05792 (SFD)Building
Address 55-750 PEBBLE BEACH
Owner
4
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address 55-888 YUTMIL
CityZip Tel.
YUCCA 'MALLEI' P922888 365-0889
Contractor
rEKETTE CTTSTRUCTTOR
Address.
Tela
State Lic. I City
& Classif. 280103 Lic. # 10
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 herebyy affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7 I. of Divisiorr3-?f the Business and Professions Code, and my license is in full force and
effect.t r�
is ! ft^rte'�.j--�-� ('),z.3K3 r- '� ''
SIGNATURE `- 1 ' _" DATE
`1 OWNER -BUILDER 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, after, improve, demolish, or repair any structure, prior to its fssuance also
requires the applicant for such permit to file a signed statement that hes 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 that. he is exempt therelmm, and the basis
for the alleged exemption. Any violation of Section 7031.5 by any appfrcant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
❑ 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 improvement is sold within one year of completion, the owner -builder wig have the burden
of proving that he;did not build or unprove for the purpose of sale.) .
❑ 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.)
O 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 certifiedcopy 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 i1 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. ff, alter 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 hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, CIO 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 certify that I have read this application and state that the above information is correct.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof this city to enter the above•
mentioned property for inspection purposes.
ILDING: TYPE CONST
A.P. Number 769-16-'3—e-14
Legal Description Wr22
Project Description S.F.b.
No.
OCC: GRP.
05792
Sq. Ft. No. No. Dw.
Size 5.600 Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
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
Issued by: Date 5/19/89 Permit
Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
M PWL
Estimated Valuation
iJ5.274
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
1,159.43
Const.
1,710.50
Mech.
124.00
Electrical
2 276.92
Plumbing
345.00
S.M.I.
28.42
Grading
20.00
Driveway Enc.
20.00
Infrastructure
61000.00
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
Issued by: Date 5/19/89 Permit
Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
S GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT. ®
GAS (FINAL)
WALL SO. Fr. ®
DRINKING FOUNTAIN
SO FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
MOFING Zj Z
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.
SO. FT. ® c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
MESH
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 S AIR COND. SOLAR
ACK
UND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
S GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
UND. 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.
FR1rING
INAL INSP. `,?-v
MOFING Zj Z
(�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
MESH
ULATIONISOUND
AV
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL
12/30/86
COACHELLA VALLEY UNIFIED SCHOOL DISTRICT
CERTIFICATE OF COMPLIANCE
.(Government Code §53080)
Project Name: A
Project Address:
Project Owners Name:
Project Description:
nuiluuiy Type tcircie ones zlesiaential (Include No: Dwelling Units)
Commercial In ustri.a1
Tract No. 407/ 7-ZA Lot No. a a
(If Tract attach Schedule "A" of all lots by tract, square footage for
each lot.and total.)
Assessor's Parcel No. '7(v 9 - 3G0 --O
(If Schedule "A" is used show Assessor's Parcel No. for each lot if one
exists or.Assessor's Parcel No. for parcels before sub=divided.)
Total square feet of Building Area: _,57660
Certification of Applicant/Owner. The person signing certifies that
the above information is correct and this statement under penalty
of perjury and further represents that she is au i.zed to sign on
behalf of the owner/developer.
Dated: — L.�r- fZ Signature:
.City/County Certification:
(signature)- OPTIONAL
(title)
(to be completed by school district)
School district requirements for the above project have been or will be
satisfied in accordance with one of the following (circle one):
Gov. Code Gov. Code Agreement existing Not subject to
53080 65970 prior to 1/1/87 fee requirements
(AB 2926) (SB 201)
Total number of sq. ft. 5440
Amount per sq. ft. $
Amount collected $ & a A ;
. n „ , Assistant Superintendent
School District Official TitleBusiness Services :;..
Phone No. 619 _:-3 9 9 - 513 7 Date jq01 '
Note: AB 2926 and SB 201 fees are capped at $1.50 per square foot for
residential construction. AB 2926 is capped at $0.25 per square
foot for commercial and industrial projects.
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BUILDING DEPARTMENT
SUB -CONTRACTOR LIST
PERMIT #
JOB ADDRESS -575"7`50 PEBBLE BEACH, LA QUINTA, CA.' 92253 T,oT 22
OWNER/CONTRACTOR NAME AND ADDRESS GEMETTE CONSTRUCTION, 55888 YUCCA TR.
SUITE #4, YUCCA VALLEY, CA. 92284 (619) 365-0889
PLEASE PROVIDE NAME, ADDRESS AND PHONE FOR ALL SUB -CONTRACTORS
GRADING A & F GRADING -83-876 AVENUE 45, INDIO, BUS. LIC. #
CA. 92201 (619) 347-6155 STATE LIC.# 390314
CONCRETE CEMENT UNLIMITED -.P.O. BOX 879,.PALM BUS. LIC. #
SPRINGS, CA. 92262 - (619) 327-8080 STATE LIC.# 560759
MASONRY C.S. YERIAN - HC BOX 4683, YUCCA VALLEY, BUS. LIC. #
CA. 92284 - (619) 365-2456 STATE LIC.# 479979
PLUMBING WILLIAMS MECHANICAL INC. - 7168 MOHAWK TR. BUS."LIC. # 695
YUCCA VALLEY, CA..92284 - (619) 365-.2761 STATE LIC.# 373896
FRAMING -CLIFFORD H. CLUPPER - 84-100 AVENUE 54, BUS. LIC.-#.
COACHELLA, CA. 92236 - (619) 398=0970 STATE LIC.# 309875
ELECTRIC
C &
S ELECTRIC
- P.O. BOX 1180; YUCCA
BUS. LIC. #
.CATHEDRAL
CITY.,.CA. 92234'- (619)'324-9422
VALLEY,
CA.
92284 - (619)
365-6383
STATE LIC.#C10-399086
ROOFING A
& J ROOFING - 68-760 SUMMIT DR.
BUS.
LIC. #
STATE LIC. #437805
.CATHEDRAL
CITY.,.CA. 92234'- (619)'324-9422
STATE
LIC.# 400884
LATH/PLASTER
R.N.
A/C -HEATING
BREEZE A/C - P.O. DRAWER 0, PALM
BUS.
LIC. #
DESERT, CA. 92261 - (619) 328-8500 STATE LIC. #416393
DRYWALL JIM GRAVES DRYWALL - 47-762 SILVER SPUR TR. BUS. LIC. #
PALM DESERT,
CA.
92260 (619)
340-4020
STATE LIC. #437805
LATH/PLASTER
R.N.
SAUCEDO
- 44-765 SAN LUIS REY,
BUS. LIC. #
PALM DESERT,
CA.
92260
(619)'568-9862
STATE LIC. #368431
PLEASE COMPLETE BOTH SIDES
SEWAGE WILLIAMS MECHANICAL INC. - 7168 MOHAWK TR. BUS. LIC. #
YUCCA VALLEY, CA 92284 - (619) 365-2761 STATE LIC.# 373896
INSULATION ROVER INSULATION - P.O. BOX 158, BUS. LIC. #
OLD WOMAN SPRINGS RD. YUCCA VALLEY, CA. 92284 STATE LIC.# 381234
(619) 365-9582
FINISH CARPENTRY SHONDRICK CONSTRUCTION - 75-160 .BUS. LIC. #
ST CHARLES PLACE, PALM DESERT,. CA.92260- 340-0462 STATE LIC.# 481816
CABINETS CREATIVE KITCHENS - 74-214 HWY.111 BUS. LIC. #
PALM ERT CA 92260 - (619) 341-6850 __ STATE LIC.#480168
FLOORING ACCENT FLOORING - P.O. BOX 217,CATHEDRAL BUS. LIC. # 1294
CITY, CA. 92234 (619.) 323-5588 STATE LIC.# 556823
PAINTING DEEKS PAINTING - 47-230 YOUNGS LANE, BUS. LIC. #
INDIO, CA 92201 (619) 347-7140 STATE LIC.#357369
TILE CORTIMA COMPANY - 83778 AVENUE 45, INDIO, CA. BUS. LIC. #
92201 (619) 347-5535 STATE LIC.# 38490
PAVING CEMENT UNLIMITED - P.O. BOX 879, PALM BUS. LIC. #
SPRINGS, CA. 92262 (619) 327-8080 STATE LIC.#560759
LANDSCAPE PROGRESSIVE LANDSCAPE - 80-450 AVENUE 50, BUS. LIC. #
INDIO, CA. 92201 (619) 345-1153 STATE LIC .# 378687
GLASS/GLAZING WESTERN GLASS & ALUMINUM - 72-205 BUS. LIC. #
CORPORATE WAY, THOUSAND PALMS, CA -92276 - 320-7330 STATE LIC.# 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.