09386 (SFD)Building
Address 47-'355 Via Koran
Owner
Mailing
Address 1301 Dove Stree
City Zip
Contractor
Address .- . . .
City
State Lic.
& Classif..
A h
Zip Tel.
City
Lic. #
P.Q. BOX 1504 N o . 09386
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA,92253.
BUILDING: TYPE CONST. -,OCC: GRP.-
A.P. Number•
Legal Description VA rCM- a..ssa ort Lake La Onixi` a,
Project Description Lnf-- 1 3 Pgai 3
Sq. Ft- 3296 No. No. Dw.
730 Size Stories Units
rc . Engr.,.
Designer Ltd.
New ❑ Add ❑
Alter ❑ Repair. ❑ -Demolition p
Address
-
Tel.
360"'0230.
(This section need not -be completed if the permit Is for one hundred dollars ($100) valuation
•
CityZip
'State
Lic. # . 07424.
I certify that in the performance of the work for which this permit is issued, 1 shall not
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
- 7000) of Div.'elon 3 of heZB/tusiness and`Profesai6ns Code, tatndS my license i. in full force and
effect.��f. ! ?4 !14' .
employ any person in any manner so as'to become subject to the Workers' Compensation
,.
•1GNATURE�. ..�.�. ��� w `"o.e.. f D'ATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt 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, alter, improve, demolish, or repair any structure, prior to its issuance alsoAMOUNT
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
i 'Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
�q 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 dollers*(S500).
0 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 off ered for sale. (Sec. 7044, Buisness and
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,
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 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. pursuant to the Contractor's License Law.)
0 1 am exempt under Sec. B. & P.C. for this reason
Estimated, Valuation
2 - r'
PERMIT
_
Plan Chk. Dep.
BY:
. •
Pian ChkBal
COnSt.
- 1133,
Mech. -
•Electrical
2h+ R'
Plumbing
+�
S•M.1.
I hereby affirm that. there is a construction lending agency for the performance of the
Grading
_.
�:•
Driveway Eno,
Date Owner
Infrastructure
IIIA 1 * 40 -
Lender's Address
WORKERS' COMPENSATION DECLARATION
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. (Seca 3800, Labor Code.)
Policy No. Company
0 Copy is filed with the city. ❑ Certified copy is hereby furnished.
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.
4,
�' —�-eta F+►' =wna:l�4r la tf fi ��v' f8 a s s i
TOTAL
I certify that -I have read this application and state that the.above information .is correct.
0.
CERTIFICATE OF EXEMPTION FROM
REMARKS
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 the work for which this permit is issued, 1 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., If, after making this Certificate of Exemption you should 'become
ZONE:
BY:
subject to the Workers' Compensation provisions or the Labor Code, you must forthwith
comply with such provisions or this permit shall 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 affirm that. there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec.,3097, civil code.) . ;
Side Setback frorr 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 state 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. ®
SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH) " /
[
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/+ c
SEWAGE DISPOSAL
0
/�
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK60/1
GROUND PLUMBING/—!
W UNDERGROUND
A.C. UNIT
COL/-, AREA
SLAB GRADE til
ROUGH PLUMB.
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
��cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. '1
(r
FRAMING
FINAL INSP.�/291�2
ROOFING � (yt' i.t5o�
0
/�
4t' 6 0
", .
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
HING
MESH
INSULATION/SOUND66 tt( L d
FINISH GRADING
FINAL INSPECTIOW,!50
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
>1
17
- �. . l�li� rl pit `�� -----' �%/ / � �.: '• ' � � , i �V�, 1'.��
' ''
�il
I
I;
iii
�' •- CF OFS // s� �
'yoFT►�
I ''
�i
��
(Illi
Ii
I���I
_
Tiof a Uinta
tni -a t11t telt
� l'!
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building!
Code certifying that at the time of issuance this structure was in compliance with the various.
ordinances of the City regulating building construction or use. For. the following:
BUILDING ADDRESS 47-355 Via Koron
J{
I
i�
Use Classification SFD Bldg. Permit No. 09386
E
I
i
Group R3 Type Construction VN Fire Zone Use Zone R1
Wilma Pacific Inc. ` 1301 Dove Street
Owner of Building r Address
I ;
i
City Ne rt Beachi CA - 92660
By; Lonnie Day
.`T
Dote; 6/25/92
En
Building Official-----
P09T IN A 00N9?ICUOUs PLACE
-
NAN/NC•
-
-
EM EM IM EM [=--MM MM Ma rM E