06938 (SFD)414
"
P.O. BOX 1504 No. 06938
Building 78-600 Via Corlrzdo78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
BARVA DEVEL R T
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Tract #21555-5a Phase V
Mailin
Address 68-713, Peres Road, #1
city Cathedral Citip
$22.34
024
Legal Description
Project Description PARC LA
Contractor$
Plan 2004 (C), Lot #9
Address ..
City
Zip
Tel -
State Lic.City
& Classif. 3370177
Lic. # 1219
Sq. Ft- 2,004
No. No. Dw.
Size
Stories Units
Arch.; Engr-,
Designer
New& Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address'
Tel.
City
Zip
State
Lic. #
,,,, ucENSED CONTRACTows DECLARATION
I hereby affin_n4hat I am ticensed.urider provisions of chapter 9 (commencing,with Section
7000) of Drvis on'3-oof I Businne'&§s ttnd Professions Code,ana my license is/in_full. forrcie and
effect. �C✓//f"�r _L'✓ 7.G.•E-`��`�/
SIGNATURE
OWNER-BUILDERDECL►RATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,�mess and Professions Code: Any city or county which requires a
permit to construct, after, improve, denoFsh, or repao any structure, prior to its issuance also
requires the applicant for such pend to OD a signed statement that he is licensed pursuant to
the provisions of the Comtractnrs License Lar, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professiars Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any viMaWn of Section 7031.5 by -any applicant for a permit
subjects the applicant to a crvi penalty of not more than rive hundred dollars ($500).
❑ 1, as owner of the property, or mif 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 ContracWs 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
of proving that he did not build or improis sold within one ve for of safe.jear of compietitin, the er-buUder will have the burden
Estimated Valuation
Estimated
e.��
PERMIT
AMOUNT '
Plan Chk. Dep.
Plan Chk. Bal.
r'
;p e'
Const.
L�Ls�
Mech.or
/
].3•ti%
Electrical
113.30
Plumbing
138.50
❑ 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 License Law
does not apply to an owner of property rho buids or improves thereon, and who contracts for
such projects with a comractor(s) Fite sed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec --_______& & P.C. for this reason
S.M.I.
7.21
Grading
Driveway Enc.
Date owner
Infrastructure
`" 2*295.59
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 cpmparry
n
❑ Copy is filed with the city- ❑ Cert -tied copy is hereby furnished.
TOTAL
CERTIFICATE OFEamp-nONFROM
WORKERS' COMPENSATION INSURANCE
(This section need not be cenpleted it the pend is for one hurdled dollars ($100) valuation
or less.)
I certify that in the perfortrwcce of the work for which this permit is issued, I shall not
employ any person in arty manner so as to become subject to the Workers' Compensation
Laws of California
REMARKS
r t
;" t
A>>-'"
.
Date owner
NOTICE TO APPLICANT: t, after making lits Certificate of Exemption you should become
subject to the Wormers' Compensation provsions of the Labor Code, you must forthwith
comply with such Provisions or this perm* shall be deemed revoked•
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which.this permit is Issued- (sec. 3097, ChfCode.)
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Name
Lenders Address
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 100 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:
Validated by:
Date Permit
Signature of applicant Date'
Mailing. Address
Validation:
City,. State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB.
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL SQ. FT.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
FOR. SQ. FT. ®
REINF. STEEL
GAS (FINAL) TEMP. POLE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
WATER HEATER SERVICE
FINAL INSP.
DRAINAGE PIPING
CAR P. SQ. FT. @
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
WALL SQ. FT.
LUMBER GR.
DRINKING FOUNTAIN
FRAMING L�.
FINAL INSP.
URINAL
SQ FT ®
REMARKS:
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
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
CERT. OCC.
SO.FT.GAR ® 3/ic
HOUSE SEWER
FENCE FINAL
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!G—UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
HEATING (ROUGH)
STORAGE TANK
FORMS
nBONDING
SEWER OR SEPTIC TANK �( r/,ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) i /i Qaaa�� METER LOOP
[
HEATING (FINAL)
OTHER APPJEOUIP.
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. /
c
FRAMING L�.
FINAL INSP.
ROOFING
C �98 T AO (
�� 3
hN
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LXrHJNG 7 ZU Tn�
MESH
INSULATION/SOUND 3/15 '
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL