05897 (SFD)Building 0
Address 44-345
La Quanta Associates
`Mailing
Address 43-875 Washington rat.,
City Zip Tel.
92266
Contractor
U413. Williams Dev. Corp.
Address
saw
City IZip
State Lic.
& Classif. 493919
Arcn., tngr.,
Designer
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 45897
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number -
Legal Description Phase IT Lot 57
Project Description 'PCactus FloSh ar
uty
Lic- # X23; Sq. Ft. 1621 No. No. Dw.
-Size ., Stories Units
Tel.
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
City
Zip
State
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Lic. #
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
j;• LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of jvision 3 of the Business and Professions Code, and my license is in full force and
effect.,
Date Permit
Validated by:
SIGNANpE DATE
^ OwNEP BUILDER DECLARATION
• . _, � c1 `Hereby affirm that I am exempt from the Contractors License Law for the following
reasor[' (Sec:m7031.5,8usbhess and Professions Code: Any aiy or county w/ich requires a
Estimated Valuation
'.514.00
87,514.00
PERMIT` , ; ; ,,,
AMOUNT
• permit to constiuct.1, after, improve, demofsh. or reps any shi ctwe. prior to rt hmuance also
e prom o pplicant Canh ccttorssLicense � with Section signed statement UW he is licensed pursuant
0 ),o
Lavnim 3 of the Business and Professions Code, or that.he is exempt therefrom. and the basis
for the alleged exerpt - -Any vlalation of Section 703 1. 5 by arty appficart for a permit
.. subjects the applicant to a civil penaty of not more than rim h ended dotes (t500).
❑ I, as owner of the property,
p perry, 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, es gess and
Professions Code: The Contractor's license Law doTrot apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees.
,.., provded Oat such Improvements am not mtemfed or offered for sale_ fl, however. the butdmg
Plan Chk. Dep.
'
Plan Chk. Bal.
_
488477 88 7
V93: 17
Const.
C��ggt �v
58.5.5t.i
Mech.
Cg g -
�.I..J
Electrical
` -• 104.00
a,.*. or mrprovement is sold within me year of completion, the owner -builder will have the burden
Of proving that he did not build or brprove for the purpose of sale_)
Plumbing
"234
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to coif
struct the project (Sec. 7044, Business and Professions Cade: The Contractors License Law
does not appy to an owner of property who buds or mmpmves thereon. and who contracts for .
. such projects with a con0ador(s) ficensed pursuant to the Contractor's License Law_) .
-.
❑ I am exempt under Sec. a. & P.C_ for this reason
_
S.M.I.
C
6.,16
Grading'
Driveway Enc.
Date Owner
Infrastructure
1969..07
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
❑ "Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKED' COMPENSATION INSURANCE
(rft sedan need not be cortpfeted ff the peril is for one handed dofys (s100) vahration
or fess.)
I certify that in the performance of the work for which this permit is issued, 1 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: N, after matmng this C Wicate of Exemption you shouts become
subject to the Nbrkem' Corrpensabm provision of the Labor Codeyou must fodhwM
cmpy with such provisions or this permit shad be deemed revoked.
CONSTRUCTION LENDING AGENCY
1hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Cirri Code.)
Lender's Name
Lender's Address
This is abuilding permit when property 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 infon ation 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 pate
Mailing Address
City, State, Zip
TOTAL ,r.yv.v dr
REMARKS aof�i4.P2i# i3i5'k t{3 <4 fir'} pt€a . ft+ii
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
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR SQ FT ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. 0
GAS (FINAL)
TEMP. POLE
WALL SQ. FT.
DRINKING FOUNTAIN
SQ 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 xS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOXDISH)
APPLIANCE . DRYER
ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
SQ. FT. ® c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LATHING ql-
SQ.FT.GAR ® 3/ic
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
SETBACK
GROUND PLUM ING
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. l i0 D
GAS (ROUGH) 1 t72q
R 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 xS
=S
LUMBER GR.
FINAL INSP. ( Z� Gli
FRAMING o�
v '
FINAL INSP. �G/
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING ql-
MESH
INSULATIONISOUND
V
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
t