06920 (SFD)4 4 Qgb& •
P.O. BOX 1504 No .
Building 78'655 Via Kelod$a 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
WCON DEVE OP T MailinBUILDING: TYPE CONST. OCC: GRP.
Address 68-713 Plena. Road, #1 A.P. Number Ttact #21555-4, —
City Cathedral C1t Zip 92234 —re l.�t7 902
Legal Description
Contractor �� PARC LA QUXNTA
Project Description
Address Plan 2222 (0), Lot #2(
Zip
State Lic. 33T%�
& Classif.
Arch., Engr.,
Designer
Address
City Zip
moi' LICENSED CONTI
I herebyy rm
affi•ttiat I am licensed -under I
of itisionn�3 of the Business and%Pec
74m)
Licy# 1219
Tel.
State
Lic. #
• ' OWNE&BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 703.1.5,Busbess and Professions Code: Any city or county which requires a
permit to construct, after. Improve, demofish, or repair any structure, prior to its issuance also
requires the applicant for such permit to Me 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 crud 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
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 idended or offered for sale. If, however, the building
orimprovement 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.)
O 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 be or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec_ a. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
1 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
O Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the pemnft is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of tip 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 ownei
NOTICE TO APPLICANT. ff, after mallig this Certificate of Exemption you should become
subject to the Workers' C.orrpensation provsioris of the Labor Code, you must forthwith
comply with such provisions or this pemmft strait be deemed revoked. .
CONSTRUCTION LENDING AGENCY
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.)
Lender's Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 100 days.
I certity that 1 have read this application and state that the above information is correct.
I agree to cbmply with all city and county ordinances and state laws relating to building
construction, and hereby authorae representatives -of this . city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City,. State, Zip
06920
Phase" IV
Sq. Ft. 2,222 No. No. Dw.
Size Stories Units
New IX Add ❑ Alter ❑ Repair ❑ Demolition ❑
stimated Valuationll2,l�lt
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Front Setback from Center Line
Plan Chk. Bal.
Rear Setback from Rear Prop. Line
Const.
1595, UU
Mech.
bti. W
Electrical
aU. 7 9
Plumbing'
144.bU
S.M.I.
Validated by:
Grading
Driveway Enc.
.Infrastructure
J
TOTAL
s�� •VJ
REMARKS
_„ r , - _
�'.j,rl'.'^ r R'��'{.i•, v" x•.! a,�,tV�Gi 4'3F:.6 sF'.':� Jii :if-�.'i �'i w..F
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. PLUMBING FEES
IST FL SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2N0 FL Sq. FT. @
BONDING
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
SEWER OR SEPTIC) TANK
OUGH WIRING.
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.ly
DRAINAGE PIPING
CAR P. SO. FT. ®
ETER LOOP
WALL SQ. FT. ®
OTHER APPJEQUIP.
DRINKING FOUNTAIN. '
GAS (FINAL)
URINAL
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
BOND BEAM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
=$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FRAMING 3 O O
LAUNDRYTRAY
AIR HANDLING UNIT CFM
d Uti
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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® Yac
HOUSE SEWER
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
19
010, GROUND PLUMBINGI 2 C�
0„1UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC) TANK
OUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.ly
GAS (ROUGH) q! �� (�o
l `
ETER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEE
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. d
FRAMING 3 O O
FINAL INSP. L
ROOFING '2 �
77
d Uti
�3 l3 �d
i
�� -
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR FIREWALL
LORA)
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION G
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL