04861 (SFD)048561
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 51-905 Eisenhower LA QUINTA, CALIFORNIA 92253
Owner
New Generation Suilders; Inc.
Mailing
Address
P* 0. 8e3t 2401
City Zip Tel.
Palm Desert 1.92260 346-4614
Contractorsa. I
Ti3®
ress �.
City jZip ITel.
State Lic. City
& Classif. 3$2211 1 Lic. #
Arcn., tngr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm -that I am licensed under provisions of Chapter 9 (commencing with Section
7000) t. of Divisioh 3 of the Business and Professions Code, and my license is in full force and
effecy,O' • -
SIGNATURE - DATE
OWNER -BUILDER DECLARATION
I hereby'affirmahat l am exempt from the Contractor's License Law for the following
reason: (Sec703,1. S;Busfness and Professions Code: Any city or county which reputres a
permit to,' constiuct,' atter,, improve, demolish, or repel' any structure, prior to its Issuance also
repulres the eppl,canR lo' `such permit to file a signed statement that he is Ncensed pursuant to
the provlstons of.the•Contractor's License Law, Chapter 9 (commencing wfth Section 7000) of
Division 3 of the Business and Professions Code, or that. he !s 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 penalty of not more than rive hundred dollars ($500).
0 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.)
❑ 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) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. 8 P.C. for this reason
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 774-144--021
Legal Description
Project Description ° °F.1)"
Infrastructure
2 * 013 .19
WORKERS' COMPENSATION DECLARATION
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Policy No. Company "Y
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
041 0VaU0'�
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
Estimated Valuation
X20
$90020
PERMIT
or less.)
AMOUNT
Plan Chk. Dep.
$2500, 00
Plan Chk. Bal.
;
95.27
Const.
Date Owner
406,00
Mech.
NOTICE TO APPLICANT., It, after making this Certificate of Exemption you should become
36.00
Electrical
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
78.95
Plumbing
105.00
S.M.I.
6 ♦ 34
Grading
20.00
Driveway Enc.
20.00
Date Owner
Infrastructure
2 * 013 .19
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 "Y
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
TOTAL
041 0VaU0'�
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
"" _ `"" t
(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 thg work for which this permit is issued, I shall not
`
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., It, after making this Certificate of Exemption you should become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
INSPECTOR
I P
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
M q � ��
I
I certify that I have read this application and state that the above information is correct.
Issued by:
,k
Date Permit
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.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
WHITE - FINANCE, PINK - APPLICANT, GREEN = BUILDING,
GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE'
-.. .,.. F, .,._ .,. .., ...-. .... ..5. .,. q., .. �s- ., -. ...f -. ,-.....l:s.,
r.. �.. ... ''-'. ...., Y.,.r +,i:.,
.. •.-ra -tii .. .. ... t .. ... ,: V. a ... -„ -.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1S7 FL- SO FT (a $
UNITS
SLAB GRADE
TGRUND
GH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. @
FORMS
ER OR SEPT
MM
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. a
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. it
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. I SO FT. to
FINAL INSP.
WALL SO. FT. @
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO. FT. (B
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
-
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTOXDISH)
APPLIANCE DRYER
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ( 1+/ c
SEWAGE DISPOSAL
SO.FT.GAR r' A/A c
HOUSE SEWER
FINAL INSPECTION
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 8 AIR COND. SOLAR
SETBACK
PLUMBIN +
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
TGRUND
GH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ER OR SEPT
MM
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.
FINAL INSP.
/FRAMING
I/LROOFING 2 ` (�
0.V �L5� '
% !'w�� y
(r
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING S O
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
Building 1- I-
P.O. BOX 1504 APPLICATION ONLY
78 -105 CALLE ESTADO
ni��Pr LA QUINTA, CALIFORNIA 92253
I1 rum 0,7b vk_
Mailing
V ' COX �� O
Addressp,
g im zsce-4 zea �0 Tel.
16H(0_qtp1Q
G
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 7 -715 — / 7 `i-, D 7 --
Legal
Legal Description 4-0 ! 9
Project Description te=a . /- 1�7
5k �
Zip
,�lQ0
T�Y( l XJC/1 (l
State Lic.
& Classif.3� t I
City
Lic. #
_
Sq. Ft.
a No. _ No. Dw.
Size Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ ' -Demolition ❑
Address
Tel.
"
City
Zip
State
Lic. #
LICENSED CON5RACTOR'S DECLARATION
CI_hereb
eff�fm that I am icensed under proJisions of Chapter 9 (commencing with Section
effect. is the us ness and Profe§slori%�e� my license is in full force and
effect. JC/
SIGNATURE - // i I DATE
OWNEwBUIebER DECLARATION
I hereby affirm that I am a&`mpt from/the Contractor's License Law for the. following
reason: (Sec. 7031.5,Business and `Professlons Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to Its issuance also
requires the applicant for such permit to Ills 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 penalty of not more than five hundred doliars.($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
Estimated Valuation �-Z
/
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal. Z
Const. �0 , e0O
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
Mech. - / 00
Electrical -TS
r
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.)
Plumbing ,00_
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 an owner or property who builds or Improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec. B. 8 P.C. for this reason
S.M.I. �p ,
Grading p p
_ Zip ,
Driveway Enc.
Date owner
Infrastructure 17 1 j 42
WORKERS' COMPENSATION DECLARATION
Ihereby 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
1-2
O Copy is filed with the city. .❑ Certified copy is hereby furnished.
TOTAL -�_ -7 s ; p 7
REMARKS
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
005182 10 2967
� ii -U-88 io
or less.) -
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
l%/ UMJr1 1 iL)1HL 1 4/D, VV
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate 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.
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
I=firmthat there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Setback from Property Line
Lender's 'Name
FINAL DATE INSPECTOR
Lender's Address
This is a buildi%permit when properly filled out, signed and validated; and is subject to
expiration it 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.
Issued by: Date Permit.
Validated by:
Signature of applicant - Date
.Mailing Address
Validation:
City, State, Zip
BUILDING DIVISION
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SQ. FT. ®
GROUT
WATER HEATER
WALL SQ. FT. ®
FINAL INSP.
DRINKING FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ. 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
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
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
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
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 APP./EQUIP.
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. ACC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
TRUSS LIST
SPAN' TYPE NO COND R L.O.H R.O.H.
A
'20'-B"
GABLE END
1
1.-0"
1'-0",
B.
20'-B"
STANDARD
6
Vo.
1'-0"
C
40'-0"
STANDARD,FILL
1
1'-0"
1'-0"
D
40'-0" .
SCISSORS
3
FURR20'-B"
'1'-0"
1'-0"
E
40'=0:"
SCISSORS
20
1'-0"
1'-0"
F
40"-0"
. GABLE END
1
1'-0"
1'-0"
J. B. TRUSS CO.
54461 29 PALMS HWY. NBL40
YUCCA VALLEY, CA, 9224
619-365k-94
don
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W
... .. ........ .... ...
................
1 '
I
it
CAIOQi
NP
COP N IONAL
FRAM 6
Nr ,2
2.mI A
z o•
TRUSSPLAN SCALE: 1/8"=1'-0"
A