06836 (SFD)T 46 it!t °f �wQ�rw
Buildin
Address 44-030 Goldenrod Cftcie
La ouinta Associates
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 43»875 Washington St.
City Zip Tel.
Palm Desert 92260 1 345-7541
Contractor
Williams Bev.
Address
Same
State Lic. City
& Classif. 433919 Lic. # 1231
Arch., Engr.,
Designer
Address Tel.
City (Zip ( State I
Lic. #
LICENSED CONTRAcTOR'S DECLARATION
I hereby affirm that I am ficerised 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
OtMNE 41UHJMM DECLARATION
I hereby affirm that 1 am exempt from the Contractors license Law for the following
reason: (Sec. 7031.5.6usness and Ralessons Code: Any city Of curdy which requires a
permit to construct, alter, improve, derroIf or repair any structure, Pur to its issuance also
requires the applicant for such pend to file a signed statement that he is licensed pursuant to
Me provisions of Me Contractors License law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and P1Wessiors Code, or Mat -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 tav8penaty of net more Man live 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 Contractors Lice se law does not apply to anowner of property who
builds or improves thereon and who does such womk himself or through his own employees,
provided that such rriproremenis are not intended or offered for saleff. however, the building
or improvement is sold wi him one year of cornlAWan. the owner -Moller wRl have the burden
of proving that he did not bull or improve for the popose of sale.)
❑ 1, as owner of the property, am exchsively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Buses and Professios Code: The Contractors License Law
does not apply to an owner of property who to or improves thereon, and who contracts for
such projects with a contractor(s) Ecersed pursuard to the Contractors License Law.)
❑ 1 am exempt under See ---------& g P_C: for this reason
rf i� rf .s �,
Date Tri _l6 Owner { kj A a?..:, kir ., F. s c . : ! I
WORKERS! COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insuraince, 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 E7®IPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 9 the permuT is for one hundred dollars ($100) vatuation
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 APPIUCANT- f, after rmratig this Certificate of Exemption you should become
subject to the Workers' Ceurpersalim provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shalt be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec_ 3097, Civif Code.)
Lenders Name
Lenders Address
This is a building permit when properly filled orf, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I cerlify 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 Addr�cs
City,- State, Zip
No. 08838
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Tract 2.2982 - Phase rY
Legal Description Cactus Flower
Project Description Plan18#i - Lot 1€18
Sq. Ft. 1335 No. No. DIN.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
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 1/10190 Permit
Validated by:
Validation:
stimated Valuation
�+q
$73,279
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. .
44U.2%
Const.
522.50
Mech.
53. `J.w
Electrical
90.26
Plumbing
123.00,
S.M.I.
5.18
Grading
Driveway Enc.
Infrastructure
s�4•
TOTAL
REMARKS
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 1/10190 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SQ. FT. ® $
UNITS
SLAB GRADE 1� �
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. @
FORMS
EWER OR SEPTIC TAtJ %
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. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INS P.1lq
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ F.I ®
=$ LVM
LUMBER GR. 7 1 FINAL INSP
ESTIMATED CONSTRUCTION VALUATION $
ROOFING
;o�
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION Cts L 7/
CERT. OCC.
_ ccurc cwei
WATER PIPING
NOTE Not to be used as property tax valuation
REMARKS:
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
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 Ve c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
nj
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE JPLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK/
UNO PLUMBING3
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 1� �
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR SEPTIC TAtJ %
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF. I
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INS P.1lq
BOND BEAM
WATER SYSTEM
GRADING
CU. yd.
$ plus x$
=$ LVM
LUMBER GR. 7 1 FINAL INSP
/
FRAMING � 1` 7 � FINAL INSP. q �y
(
!!!-IN4
ROOFING
;o�
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION Cts L 7/
CERT. OCC.
_ ccurc cwei
n
Al
REMARKS:
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL