04482 (BLCK)---------- _ ----------------
.
_ - _ --_-_ -_
Building /0-1VOt ALLr- to IAUV
Address 51-910 Eisenhower LA QUINTA, CALIFORNIA 92253
Owner ,.
Deseret Homes, Ltd.
Mailin
Address 7220 Trado St., 0100
City Zip Tel.
0-, sySan Diego 92121 593-8444
YContractor
The Ulindel Corporation
Address sama .
City lZip I Tel.
City
330551 Lia # 859
Tel.
I Zip I State
Lic. #
, LICENSED CONTRACTOR'S DECLARATION
that 1 am licensed under provisions of Chapter 9 (commencing with Section
n 3 of the Business and Professions Code, and my license.is in full force and
DATE
OWNER -BUILDER DECLARATION r
[m that I am exempt from the Contractor's License Law for the following
031.5, Business and Professions Code: Any city or county which requires a
ct, atter, Improve, demolish, or repair any structure, prior to its issuance also
cant for such permit to fila a signed statement that he is licensed pursuant to
the Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
Business and Professions Code, or that. he Is exempt therefrom, and the basis
exemption. Any violation of Section 7037.5 by any applicant for a permit
ant to a civil penalty of not more than five hundred dollars (E500).
the property, or my employees with wages as their sole compensation, will
d the structure is not intended or offered for sale. (Sec. 7044, euisness and
The Contractor's License Law does not apply to an owner of property who
s thereon and who does such work himself or through his own employees,
h improvements are not intended or offered for sale. 1/, however, the building
s sold within one year of completion, the owner -builder will have the burden
did not build or improve for the purpose of sale.)
f the property, am exclusively contracting with licensed contractors to con -
Ct. (Sec. 7044, Business and Professions Code: The Contractor's License Law
o an owner o/ property who builds or improves thereon, and who contracts for
a contractor(s) licensed pursuant to the Contractor's License Law.)
under Sec. 8. & P.C. for this reason
Owner
WORKERS' COMPENSATION DECLARATION
firm that I have a certificate of consent to self -insure, or a certificate of
Compensation Insurance, or a certified copy thereof.'(Sec. 3800, Labor Code.)
Company
ed with the city. ❑Certified copy is -hereby furnished.
r
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
ed not be completed i/ the permit Is for one hundred dollars ($100) valuation
in the performance of thg work for which this permit is issued, I shall not
son in any manner so as to become subject to the Workers' Compensation
ia.
Owner
APPLICANT: 1/, ager making this Certificate of Exemption you should become
Workers' Compensation provisions of the Labor Code, you must forthwith
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
affirm that there is a construction lending agency for the performance of the
his permit is issued. (Sec. 3097, Civil Code.)
ss FINAL DATE
ding permit when properly filled out, signed and validated, and is subject to
work thereunder is suspended for 180 days.
have read this application and state that the above information is correct. Issued by:
comply with all city and county ordinances and state laws relating to building
d hereby authorize representatives of this city to enter the above-
mentioned properly inspection purposes. Validated by:
applicant Date
Validation:
WHITE -FINANCE, PINK -APPLICANT, GREEN -BUILDING, GOLDENROD -
Division affirm to construct, applicantDivision such improvementof provingcon-
struct project.
Retaining
needsubject
herebyLender's Address
ASSESSOR'S
OFFICE, HARD COPY -FILE
OFFICE, HARD COPY -FILE
CONSTRUCTION ESTIMATENO..
ELECTRICAL FEES
NO. PLUMBING FEES t
y
+S7 FL SO F7 67 $
UNITS
„ 1,
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM •)
2ND FL SO FT. a
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT. a
GAS (ROUGH).
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GARSO. FT. is
TEMP. POLE '
GROUT
DRAINAGE PIPING
CAR P. SOFT. a
FINAL INSP.
WALL SO. FT. td
WATER SYSTEM
DRINKING FOUNTAIN
GRADING
cu. yd.
$ -Plus-X$-=$
URINAL
SO. FT. td
FINAL INSP.
FRAMING
ESTIMATED CONSTRUCTION VALUATION $
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(AUTOYDISH)
APPLIANCE DRYER
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
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'A c
SEWAGE DISPOSAL
SO.FT.GARgr JV 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
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.IEOUIF.
EINF. 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. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIALS
,
GARDEN WALL FINAL