04908 (SFD)C&ty�
P.O. BOX 1504 No. 04908
Building 78-635 Via Ca)rri4o78-105CALLEESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Bar Con Development
Mailing " BUILDING: TYPE CONST. OCC: GRP.-
Address 68,713 Perez Read #1 A.P Number Fare La Ouirtta
City Zip Tel.
Cathedral. City 92234 773M-9024 Legal Description
Contractor Project Description Plan -2222.. Phase I
r me
Address. Lot -SA
City Zip Tela
State Lic. City
&Classif. 337.077 Lic.# 1219 Sq. Ft. 2222 No. 2 1219 No.Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
P
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division'3'of the Business and Professions Code, and my license is in full force and
effect. 1/,: 'r'it.',' "- / r f
T
SIGNATURE " DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $112,161
1
reason:(Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit ro construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to File a signed statement that he Is licensed pursuant to PERMIT AMOUNT
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 Plan Chk. Dep.
subjects the apparent to a civil penally of not more than Five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.387.64
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
�A65 SA
,Professions Code: The Contractor's License Law does not apply to an owner of property who •
builds or impves thereon and who does such work himself or through his own employees, Mech. r� A
provided that srouch Improvements are not intended or offered for sale. If, however, the building 5 3 • 4 `✓
orImprovement is sold within one year of completion, the owner-bullder will have the burden Electrical
of proving that he did not build or Improve for the purpose of sale.) 198.00 •
19
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 9 R. • "00
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 S.M.I. • • ' 7.88
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
• ❑ I am exempt under Sec B. & P.C. for this reason
Driveway Enc.
Date Owner Infrastructure 2,323.63
WORKERS' COMPENSATION DECLARATION t
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 r'
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
" TOTAL $3,620•8
CERTIFICATE OF EXEMPTION FROM REMARKS r
WORKERS' COMPENSATION INSURANCE
completed N the pentyl is for one hundred dollars $100 valuation .f c� jai F''•ry�% �'"• (� tt i #
orle SeCGDrI need not be ( ) .6V A'Y ANw M1:` l .V-A I-�P Y�' :i•�•'c�Y'�'r'. :"lra1, :i.R
orless.) — h'4' IY n4• 1 a. l.= YY"Y.�• ,S• Wt9Y i.. r: t :.+ r
I certify that in the performance of the work for which this permit is issued, I shall not
employ any pperson in any manner so as to become subject to the Workers' Compensation
Laws of Cal if0mia.
Date Owner
NOTICE TO APPLICANT: ff, 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 orthis permit shaft bedeemed revoked. Minimum Setback Distances:
-
Front Setback`frdm Center Line
g Rear Setback from. Rear Prop. Line
CONSTRUCTION LENDING AGENCY t 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, Chit Code.) ; Side Setback from Property Line
Lenders Name
Lenders Address FINAL DATE INSPECTOR
This is abuilding permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days. 1216/88
1 certity that 1 have read this application and state that the above information is correct. Issued by: Date Permit
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. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO.' ELECTRICAL FEES
NO. PLUMBING F9ES
1ST FL. SO. FT. a $
UNITS
COLL. AREA
SLAB GRADE
Y
ARD SPKLR SYSTEM
2ND FL. SO. FT. a
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. a
DUCTWORK
ROCKSTORAGE
GAR. SO. FT. a
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. a
GAS (FINAL) r
WALL SO. FT. a
DRINKING FOUNTAIN
SO FT a
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as pioperty tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ -Plus-x$-
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
/'7/1
ROOFING L 7i �(�i
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
REMARKS:
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. a c
BATH TUB
SO. FT. a c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID a 11/. c
SEWAGE DISPOSAL
SO.FT.GAR a 3/ac
HOUSE SEWER
MESH
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
DUCTWORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH) /1 `� Q
GJ
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) r
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-x$-
_$
LUMBER GR.
FINAL INSP. /'� `
FRAMING /l c
NALINSP.
/'7/1
ROOFING L 7i �(�i
4
REMARKS:
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING,-474,-
ATHING 4/MESH
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESJINITIALS
'
GARDEN WALL FINAL