003260 (SFD)Building
Address 54-813 1:1
Owner
Rtairۥa.tc+ +
Mailing
Address
City "� Z'iF
Palm Desert .
Contractor
City
State Lic.
& Classif.
Arch., Engr.,
Designer
92260
4
P.O. BOX 1504 NQ. 003260
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
BUILDING: -TYPE CONST. OCC: GRP.
A.P. Number PGA Ifeet
5;5�r*Z$8 Legal Description
Project Description V;,Nr __ 11T�, 'nl Rf%%4
Zip Tel.
City
Lic. # 32 B
Sq. Ft. $. 3142 No. No. Dw.
Size GAT( .5 82 Stories. ' Units
LNew ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address,-. , '
Tel.
_
BY:
subject to the' Workers' Compensation provisions of the 'Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
.ZONE:
Minimum Setback Distances:
Front Setback from Center Line
City
Zip
State
CONSTRUCTION LENDING AGENCY
Lic. #
Ihereby affirm that there is a construction lending agency for the performance of the
_. ,LICENSED CONTRACTOR;$ DECLARATION
work for which this permit is issued. (Sec. 3097, Civil Code.)
• 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
Lender's Name
effect. f ,r y
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE
DATE
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.
Issued by:
_SIGNATURE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: 7031.5,Business Professions Code: Any -or
(10
_ (Sec. and city county which requires a•
permit to construct, alter, improve, demolish, or repair any structure,' prior (oats issuance also
-�
_
"PERMIT
Validated by:
requires the applicant./or such permit to rile a signed statement that he is licensed -pursuant to
Signature of applicant Date
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 • (commencing with Section 7000) o1
•r
Validation:
' Division 3 o/ the Busines's and Professions Code, or that. he is exempt therefrom; and the basis
for the alleged exemption. Any Section 7031.5 by 'any for
Plan Chk: Dep. -
violation of applicant a permit
subjects the applicant to a civil penalty o/ not more than five hundred dollars ($500).
❑ I, the '
Plan Chk. Bal.
`
593.44
as owner of 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
Const.
%`�3
Professions Code: The Contractor's License Law does not apply to an owner* of property who
•V
builds or improves thereon and who does such work himself or through his own employees,
that
McCh..
An
provided such improvements are not intended.or offered /or sale. 11, however,, the building
or improvement is sold • within one year of completion, the owner -builder will have the burden
Electrical
• u0
128.65
o/ proving that he did not build or improve for the purpose or sale.) - '
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing .
140.50
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
. S.M.I. -
�9
15.09
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
.LS.
Grading
❑ I am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date Owner
Infrastructure
21000.00
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.
TOTAL
$3.655.68
.
CERTIFICATE OF EXEMPTION FROM
REMARKS.
WORKERS'COMPENSATIONINSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
-
or ass.)
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.
Dat
wt ^-i J n .wrsp f.7 n4 - n's .n
17-101fil 1 AGF; .06
e Owner
NOTICE TO APPLICANT: If, after making this Certificate o/ Exemption you should become
_
BY:
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:
Minimum Setback Distances:
Front Setback from Center Line
Rear. Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
$Ida Setback from Property Line
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
FINAL DATE
INSPECTOR
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.
Issued by:
i+� _
Date -7 2. 8 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
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. FT. ®
SQ. 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 APPJEQUIP.
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
SQ. 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
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
ROCK STORAGE
FOUND. REINF.
GAS (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.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCEFINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL