15087 (SFD)P.O. BOX 1504
Building 78-495 CALLE TAMPICO
I� Address 4.7-9.65 Via Firenze LA QUINTA, CALIFORNIA 92253
No. 15087
Owner C8x2�:ttriy domes CoIYiiitill^it i e5 r
BUILDING: TYPE -CONST.' YN OCC: GRP.
Mailin
Address 1535 South "DR Street 617-790- 007
A.P. Number
City Zip Tel. - Lot 7 Tract' ?6152 Phase 1B
Sats Bernardino, CA 92408 (909) 381-6007 Legal Description
Contractor . Project Description SPS Plan 4G
Same Spinnaker Cave at Juke -La Qu ni a
Address
- City Zip . - Tel.:
State Lic. City
& Classif. 9 314473 Lic. # 2120
Arch., Engr.,
Designer Frahk .Gone zaie' s €s Associates
f so sEast Chapman Ave. T614) 532-6878,
City Zip State
Orange,, 'CA 92666- Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that t'am licensed under D ovislons_of�Chapter 9 (commencing with Section
7000) of Dwision•3 of the Business and Professions:Code, and my license is in fullpp�orce'and
effect �� r" AV P ,i
SIGNATUFI-.—. -'f/' DATE
✓' i/OWNER-,BUILDER DECLARATION
�I hereby affirm that I am:eice pt from the Contractor's License Law for 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 file a_signed statement that he is licensed pursuant, to
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
subjects the applicant to a civil penalty of not.more than rive 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 .Contractor's License Law does not apply to an owner of property who
I 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
or Improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct
onstrucl 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
such projects with a contractor(s) licensed pursuantlo the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason'
Date Owner
WORKERS' COMPENSATION DECLARATION
I he .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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
%or less.)'
I certify that in the performance of thg 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
Dale Owner
NOTICE TO APPLICANT. ff, ,after making•'this Certificate- of Exemption you should become
• subjectto the Workers' Compensation provisions of the* Labor Code, you must- forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,DD0), IN ADDITION TO THE COSTOF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE; INTEREST, AND
ATTORNEY'S FEES.
This is a buildin y
g permit when property filled out, signed and validated, and is subject to.
expiration it work thereunder is.suspended for 160 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. , -jf e
Signature of applicant" rs^--f""' " ` �` ~tY ' —'Date
Mailing.Address'�"��'-^ )
City, State, Zip--
REMARKS
ZONE:
BY:
Minimum Setback
Sq. Ft.
Size 2741
No.
Stories
No. Dw.
Units
New ❑ Add O
Alter ❑ Repair ❑ •Demolition ❑
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
Estimated Valuation
i w
t PERMIT
AMOUNT
Plan C61<'Dep.
Plan Chk. Bal.
Const.'
856.50
Mech.
89.50
Electrical
172.04
Plumbing
168.00
S.M.I.
16.12
Grading
20.00
Driveway. Enc.
00.
Infrastructure
3.626.65
Arts in. - Public Places
352.96
TOTAL
5.'823 a 62
REMARKS
ZONE:
BY:
Minimum Setback
Distances-
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH) �/
(�
DRAINAGE PIPING
WALL SQ. f -f.
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FRAMING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
`
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.
SQ. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
�
LATHING
SQ.FT.GAR ® 3/4c
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 !S/
GROUND PLUMB
UNDERGROUND
A.C. UNIT
COLL, AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWE OR
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) �/
(�
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.
FRAMING
FINAL INSP.
ROOFING
`
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION =v7 9
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL