05949 (SFD)Building 78-700 Via Sonata
Address
Owner
13ar-con Dev..
Address 63-713 Perez 'Rd. # I
City Zip
Cat City I
92234
Contractor
. d3
Address
City
P.O. BOX 1504 No.
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
TTel. P3 III Lot 1
773-x9024 Legal Description
Project Description PU 2222 Parc Z* Quinta
Tel.:
05949
State Lic. I City
& C1assif: 337077 Lic. *1219
Arch:' Engr:,
Designer
Address Tel.
crty (Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION.
44 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with. Section
7000) of Division .of thh'e Business nil Professions Code, and my license is in full force and
effect. L. -_ ! -� .. t; .�f :{ ri
_SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,8usiness 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, Cliapter 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 five hundred dollars (5500).
❑ I, as owner of the property, dr my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, euisness and
`Professions Code: The Contractor's License Law does not apply to an owner of property who
�.bAds or improves thereon and who does such work himself or through his own employees,
'provided that: such improvements are notintended or offered for safe. If, however, the building
or improvement is said within one year of completion, the owner -budder wig have the burden
of proving that he did not build or improve for the purpose of safe.)
❑ 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.)
❑ 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
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 U the permit is for one hundred dollars ($100) valuation
or less.) '
I certify that in the performance of the work for which this permitis 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., If, after mating this Certificate of Exemption you should become
'subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this pemut shall 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
Lender's Address
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 certity that 1 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.
Signature of applicant Date
Mailing Address
City, State, Zip
Sq:; Ft. 2222
Size - -
New 0 Add ❑
No. No. Dw.
Stories Units
Alter ❑ Repair ❑ Demolition ❑
ZONE:
BY:
Minimum Setback Distances:
Front Setback.from Center. Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Estimated Valuation
12,161.00
PERMIT
AMOUNT
Plan Chk. Dep.
Issued. by:
Plan Chk. Bal.
Validated by:
Const.
Mech.
Electrical
120.79
Plumbing
14
S.M.I.
•
Grading
Driveway Enc.
Infrastructure
a
TOTAL
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
6--16-89
Issued. by:
Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF. /�'f Z
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
WALL SQ. FT.
WATER HEATER
DRINKING FOUNTAIN.
FINAL INSP.
URINAL
SQ. FT. @
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
GRADING
cu. yd.
plus x$
WATER PIPING
NOTE: Not to be used as property tax valuation
F NAL INSPZ'a W
FLOOR DRAIN
MECHANICAL FEES
ROOFING / ��
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
INSULATIONISOUND V I
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINISH GRADING
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
SETBACKL-WPLUMBIN
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. /�'f Z
S (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.A
F NAL INSPZ'a W
FRAMING `� O
p
INALINSy.��
ROOFING / ��
VENTILATION
' /�vJ
2.�� �S�
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
INSULATIONISOUND V I
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL 71