003829 (SFD)Building
Address 54-754 Inverness
Owner
Mailing
Address 75-005 Country C
City Zip
Palm Desert 3226
Contractor
Address
C met+
P.O. BOX 1504 NQ. UU3?3ZU
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST. OCC: GRP..-
A.P. Number PGA We -at
928 Legal Description
Project Description Phase 24B,r pian 30M
Tel.' — -----
State
_• _
State Lic.
Classif. 293130
City
Lic..# 324
Sq. Ft. IMP,$2!5
Size BAR 5%
'
No. No. Dw.
Stories, Units
.. .'Arch., Engr.;
Designer.
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S. DECLARATION
I hereby affirm.that I am licensed under provisions of Chapter 9 (commencing with'Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. F
_
SIGNATURE DATE
OWNER -BUILDER DECLARATION
A 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 a3:
Permit to construct, alter, 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'.thathe is exempt therefrom; and the basis
for the alleged exemption. Any violation of Section 7031.5 by. 'any applicant for a permit
' subjects the applicani'to a civil penalty of not more than five'hundred dollars ($500):
❑ I, as,owner.of the property, or my employees. with wages as their sole compensation, will.
Estimated Valuation
- -
:•'
PERMIT
•-f'
' • AMOUNT -
-
Plan Chk. Dep. .
Plan Chk. Bal.
w "
- 555 . 10
.
COnSt1(3+
J�
,1.
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
Mach.
_
.
EIBCtrICdl
. �✓
_i21,�
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.lhe purpose of sale.) -
Plumbing
6.50
❑ 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 whobuilds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O I am exempt under Sec.- B. & P.C. for this reason
S.M.I.
13.62 ,
Grading
Driveway Enc.
Date ` Owner
Infrastructure
4,380.57
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
O Copy is filed with the city.. ,❑ Certified copy is hereby furnished.
TOTAL
$5.933.00 44 "ct:;�,�.r f�
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE _
REMARKS.
(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, I shall not
• employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date ::j Owner "
NOTICE TO APPLICANT. If, after making. 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 permit shall be deemed revoked.
ZONE: BY:
Minimum Setback Distances: '
- '
Front Setback from Center Line
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.)
'�^
Rear Setbac�firom Rear Prop:t(Linei e
`�i x '` r'is 3
Side, Street Setback from Center Line
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
4/12 / 88
.Lender's Address
This isa building permit when properly'filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 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•c"ounty ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Issued by:
Validated by:
Date Permit
Signature of applicant— —Date—
ateMailing
MailingAddress
Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. p
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.COOL 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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/4c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
I 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
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
TION
h 12
CERT. OCC.
FENCE •FINAL
'
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL