003807 (SATT)44
P.O. BOX 1504
Address 56-324 Pebble.Beach, LA QUINTA CALIFORNIA 92253
Owner
Mailing
Address 79-n
City
Pala Desert
Contractor
Address
State Lic.
& Classif. 288130
Arch., Engr.,
Designer
p
922
No. .003807
IV BUILDING: TYPE CONST. OCC: GRP.
s
k-1e1rU ""4 TW^ A:P. Number PGA Fest
JTel. - e .
io 508-2828 Legal Description
Project Description
Tela
City
Lic. # - 328 _ Sq. Ft. tr#!G 227�,No. No. Dw.
Size 1" s;Q9 Stories, Units
New ❑ Add ❑ Alter'E] Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
INSPECTOR
' -
Date 4,:/88 Permit
Lic. #
LICENSED CONTRACTOR'S DECLARATION
Validation:
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.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation
$158,640 -
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
PERMIT AMOUNT
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and }he basis
for the alleged exemption. Any violation of Section' 7031.5 by any applicant for a permit
• subjects the applicant to a civil penafly of not more than five hundred dollars ($500).
❑ I, as ownerof the property, or my. employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and"Const.
Professions Code: The Contractor's License Law does not apply to an owner of property 'who
-
Plan Chk. Dep.
- -
Plan Chk. Bal. 4$sj
y$ s 50
Mech. ��
s
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
Electrical Z'�i ;'
or Improvement is sold within one year or completion, the owner -builder will have the burden
_ of proving that he did not build or improve for the purpose or sale.)
Plumbing**�
❑ 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.)
0 I.am exempt under Sec. 8. 8 P.C. for this reason
S.M.I.�•
11
Grading
Driveway Enc.
Date owner
Infrastructure 3,569.53
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I•have a certificate of consent to self -insure, ora 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. O Certified copy is hereby furnished.
TOTAL932.44 1 W wo4 ,! dill
REMARKS i
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 thg 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.
�• r9rr�� t
{)t�_) f 2 1!e 9666 01"t f -t S A to
i Q CAH •i, TWAL 1 41?3t2. r 1
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.
ZONE: BY:
Minimum Setback Distances:'
F S
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 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 *slate 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
HARD COPY
ront etback from.Cemer Llne—
Rear Setback from Rear Prop. Line
Side Street Setback from Center.Line
Side Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date 4,:/88 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT. ®
POR. SQ, FT, ®
GAR. SQ. FT. ®
CARP. SQ. 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 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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
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
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
ct,1 uM"J wumA 1 uMCJ/IIYI 1 IALJ,
GARDEN WALL FINAL