07571 (SFD)Building
Address
Owner
4.4 a P.O. BOX 1504 �� 111 0757 �•
C.AL FORNIA 92253 r'
Gaemette 1Constru titin
Mailing
Address 65M Yucca Trail Shite 4
City JZip ITel.
Contractor
Address
R �
Zip
State Lic. City
& Classif. 2MI03 Lic. # 145
Arcn., tngr.,
Designer
Address Tel.
CityI Zip I State ,rnl
Lic. # :ate
' LICENSED CONTRACTOR'S DECLARATION .
I hereby affirm thetd-am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3)of lhl Busiin}i nesrs'and Professions Code, and my license is in full force and
effect l 9 f u !. _ 4z i r r . %;l
SIG_N_ATU.— DATE
OWNEWBUILDER DECLARATION
I 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 a
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 applicant to a civil penalty of not more than five hundred dollars ($500).
0 I, 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, Bussness 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 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 the purpose of sale.)
0 1, 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 contractors) licensed pursuant to the Contractor's License Law.)
0 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
0 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 permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I= affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-.
mentioned property for inspection purposes. ,.
Signature of applicant Date aC
Mailing Address
City, State, Zip
JILDING: TYPE CONST. JCC: GRP.- -
P. Number PGA West
gal Description Leat 4 - Tract 25397
Project Description Single FaMly DmIl`inn A Rine wnjj
Sq. Ft. 40W No. ---146. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
No pool.
Estimated Valuation M973
PERMIT
AMOUNT
Plan Chk. Dep.
250.W
Plan Chk. Bal.
U7.07
Const.
u$.50
Mech.
190.0ol
Electrical
222,48
Plumbing
325.50
S.M.I.
16.38
Grading
20.00
Driveway Enc.
20.00
Infrastructure
TOTAL
;8,$•8,69.
REMARKS
#V-, •E 01-, 4% AAC,tia
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 Froperty Line
FINAL DATE INSDECTOR
4,129/90
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PI,UMBING FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK %,
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
`
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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 ® V4c
HOUSE SEWER
SPARK ARRESTOR
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBLTOTAL
FEES
T .
MICRO FEE
I I
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
I I
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBI4�r? 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
/ G
FOUND. REIN+�/S /�
v C
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TE P. POLE��
`
OUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM%t_g'?. �d
tci
WATER SYSTEM
FINAL INSP.
FINAL INSP.
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FRAMING
ROOFING
/ L
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
r, I ✓
PERMIT # 005182104544
BUILDING DEPARTMENT
SUBCONTRACTOR LIST
JOB ADDRESS 55-240 PEBBLE"BEACH, TA nTTTNTA, CA
OWNER/CONTRACTOR NAME ANDADDRESS"`GEMS TE CnNSTRTTI`TTnN
vVALLEY, �CA,
55888 YUCCA TR.'SUITE #4 YUCCA 92284
PLEASE PROVIDE NAME, ADDRESS AND PHONE FOR ALL
SUB -CONTRACTORS'"
GRADING A & F GRADING 347-6155
BUS. LIC. •#
M1 83-876 AVE. 45 INDIO, CA. 92201
STASE LIC.# 340314
CONCRETE CEMENT UNLIMITED ''327-'8080.
BUS_. LIC. #x'971..
P.O. BOX' 879 PALM SPRINGS, CA. 922"62-
STATE LIC#'560759
MASONRY ROBERT TAYLOR'MASONRY 773-0012
BUS.. LIC. # 1246
75101 SEGO LANE #D PALM DESERT,'CA. 92260
STATE 'LIC.#514336
PLUMBING WILLIAMS MECHANICAL, INC. 341-0057
BUS.. LIC.•# 695•
75-090 B St. CHARLES PL.• PALM DESERT',- CA. 92260
STATE LIC. # 373'896
FRAMING MWB, INC. 324-5592'.
BUS. LIC. # 1660
610 S. BELARDO RD. #1200 PALM SPRINGS, CA. 92262
ELECTRIC C & S ELECTRIC; -.a,,.: 365-6383.
7379 HOPI TR. YUCCA VALLEY,` CA. 92284
ROOFING AL MILLER & SONS__.. 328=6616=
68-760 SUMMIT DR, CATHEDRAL CITY, CA'. 92234
A/C -HEATING BREEZE -AIR-CONDITIONING, INC. 328-8500
P.O. DRAWER 0,, PALM DESERT;'CA. 92261
DRYWALL MARC AVRIETTE &`CO':' 568-9943
74-842 VELIE WAY #3 PALM'DESERTI-'CA.92260
LATH/PLASTER J.D. MARSHALL 345-4738
79521 PORT ROYAL, BERMUDA'DUNES,I CA.
PLEASE COMPLETE BOTH SIDES
STATE LIC. # 492908
BUS.. LIC. # 1766
STATE LIC.#309086
BUS. LlC-. ` # 0368&0369
STArE'LIC.4336547
BUS. LIC. # 843
STATE LIC. #416394
BUS.: LIC-.-- # 1280
STATE LIC.#451241
BUS. LIC. #.0376
STATE LIC.#501191
r M,.
1
4
SEWAGE WILLIAMS MECHANICAT-0 INC 341-0057 BUS. LIC. `# 695
75-090 B ST CHARLES PT PATM nrSgg!r. GA. 9,Qrqcl—_ STATE LIC. # 3.73896
INSULATION ADVANCED INSTALLATION 347-1696 BUS. LIC. #'0674
81771 OLEANDER, UNIT 1, INDIO, CA 99201 STATE LIC.# S�nRtip
FINISH CARPENTRY. GUY EVANS, INC.341-9722 BUS. LIC. # 60a'
74794 LENNON PL. PALM DESERT CA 92260 STATE LIC .# 397603
,
CABINETS EUROTEC /Chris Landon 322-5233
BUS. LIC. # 0969
1281 VALDIVIA WAY, PALM SPRINGS, CA 92262
STATE LIC.# 323953
FLOORING DANROY CORP DBA ACCENT FLOORTNC
323-5588
BUS. LIC. # 1294
928 VELLA RD., PALM SPRINGS,•CA 92262
STATE LIC.#581149
PAINTING DAVID HUNTEER CUSTOM PAINTING 564—n31*;
BUS. LIC. # 1765
p.o. box 102 LA QUINTA, CA. 92253
STATE LIC. #_(,33=981966
TILE NEW CONTINENTAL TILE & MARBLE
276-4520
BUS. LIC. #1767
P.O. BOX 15697 SAN DIEGO, CA. 92175
STATE LIC.# -40-2-2-85
PAVING CEMENT UNLIMITED
327-8080
BUS. LIC. # 971
P.O. BOX 879 PALM SPRINGS, CA. 92262
STATE LIC.#560759
LANDSCAPE PROGRESSIVE LANDSCAPE
345-1153
BUSS. LIC. # 1761
80-450 AVE. 50 INDIO, CA. 92201
STATE LIC.# 589274
GLASS/GLAZING WESTERN GLASS & ALUMINUM
343-429n
— BUS. LIC. #1118
72-205 CORPORATE WAY, THOUSAND PALMS, CA.
92276
STATE LIC.# C17-523676
OTHER
BUS. LIC. #
STATE LIC.#
OTHER
BUS. LIC. #
STATE LIC.#
FINAL INSPECTION WILL BE WITHHELD UNTIL ALL SUB -CONTRACTOR
HAVE OBTAINED A VALID LA
QUINTA
BUSINESS LICENSE..