05329 (RR)TA-tyl 4
P.O. BOX 1504 No. 05329
Building41 78-105 CALLE ESTADO
Address
A LA QUINTA, CALIFORNIA 92253
S
Owner
.
BUILDING:. TYPE CONST. OCC'. GRP.
A.P. Number
MA iling
Address
City
Zip
&i-1 (!2L11A;-714
Legal Description
Project Description += `"`eou F
Contractor
7'
Address
City
Tel..'
V
State Lic.
City
& Classif.
Lic. #
Sq. Ft. No. No. D w'
Stories- Units
-,Size
-Arch., Engr.,
Designer
New 0 Add 0- Alter 0 Repair 0 -Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division-3.of the Business and ProtessioripCode, angMliceDse is in full force and
effect._
SIGNATURE.— DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following .
reason: (Sec. 7031.5,Business and Pirolessions Code: Any city or county which requires a
permit to constrict, after, bripfove, denxfth, or repair any structure, prior to its issuance also
requires the applicant for such permit to Me a signed statement that he is licensed. pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Dtv&on 3 of the Business and PirolessiNis Code, or that. he is exempt therefrom, and the basis
for the.alleged
alleged exemption. Any violation of Section 7031.5 by a permit
subjects the applicant loacivapenally ofnot more Oran five hundred dollars ($500). -
0 1, 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 anion"ves thereon mid who does such work himself or through his own employees,
provided that'such briprovements are not intended or offered for sale. If, however, the building
or improvement is sold wilikin one year of completion, the owner -builder will have the burden
of proving that he did not build or kriprove for the purpose of sale.) .
Estimated Valuation 1
4
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. 7Z. 0 V
Mech.
Electrical
Plumbing
0 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 IxAlds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec. R. & P.C. for this reason
S.M.I. t2 f
Grading t:
Driveway Eric.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers &mpensation Insurance, or a certifio:copy th@Frebf (Sec. 3800, Labor Code.)
Policy No. Company Z, 2s;;-
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need Trot be completed If Ore permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thp 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
MR 1440N P'�Nh+nkl `V , '3_Uy -D
71 7c�
DateOwner
NOTICE TO APPLICANT If, after making this Certificate of Exemption you should become
Subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
Comply With such Provisions of this Permit shag be deemed revoked.
ZONE: BY:
Minimum Setback Distances:
Feont,Setback,trom 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, Cvil iCode.)
Side Setback from Property Line
Lender's Nam
Lenders Address
FINAL DATE INSPECTOR
This is a building permit when property 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 d property for inspection purposes,
.
Issued by: Date Permit
Validated by:
Signature of applicant —Date
Mailing Address
Validation:
City, State, Zi
CONSTRUCTION ESTIMATE
NO. ELECTRICALFEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT. Q
FINAL INSP.
DRINKING FOUNTAIN.
SQ FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® NaC
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE 7NST.
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 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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
MAIN OFFICE .1
OP P E R S
' 14230 LITTLE MORONGO DR.
' DESERT HOT SPRINGS, CA 92240
Roofing Company
(619) 329.2116
(619) 329-0186
A DIVISION OF"EXCALIBUR CUSTOMS, INC.
1
January 31, 1989
. Mr. & .Mrs Weber
46285'Washingt6n
La.4uinta, CA
Ax
-Re: Weber's residence.
The present span chart is based on,the
structural -engineer's calculations
specs. for Marley brand'roof tile.
All
spans in span chart are based
on roof loads of 20LB per square foot,'
and; 16LB per 'square foot for
`
slopes .of slopes of less than 4:12
and
4:12 or greater respectively.
The roof structure at ,,this 'location"
was
found�.tbfi.be .well within the
allowed spans.
a�
Please "refer to reroofing table for'
an
applicat.ion.of.tile, 30LB`felt,
and 1/2" plywood.
..
_
Signed,
By,
Ri hard G,.Reykda
Field Inspector
FITS TIGHTER LAST LONGER
•
TILE - HOT TAR