9808 (RPL)� ,... P.O. BOX 1504 r No.9808
,
,_-Building 78-105 CALLE ESTADO r' .
Address 48513 Via «,nC3.nto LA QUINTA, CALIFORNIA 92253
Owner
+
MurphyBUILDING: TYPE CONST: ` OCC: GRP..
Mailing
Address • Saltie
A.P. Number
City ZipT.el. is
.La f;�1,33ta 92253 Legal, Description
Contractor Project Description
J� . R. . Coni int
AddressSPA ONLY
2.5.5 N.' E1 ll�ieio ltd #194
City Zip Tel.:
92262 324-1112
State Lic. City
& Classif. ,. C53 .50168$ Lic. # 1142 Sq. Ft. No. , No. Dw.
Arch., Engr., `: ..
Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition'❑
Address Tel.
.. .. •- :x. ..
• City - Zip State
:Y Lic. #
LICENSED CONTRACTOR'S DECLARATION
I/hereby afff m that f am licensedunder 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
aefect. .. dY l i lV .''� ,
SIGNATURE DATE
OWNER -BUILDER DECLARATION-''
•} I hereby affirm that I am exempt from the Contractor's License Law for the following Estimated Valuation �1 a 200
t reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a - - V
permit to construct, after, improve, demolish, or repair any structure, prior to.its issuance also
requires theapplicant 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 -
Divfsion 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.. - •'y
•_
'subjects the applicant to "a civil penalty of not more than rive hundred dollars .($500). "•' Plan Chk. BBI. ' -37.
O' 1, as owner of the property, or my employees with wages as their sole compensation, -will -77 1
do the work, and the structure is not intended or offered for sale. (Sec..7044, Buisness and Const. + 3 3.5 .
' 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, Mech. 24' 00-
•, provided that such improvements -are not intended or offered for sale. _ If, however, the building !m
or improvement is sold within one year of completion, the owner -builder will have' the burden Electrical - 3 V . 0 0
of proving that he did not build or bnprove for the purpose of sale.) y
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing �; �.i , ®ij ^`
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: - - i.. 20 '
n • Such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O lam exempt under Sec. B. & P.C. for this reason Grading ,
ii Driveway Enc. {`
Date- Owner Infrastructure
WORKERS' COMPENSATION DECLARATION s
1 hereby affirm that I havea 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 u
:. fTCopy is filed with the city. ❑ Certified copy is hereby furnished.
_ . TOTAL
CERTIFICATE OFEXEMPTION.FROM REMARKS '
I- WORKERS' COMPENSATION INSURANCE
(This section need not be completetl if the permit is -for one hundred dollars ($100) valuation''.s','' € sT"i�'ti`MiL3'9
or less.) - - -
I certify that in the performance of lhg 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: B,- after makingthis Certificate. of Exemption. you should become = -'�
p r ZONE: BY:
subject toit the Workers' Compensation provisions d the Labor Code, you must fdrthwith Minimum Setback Distances:."
comply with such provisions or this permit shall be deemed revoked. _ - - ' - ' •
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
k 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
This is a building permit when properly filled out; signed and validated, and is subject to,
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and slate that the above information is correct: - Issued by: 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 ,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SD FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
UGH PLUMB. �l
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U..
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® V4c
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
JCONST.FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. . SOLAR'
SETBACK
GROUND PLUMBING
NDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
UGH PLUMB. �l
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 APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL-INSP.
BOND BEAM
WATER SYSTEM
GRADING
. yd.
$ plus x$
- ,
"=: k_..
=$
LUMBER GR.
11 pL INSamu
FRAMING
FINAL INSP.
ROOFING
.
r
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
"• : ,
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL