10143 (AR)78-126 Hacienda
Tuf Qt4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Owner
Mr. -and Mrs. David 14cGrath
73 W.1e
Zip Tel.
aaGminta 1.92253 1
T.A. Kennedy
Address
77-350 A--roba
City
ZmZip
aoui�nta
State Lic.
& Classif. 442118
Arch., Engr.,
Designer
Address
`City _..r Zip
Construction
ILic.# 469
Tel.
State
Lic. #
DECLARATION
of Chapter 9 (commencing with Section
Code, and my licensse'l� full force and,'
,r
i, a BC .TIIR -'t ";',r i-..: �,.,_ ;�r- �.f•-� fS�;':.,r:�, ai {moi � ..
SIGNA� - DATE
OWNEWBUILDER DECLARATION
I hereby affirm that I -am exempt1rom the Contractors, License Law for the following
reason: (Sec.- 7031.5;8ushess and Professions Code: Any city or county which requIres a
permit to construct after. Improve, demolish, or repair any structure, prior to Its Issuance also
requires the applimt .for such Penn# to Ble'a signed statement that. he Is licensed pursued to
the provisions of the Contractors License law, Chapter' 9 (co mnanolng .with Section 7000) of
Division 3 of the the
and Professions Code, or that. he Is eiarnpt therefrom, .and the basis
for the. alleged exemption. Any, vidatim Of Section 7031.5 Dy 'any appscanr' for a Perna
subjects the eppacaimt ro a otwu penally of not,
than flue Hundred do9ers I$500).
❑ I; as owner of the property; or my employees with wages as their sole compensation, will
do the work; and the structure is not intended or offered for sale.. (Sac. 7041; Buisness and
Professions Code: The Contractor's license Law does not -appy to an owner of property who
builds or bnprovea Hereon and ria does such work himaeff 'or through Ma own employees,
provided Mat' such Improvements are not Intended or offered for &ale. 9, however, the building
or imProvamed• Ia sold within one yea of completion, '.the owner -budder wN .have the burden
of provfip that. he did not build or Improve for the, purpose of sale.)
I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractors Lhense.Law
does not apply to -an owner of property -who bulfds or Improves thereon, and who contracts for
such, projects with a contracror(s) licensed pursuant to the Contractors License Lew.)
O I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have,a certificate of consent to self -Insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800; Labor Code.)
"Policy No Company
%Copy is filed with the city. ❑ Certified:copy Is hereby fumished.. .
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This � section , need not be cornpleted If the permit is for one 'hundred dollars ($foo) valuation
orless.)
I certify thatAn the performance of the work for which this permit Is Issued, I shall not
employ any ppeerson In any manner so as°to become subject to the Workers' Compensation
Laws of Cali
Date ,owner
NOTICE TO APPLICANT. If, after making this CerfHkate of Exemption you should became
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply wdh such provisions orthlspennit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY .
1 hereby affirm that there is a construction lending agency for the performance of,the
work ,for which this permit is,issued.:(Sec. 3097, CIO Code.)
Landes Name
Lender's Address
This Is a building permit when properly filled out, signed and validated, and is subject to
expiration It work thereunder is suspended for 1110 days.
1 certify that 1'have read this,application and,state•that the above information is correct.
I agree, to comply•with all city and county ordinances and stale laws relating to building
construction, and hereby authorize representatives -of this city to enter the above..
mentioned property for inspection purposes.
Slgnature.of applicant Date
Melling Address
City, State, Zip
No. 10143
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description
ROV-M ADDITION
Sq. Ft. No. No. Dw.
Size 87 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑
•Demolitiori ❑
Estimated Valuation 179400
PERMIT -
AMOUNT
Plan Chk. Dep:
Plan Chk. Bal.
122.85 -
Const.
189.00
Mech.
15.00
Electrical
15.0 0
Plumbing
S.M.I.
1.8 Q -
Grading
Driveway Enc.
Infrastructure
REMARKS
ZONE: BY:
MinimurriSetback Distances:
Front,Setback from Center Line
Rear Setback from, ear Prop: L'ihe
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued byi_ Date Permit
Validated. by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL- SO: -FT.
BONDING
POR. SO. FT: ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
ROUGH WIRING.
DUCT WORK
DRAINAGE PIPING
CAR P. SQ.,FT.
-GAS(ROUGH)
WALL SO.,FT.
METER LOOP
DRINKING FOUNTAIN,
SO. FT a
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION E
GAS (FINAL)
WATER PIPING
NOTE: Not to be used as property tax.valuation'
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT; SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOUDISH) .
APPLIANCE DRYER
BOND BEAM
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
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:
SO. FT. ® c
BATH TUB
VENTILATION
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. REBID ® 1 V4 c
SEWAGE DISPOSAL
SO.FT.GAR ® :%c
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 S AIR COND. SOLAR' -
v
SETBACK
11
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
v/j
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 APPJEUUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu: yd.
LUMBER GR.
FINAL INSP.` fL
FRAMING m L� ��
FINAL INSP.
ROOFING Q NC
�
p I � /
/ Q`d / � ,1f
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE'
SPARK ARRESTOR
GAR. FIREWALL
HING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL