rock Ct LA QUINTA, CALIFORNIA 92253 ,
Owner 1
MR f'y�' �_ �'�' � BUILDING: TYPE CONST.OCC. GRP.
Mailing
Address 45305 Desert Eagle Court A.P. Number
City Zip Tel.
La Quints 92253 772 -3336 Legal Description Tract 23935 Lot 22
Contractor Project Description -SPD
Same as above
Address.
City Zip Tel.:
State Lic. City
& Classif. 535507(! Lic. # 1615 Sq. Ft. 7110 No. No. Dw.
Arch., Engr.,
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following 117,062.00
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 PERMIT AMOUNT
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 Plan Chk. Dep. -
.subjects the applicant to a civil penalty of not more than five hundred dollars.($500).
0 I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 64 1. 94
do the work, and the structure is not Intended or offered for sale. (Sec. 7044; Buisness and Const. 812.00
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, Mech. H,
provided that:'such improvements are not intended or offered for sale. If, however, the building 5 0
or Improvement Is sold within one year of completion, the owner -builder will have the burden Electrical �.
of proving that he did not build or Improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con• Plumbing - 144. 5 0
strut( 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. S. 71
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 Grading
Driveway Enc.
Date owner Infrastructure . 2309. 45
Art -s 'in Piibl in /)s- 42.65
WORKERS' COMPENSATION DECLARATION w ��
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of 1
Worker's•Compensation insurance, or a certified copy. thereof. (Sec. 3800, Labor Code:) -
Policy No. -"- Company
m%Copyis filed'wlth•t e:clty. ❑ Certified copy is hereby furnished.
TOTAL 1 44,&4.55
- • 4
CERTIFICATE OF EXEMPTION FROM REMARKS �` b
WORKERS' COMPENSATION INSURANCE /
(Thi section need not be completed If the permit Is for one hundred dollars ($100) valuation
or less.) .- } . yam, a
I certify that in the performance of thg work for which this permit is issued, I shall not ;,i}+' �¢YLsW "y irA
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 ZONE: . BY.:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
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
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. — Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip '
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
SLAB GRADE W/
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. I SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP. / /O 9Z
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, TEM/PERM
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 ® 1% c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® V4c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
xp/
GROUND PLUMBING '3 /1
L ;)UNDERGROUND
A.C. UNIT
COLL AREA
SLAB GRADE W/
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. / /O 9Z
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
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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
ordinances of the City regulating building construction or use. For the following:
BUILDING ADDRESS 79-310 DESERT ROCK COURT
Use Classification SINGLE FAMILY DWELLING Bldg. Permit No. 10407
Group R3 Type Construction VN Fire Zone Use Zone SR
Owner of Building GWR DEVELOPMENT Address 45305 DESERT EAGLE COURT
City LA QUINTA, CA 92253 By: MARK. HAROLD
Dote: MAY 18, 1992
Building Official
OST IN A CONSPICUOUS 'LACE
I