14742 (SFD)Builin
Address 48-605 Cade Esperanza
Owner
P.O. BOX 1504
78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
& Associates
Mailing 41-8.65 Boardwalk #212
No. 14742 .
BUILDING: TYPE CONST. V OCC. GRP. R3
A.P. Number 64.6--121-403
City I Zip Tel. y ' Tr ti 3 60 t 213052-4
Palm Deserve..
Contractor
Same
Address
ty
Zip
92212 (619) 777-7766 Legal Description Q &IaC
Project Description- 5M Plan
Laguna De La Paz
State Lic. City
& Classif. B 488234 Lic. # less.
Arch., Engr.,
Designer Carlos Elias Engineer
V991's Ct�rl.es4orth Dr. 1019} 328-7271.
CityState
..Cathedral Ciiy, Zip CA 92234 Lic. # .
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I yn licensed undpr pro I ions of 0—ha, 9 (co mencing with Section
7000) of Division 3 of the Business an .Professions Code�and my li ense is in full force and
yeffect. / li.! .>./ yG/
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5, Business, and Professions Code: Any,cify or county which requires a
permit to construct, atter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Nle 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 penally 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 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 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.) it
❑ 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) Ucensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of.consent to self -insure, or a certificate of
Worker'siCompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Polis o. Company
Copy is filed with the city, ❑ 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 the 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: It, after making this Certftate' of Exemption you should become
subject to the Workers' Compensation provisions of . the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, .
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND "
ATTORNEY'S FEES.
This is,ti 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
t
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
Rear Setback from Rear Pro
Side Street Setback from ter I,*ne
Side Setback from Pro qty Line/�-
FINAL DATE INSPEC
Issued by:_
Validated by:.
Validation:
Sq. Ft. 195()
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑.
Repair ❑ 'Demolition ❑
Estimated Valuation
-
$115038.00
i
.PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
J r7 -
'
Const.
595.00
Mech.
62.50
Electrical
140.95
Plumbing
150.00
S.M.L.
11.59
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,565.27
Arts in Publi.
Places
.,-39.85
4
TOTAL
4.290.69
REMARKS
t
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
Rear Setback from Rear Pro
Side Street Setback from ter I,*ne
Side Setback from Pro qty Line/�-
FINAL DATE INSPEC
Issued by:_
Validated by:.
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW%3 FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. SO. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER ORS K
f
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. I S0. FT.
HEATING (FINAL)
OTHER APP.IEOUIP.
WALL SO. FT. ®
DRINKING FOUNTAIN
SO. FT. ®
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
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
� - ` -�
//�%�
LAUNDRY TRAY
AIR HANDLING UNIT CFM
REMARKS:
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 ® t+/a c
SEWAGE DISPOSAL
SO.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 ---F
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 3
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ORS K
f
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) f
AIC METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEL
GAS (FINAL)1/
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP.
FINAL INSP.
RADING
e
3 cu. yd.
$ plus x$
_$
LUMBER GR.
FRAMING
ROOFING
�
� - ` -�
//�%�
/
[��c,
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWA L
LATHING ) #
MESH
INSULATION/SOUND Wild
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL