06904 (SFD)Building 78.615 Vfa Sona
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
RARCON DEVELOPMENT
Mailin
Address 68413 Perez Road, #1
City Cathedral Cit) Zip 9223 Tei -773-9024
Contractor
Address
State Lic. 337077I City 1219
& Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City IZIp (State I
Lic. #
.�-LICENSED CONTRACTOR'S
I affirm that I am licensed under provisions
Wnof biyisien 3 -of the Business and: Professions
OWNER -BUILDER DECLARATION
1 hereby affinn that I am exempt from the Contractors 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 also
requires the appfmant 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
4vsfon 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
(or the a0eged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a cm7 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 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 impmvement 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 safe.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to torr
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 profs with a contractor(s) ficensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & 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
Workets 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
(chis section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
1 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.
Date Owner
NOTICE TO APPLICANT: ft, after making this Certificate of Exemption you should become
subject to the Workers' Compensa0an provisions of the Labor Code, you must forthwith
compty with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Ciel Code.)
Lenders 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 180 days.
certity that I have read this application and state that the above information is correct.
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 hod
City,. State, Zip
No. 06904
BUILDING:.. TYPE CONST. OCG GRP.
A.P. Number
Tract #21555-4, Phase its
,Legal Description
Project Description
PARC LA QUINTA
Plan 1804 (8), Lot 14
Sq. Ft. 1,04 No. No. Dw.
Size Stories Units
New [R Add ❑ Alter ❑ Repair ❑ -Demolition ❑
Estimated Valuation $93,604
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
1.
Const.
e« blu
Mech.
52.50
Electrical
106.56
Plumbing
138.50
S.M.I.
6.58
Grading
Driveway Enc.
Infrastructure
21106.09
TOTAL
REMARKS
hovizA*') 4A
3; V rdfAS i i f 04 fit..
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. SQ. FT. ® $
UNITS
SLAB GRADE 2a 1 Q le
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT. ®
FORMS
SEWER OR SEPTIC TANK 3 go
6ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT.
GAS (ROUGH
(
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO. FT. ®
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN.
WALL SQ. FT.
LUMBER GR.
- FINAL INSP. !7
FRAMING 31219d e
URINAL
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
REMARKS:
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(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
SPARK ARRESTOR
LAUNDRY TRAY
AIR HANDLING UNIT CFM
GAR. FIREWALL
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
FINISH GRADING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
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
GROUND PLUMBING, .2W qa
(,,,`UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 2a 1 Q le
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK 3 go
6ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH
(
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL 112jba k)vv%
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ —Plus—X$—=$
LUMBER GR.
- FINAL INSP. !7
FRAMING 31219d e
FINAL INSP. r C
ROOFING a
REMARKS:
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 3 1 p dt. H-.
MESH
INSULATIONISOUND 3 6 q
FINISH GRADING
FINAL INSPECTIO (
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL