06834 (SFD)Building
Address44.090 Goldenrod Circle
La Quinta Associates
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailin
Address43•-8]5 WaShingtflr. St.
City Zip Tel.
Pala Desert 92260 1
345-7541
Contractor
€. G. iii l l i ares Dev. Corp.
Address
$dile
State Lic. Gity
& Classif. +493919 1 Lic. # 1231
Designer
Address Tel.
City IZip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed 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
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Bus ess and Prafessians Code: Any aIY or county which requires a
permit to construct, after. improve, deRmoffsh, or repair any structure, prior to its issuance also
requires the applicant for such perm to fie a signed statement that he is licensed pursuant to
the provisions o1 the Contractor's License taw, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Profession Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any vin of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a c" peratty of not more thar five hundred dors ($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 License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through In own' employees,
provided that such improvements are not intended or offered for safe. If, however, the buiVing
or improvement is sold within one year of completion, the owner -builder wi➢ have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to coo-
struct the project. (Sec. 7044, Busiless and Professions Code: The Contractors License Law
does not apply to an owner of properly who Lxdrk or improves thereon, and who contracts for
such projects with a contnactorfs) iransedpursrant to the Cadractoes License Law.)
❑ 1 am exempt under Sec B. & P.C- for this reason
Date ✓/ .� f (+ Owner
V
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. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be arrplefed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of lhg work for which this permit is issued, I shall not
employ any person in any manner s0 as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: f, after uptime this Certificate of Exemption you should become
subject to the Workers' C.onpensalim provsiors of the Labor Code, you must forthwith
comply with such provisions or this permit stall 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 kaued- (Sec. 3097, CA@Code-)
Lender's Name
Lender's Address
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 certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county oninances 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
No. 06834
11LDING: TYPE CONST. OCC: GRP.
P. Number Tract 22982 - Phase Ir'
Legal Description Cactus Flower
Project Description Plan 2C ` Lot 98
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 1/10/90 Permit
Validated by:
Validation:
Sq. Ft. 1621
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
Estimated Valuation
$87,514
PERMIT
AMOUNT
Plan Chk. Dep.
_
Plan Chk. Bal.
t •
Const.•'
Mechi , ,
�J•J
Electrical
MCC
Plumbing
Izi, Liu
S.M.I.
6
Grading
Driveway Enc.
Infrastructure
1,965.07
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 1/10/90 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE -31 �� G,0. �
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SO. FT.
FORMS
ER OR SEPTIC TAN
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SD. FT. ®
GAS (ROUGH) 1� �(J�
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP. 7 9 !j LD,
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SQ FT. ®
=$
LUMBER GR. FINAL INSP. ►
ESTIMATED CONSTRUCTION VALUATION $
ROOFING a
`�/
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S Qp
MESH
INSULATIONISOUND q17
FINISH GRADING
FINAL INSPECTION R qD C1�
CERT. OCC.
ccMcr CIMAI
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® VVac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL I
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 %
DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE -31 �� G,0. �
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SEPTIC TAN
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
/ 4
GAS (ROUGH) 1� �(J�
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP. 7 9 !j LD,
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR. FINAL INSP. ►
s �+ p
FRAMING FINAL INSP. 7 q Q zo
ROOFING a
`�/
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S Qp
MESH
INSULATIONISOUND q17
FINISH GRADING
FINAL INSPECTION R qD C1�
CERT. OCC.
ccMcr CIMAI
!�• / � /J�
// N
REMARKS:
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL