05726 (SFD)4
�0 r P.O. BOX 1504
Building 78-105 CALLE ESTADO
AddrPcc LA QUINTA, CALIFORNIA 92253
COACHE€ LA. VAIXEX 1 AM
Address 247 E. TMQ Z WAY #2
C"PALM SP€L1NGS Zip 92262 Tel.
Contractor STARR CONSTRUCTION
No.
BUILDING: TYPE CONST. OCC: GRP...
AA. Number - ' 773-294-010 --
05726
Legal Description LOT 14 RLE 151 UNIT 16
Project Description $F
Address I
SAME
el.
State Lic. I City
& Classif. 387994 Lic. # 895
Arch., Engr.,
Designer
Address Tel.
City I
Zip I
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Busin and Professions Code, and my license is in (full force and
effea�F.l..�
SIGNATURE mow""" DATE
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Busmess and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to [Issuance also
requires the apprcant for such permit to Rue a signed statement that hes licensed pursuant to
the provisions of the Contractor's License law, Chapter 9 (commencing with Section 7000) of
Ofvtsion 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 pemvt
subjects the applicant to a chN penalty of not more than Ave hundred dogars ($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 smproves thereon and who does such work hxrrseg or through his own employees.
provided that such improvements are not intended or offered for safe. It, however, the building
or improvement is said within one year of completion, the owner-buJder wuD have the burden
of proving that he did not build or improve for the purpose of sale.)
O 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-ar owner of property who builds or improves thereon, and who contracts for
such projects wWth a'contractor(s) gcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec B. 8 P.C. for this reason
Date Owner r
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent✓to selfJnsu or a certificate of
Worker's Compensation Insurance, ora certified copy thereof, 8 0, Labor Code.)
Policy No. .Company _:-K ��
❑ 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 dogars ($100) vaksiion
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: d, after mating this Cerggcate 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 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
Lender's Address
This is a building permit when property 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.
1 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
Sq. Ft. 1409 No. 3 No. Dw.
Size Stories Units
I NeWTO Add ❑ Alter ❑ Repair ❑ Demolition ❑
630
1 1.70" 6" WOM FEl�CF,
stimated Valuation $76136.00
PERMIT
AMOUNT
Plan Chk. Dep. Z50.00
Plan Chk. Bal.
•ay
Const.
•
Mech.
•
Electrical
106.41
Plumbing
313
S.M.I.
S • 39
Grading
20.0
Driveway Enc.
.2 .00
Infrastructure
a X1.5
TOTAL
REMARKS
x •. -, �, . a�xaiv v- .k" e. r ♦c, r ]-� ' xa Y r � a c.'-[ a
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 INSPCTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
l` SLAB GRADE 6 /
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SE f1�4A-e�
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. gp, FT, ®
GAS (ROUGH)
METER LOOP
GAR. Sp, FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SO. FT.
GROUT
WATER HEATER
WALL SO. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SO FT ®
LUMBER GR,
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
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(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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 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
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
V'il/ SETBACK — ( - r
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
l` SLAB GRADE 6 /
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE f1�4A-e�
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—x$—=$
LUMBER GR,
FINAL INSP.
FRAMING A%'
FINAL INSP.
ROOFINJO 1. C /
✓1 �� G—�C �O/`�(/
l} "
/ /��d
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�
LATHING C\lJ
6��
MESH
INSULATION/SOUND
FINISH GRADING
INAL INSPECTIOk 2�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL