07257Building
Address
` " , Via Monte
Owner
Deane Mores
P.O. BOX 1504
78-105 CALLE ESTADO ..
LA QUINTA, CALIFORNIA 92253
Mailing
Address 15 Agusta Drive
City Zip Tel.
Rancho t+ r ge 92270 1 321-8004
Contractor
Address
State Lic.
& Classif. �
I City
Lic. #
Arch., Engr.,
Designer
Address'
Tel.
City
Zip
State
$111,927
PERMIT
Lic. #
LICENSED CONTRACTOWS DECLARATION
I herA affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of $vision 3 of the Buffrn% ander A tons Code, and my license; q* in full ort and
effect. vir3� c ! %Er "zu
_SIGNATURE - pA7E
OWNEwouiLDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law foe the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after. Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to life a signed statement that he is licensed pursuant to
the "provisions of the Contractors 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 dollars ($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 Contractors 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 odended or offered for safe. ti, however, the building
or improvement is sold within one year of compleban, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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 bads or improves thereon, and who contracts for
such projects with a contractor(s) ficensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. R_ & P.C. for this reason
Date Owner
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
❑ Copy is filed with the,city. ❑ Certified copy is hereby furnished.
No. 072-57
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 613-402.0014, 849, 010
,Legal Description Tent. Tr. No. 23971.
Project DescriptionhBSg
Lot 80
Sq. Ft. No. No. Dw.
Size. 210_at . Stories • 1 Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
CERTIFICATE OF EXEMPTION FROM REMARKS r a a s r n . •: r5 ix tf L A
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permits for one hundred dollars ($100) valuation 9•hv_mr,a z fl..S'�w P�� '?5y o f i t�if„ 'mom wySl ��« -
or less.)
1 certify that in the performance of the 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: 11, ager making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of Me Labor Code, you must forthwlth
comply with such provisions or this pemnit shag 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 affirmthat 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
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.
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.
Signature of applicant Date
Mailing Address
City,. State, Zip
FINAL DATE INSPECTOR
2/28/90
Issued by: Date—Permit—
Validated
atePermit_
Validated by:
Validation:
Estimated Valuation
$111,927
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
3� .
Const.
bU
Mech.
Sib. bu
Electrical
118.36
Plumbing
120. U _
S.M.I.
Grading
Driveway Enc.
Infrastructure
tab Ui36
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS r a a s r n . •: r5 ix tf L A
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff the permits for one hundred dollars ($100) valuation 9•hv_mr,a z fl..S'�w P�� '?5y o f i t�if„ 'mom wySl ��« -
or less.)
1 certify that in the performance of the 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: 11, ager making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of Me Labor Code, you must forthwlth
comply with such provisions or this pemnit shag 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 affirmthat 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
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.
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.
Signature of applicant Date
Mailing Address
City,. State, Zip
FINAL DATE INSPECTOR
2/28/90
Issued by: Date—Permit—
Validated
atePermit_
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. $
UNITS
T
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
DUCT WORK
DRAINAGE PIPING
WALL SQ. FT.
DRINKING FOUNTAIN
SQ FT ®
HEATING (FINAL)
URINAL
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(AUTOXDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ -plus-x$-=$
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.
SQ. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ic
HOUSE SEWER
SPARK ARRESTOR
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 J ! -�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
WEIR OR E A
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REIN F
GAS (ROUGH Sl(t0
[[[[
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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. 14to �
FRAMING 817146 LY
FINAL INSP. a Iej 1419
ROOFING AL'
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
1
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GENERAL AIR..
P.0,,
#.
P.0,, BOX 1576. 'PALM DESERT, CALIFORNIA 92261.1576 t '
"Jr(619) 340.3314 `
f March 20, 1993, ,• as
Dcanc • iorr}es
Att61') . Stever Taylor $
Steve,
a
The equipment insta1'3.ed in the 2100 plan at Deafnc,
rta s;
La Quita 7.5 as, follow: f, '_� •" 4.�
f' r' Furn. Ca rrier,SAEDC100= 1.•; f' ,
Coil 2851061
Cond . r. 38TH060..
e • .
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