001755 (ELEC)44
P.O. BOX 1504
Buildin78-105 CALLE ESTADO
Address w-603.Wasulbm— b S'-., SLA QUINTA, CALIFORNIA 92253
Owner
Mailing '
Address p.o. X , $'P
City JZip Tel.
. . . i silt .. '92502 ' 714--04-51
51
Contractor
Address i..
No. 00.755
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Fmw:' Pole fm' p-lp site
alit. la0 Mew .
' City _Zip
Tel.',
State Lic.
City
& Classif. 'Ch 340069 A
Lic. # Sol
Sq. Ft. •
No. No. Dw.
Size
Stories Units
.:.. ... ...... ... - ..
Arch.; Engr.,
,
- Designer
New ❑ - Add ❑
Alter ❑." Repair ❑ :Demolition E3
Address
Tel.
,
CityZip
State' _
� ..
_. LCICENSED CONTRACTOR'S DECLARATION
hereby affirm thalil`am licensed under provisions of -Chapter 9 (commencing withSection
7000) of Division,3"of the Business and Professions Code, and my license is infull force and
effect: ✓� _
SIGNATURES .S DATE
/OWNER -BUILDER DECLARATION r'
EStlmated.ValUatlOn .
I here 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, atter, improve, demolish,,tor 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, Chapter9. (commencing with .Section 7000) -of
"Division 3 o/ the' Business'and Professions Code, or that: he is, exempt therefrom,'and the basis -
for the 'alleged. Any Section 7031.5 by 'any -applicant -for
PIan.Chk...Dep..
•.
-
- -
exemption. violation of a permit
'subjects the applicant to a civil penalty'o/ not more than Avehundred dollars ($500).
Plan Chk' •Bal.
-
_ O 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 ''
COnst.
~
-
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,
'' M13ch..
.. • .
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
Electrical
y�1•�
• of proving that he did not, build or improve for the purpose:of sale.) .. '
❑ I, as owner of the.properly, am exclusively contracting with licensed contractors to con- -.
Plumbing
• •struct4he 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 /or'
S.M.I.'
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ..
Grading
0 lam exempt under. Sec. B. & P.C. for this reason
-
Driveway Enc.
Date Owner
Infrastructure
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.
TOTAL
20.00
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COM PEN SATIO N INSURANCE
(This section need not be completed i/ 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 o/ Exemption you should become
ZONE:
BY: ..
' 'subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall. be deemed revoked. ' '
;Minimum Setback Distances:
_
Front.Setback from Center Line
Rear Setback from.Rear.Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street -Setback from Center. Line
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•Llne
Lender's Name
Lender's Address
FtNAL_DATE '
INSPECTOR
This is abuilding permit when properly filled out, signed'and.validated, and is subject to
expiration if work thereunder is suspended for 180 days.. I I
I:certify
�y g��
that l have read this application and state -that the above information is correct:
'
Issued by:
Date Permlt-
I agree to comply with all city and county ordinances and state lawsrelating to building
construction, and hereby authorizejrepresentahves of this city to'.enter the above-,
mentioned property for inspection purposes. i r r
Validated by:
Signature of applicant / �- . f !! %. i Date
Mailing Address_ (` '� �' f
Validation:
City, State, Zip ... j .._
.�`
A 2 9 9 5
10 28 20.06 Ck
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CAR P. Q. FT.
WALL SQ. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION . $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROUGH WIRING
GARBAGE DISPOSAL
FURNACE UNIT WALL _ FLOOR SUSPENDED
-
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
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.
SQ. FT. ® c
BATH TUB
WATER HEATER
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1Va c
SEWAGE DISPOSAL
BOND BEAM
SQ.FT.GAR ® 3/ac
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 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 APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE 6�
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
44"n'
i
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
Vl
L.G. A
APARTM. s
ENT'
ADDRESS/SEQUENCE SHEET
ADDRESS
BUILDING
UNITS
BLDG TYPE
50-701 WASHINGTON
BLDG "A"
UNITS 1=8
TYPE E
- . 50-701 WASHINGTON :
BLDG "B"
UNITS 1-8
TYPE A
50-701 WASHINGTON
BLDG "C" ,
UNITS 1-4
TYPE B
50-701 WASHINGTON'
BLDG "D"
UNITS 1-8
TYPE E . -
50-701 WASHINGTON
BLDG "E"
UNITS 1-8'
TYPE A
50-701 WASHINGTON
y. ` BLDG "F.
UNITS 1-8
TYPE A.
50-701 WASHINGTON
BLDG "G"
UNITS 1-8
TYPE C
50-701 WASHINGTON
BLDG "H" ' �.
UNITS 1.4
TYPE B
50-701 WASHINGTON
BLDG -r,
UNITS 1-8
TYPE A
50-701 WASHINGTON-
BLDG "J"
UNITS 1-4
TYPE D'
50-701 WASHINGTON
BLDG "K'.' .
UNITS 1-8
TYPE A
.50-701 WASHINGTON
BLDG "L" '
UNITS 1=8
,TYPE A
50-701 WASHINGTON
. 'BLDG "M"
UNITS 1-4
TYPE.B
50-701 WASHINGTON
BLDG"cM'
UNITS 1-4
TYPE D
50-701 WASHINGTON
BLDG "O"
UNITS 1-8 •
TYPE A .
50-701 WASHINGTON,,,'
BLDG "P" '
UNITS 1=8
TYPE C
50-701 WASHINGTON
BLDG "Q'.'
UNITS 1-8
TYPE A
50-701 WASHINGTON'
BLDG "R"
POOL HOUSE
�.. 'JM^c•' G eC4r- / PERMIT
17,
. I C,
LAUNDRY
loop
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b -FLEX OLDS. W 4-PL_EiX BLEW "8o
REFER TO '.SMT. M/1 FOR REFER TO 6HT. AS2 FOR
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REFER TO SMT. Ab -Z FOR REFER TO SHT. Ala FOR
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REFER TO SHT. Ab2 FOR
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