002249 (SATT)Building 80-472 Pebble Beadh
Address
Owner
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
.Mailing -
Address 75--005 CMMtry E2Ub Dr1V8
City Zip Tel.
. P&3M DesWt 92260 1 . 563--2
Contractor
. Address
City Sam " IZip I TO.'
State Lic. I City
& Classif. ' 288130 Lic. #
Arch:, Engr.,
Designer
Address Tel.
Na 002249
BUILDING: TYPE CONST: OCC. GRP.
A.P. Number
,Legal Description
Project Description M "AIM.' PLN 10 Q
LIM 2.272
Sq. Ft. No. No. Dw.
Size M 58 Stories 3 Units
New Qt Add ❑ Alter ❑. Repair ❑ Demolition ❑
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed i1 the permit is for one hundred dollars ($100) valuation
or less.) -
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date"' Owner
NOTICE TO APPLICANT., If, alter making this Certificate of Exemption you should become
subject to the • Workers' Compensation provisions of the Labor Code,', you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)'
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize, representatives -of this city to enter the above-
mentioned property for inspection purposes. f r
Signature of applicant—,!- r t` Dale
Mailing Address a,> /r �� ''' r r '
City, State, Zip
HARD COPY
TOTAL 3,3003.,90
REMARKS
ZONE:
BY:
Minimum Setback Distances:
City
Zip
State
Side Street Setback from Center Line
Lic. #
Side•Setback from Property Line
LICENSED CONTRACTOR'S DECLARATION .
INSPECTOR
Issued by:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
Validated by:
7000) of Division 3 of .the Business and Professions Code, and my license is.in full force and
Validation:
effect... \.f. • 1 .
4 8 331,3 9 E Cf
A
SIGNATURE�' ,f's• 'r ,F�' : Al -:-4 �� ,/ v !! 'DATE
! //'OWNER -BUILDER DECLARATION
I hereby,affirm that I am exempt from the Contractor's License Law for the following'.�r4
7031.5,Business Code: Any -
Estimated V81U$tlOn -
reason: (Sec., and Professions city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
M1
-AMOUNT
requires the applicant lor'such permit to file a signed statement that he is licensed pursuant do.-.
PERMIT
'
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of,
'
'.Division -30/ the Business and Profes8ions Code, or that. he is exempt therefrom, and thebasis
for the Any Section 7031.5 by 'any for
Plan Chk. Dep..
alleged exemption. violation of applicant a permit
• subjects the applicant to a civil penalty of not more than five hundred dollars ($500):
❑ I, the
-
Y Plan Chk. Bal.
462.89
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
Professions
Const.545.50
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,
Mech.,
♦�'
.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
Electrical. -
a
y q
102..i..,e+�
of. proving that he did not build or improve for the purpose of sale.)
.
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing - -
128.50
_•. 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.
x9.84
- such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
.
❑ I am -exempt under Sec. B. 8 P.C. for this reason
Driveway Eno.
Date Owner
Infrastructure
2,000.00
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.
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 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.
Date"' Owner
NOTICE TO APPLICANT., If, 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, 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 if 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. f r
Signature of applicant—,!- r t` Dale
Mailing Address a,> /r �� ''' r r '
City, State, Zip
HARD COPY
TOTAL 3,3003.,90
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center Line
Reay Setback from Rear Prop. Line
Side Street Setback from Center Line
Side•Setback from Property Line
FINAL DATE
INSPECTOR
Issued by:
Date 4~`0 -bra Permit
Validated by:
Validation:
A5095
4 8 331,3 9 E Cf
CONSTRUCTION ESTIMATE Adk
NO. ELECTRICAL FEE
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SO. FT. ®
Sp 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
r
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SO. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1114 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
g`/,/FRAMING
•
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
9A SLAB GRADE Cp L!
r
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
EWER OR T
(HOUGH WIRINGq
f
DUCT WORK
ROCK STORAGE
FOUND. REINF.
O OAS (ROUGH)G! /y
F�
1 UU i
METER LOOP
HEATING (FINAL)
OTHER APP.IEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. d ,
$ -Plus-X$-=$
LUMBER GR.
�/
(NAL INSP. //� a Cy
O
g`/,/FRAMING
(UFINAL INSP.
iq,/ ROOFING
VENTILATION
/
�P
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND 8 j1
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPtt:I V Wb WUNA I UNt.1-/INI I (ALS.
GARDEN WALL FINAL
11W to 2yj,, ,a IL °r, i 3,6