9798 (ELEC)i
P.O. BOX 1504 • CV
No , ' J i 98
Building `77-8$r Ip flRepEZflA 78-105CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253'
Owner ...,
BILL �iOiaTARD BUILDING: -TYPE CONST. OCC: GRP.
Mailing
Address 42-135 COBALT WAYA.P. Number 00/
City Zip Tel. A / �-r /�
..
PALM DESERT 192260 1340-4336 .- Legal Description (� 77 � •
Contractor Project Description RE DO ELECTRIC '.WIRING
OWEVER/BUILDER
Address,
City Zip Tel:
State Lic. City
& Classif. Lic. # Sq. Ft. No. No: Dw.
Arch., Engr., - Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Address Tel.
.City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
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 " Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following A$5 000
reason: (Sec. 7031.5,Suslness and Professions Code: Any city or county which requires a
permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance also
s, requires the applicant for suchpermit to. file a signed statement that he is licensed pursuant to PERMIT AMOUNT _
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 therefrom, and the basis
, , for the alleged exemption. Any .violation of Section .7031.5 by 'any applicant for permit , Plan Chk. Dep.
subjects the applicant to a civil penalty of not more than five hundred dollars.($500).
O I,'as,owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
` -.do the work, and the structure.is not intended or offered for sale. (Sec. 7044, Buisness and COf1St,. '
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 throughhis 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 - V$30.05
of proving that he did not build or improve for the purpose of sale.) _ .
1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing W.
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law • fl
does not apply to an owner of property *who builds or Improves thereon, and who contracts for $,M•I•'. - V
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) .y j . c -
• '•"Grading '
❑ 1 am exempt under Sec.., B. & P.C. for this.reason
Driveway Enc." 3 '
Date —! 17, downer � .• : # Infrastructure
WORKERS' COMPENSATION DECLARATION.
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
f 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. .
TOTAL $30.05 S:
CERTIFICATE OF EXEMPTION FROM REMARKS`
WORKERS' COMPENSATION INSURANCE-
• (This section need not be completed if the permit is for one hundred dollars (8100) valuation r ,{;('rCi t .r~`.. i ti t''1 $.'?�-.1z3�1-•.i' `:�'-* = 3 i�
or less.) ~,
i I certify that in the performance of thg work for which this permit is issued, I'shall not 10 LANA - 1 i U I'W. 1 ,
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 .' ZONE: i BY:
subject to the Workers' Compensation provisions of the. Labor Code, you .must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Lihe'
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.) Side Setback from Property Line '
Lender's Name
I
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. .
Signature of applicant Date
Mailing Address
City, State, Zip
FINAL DATE INSPECTOR
Issued by: - Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. 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.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRYTRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® IV4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® V4c
HOUSE SEWER
REMARKS:
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 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.
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
INSPECTOR'S SIGNATURESIINRIALS
GARDEN WALL FINAL
July 11, 1991
Bill Howard
42-135 Cobalt way
Palm Desert, Ca. 92260
Proosed'additions to building at 777885 Ave,Montezu.ma La Qu.inta
as Follows:.
t `
1) There is to be a plug on each Vrall in each office.
2) Fluorescent light.ng in each office.
3) Oli.tside secu.rtiy lights as per plan.
4) 20.Oamp meter main, with 200amp sub panel.
5) Light on roof to show off tower.
6) 110v pji.Ig for water heater under bathroom sink.
o
P.O. BOX 901 o LA QU I NTA, CA. 92253 e I ic: #521931 9 (619) 564-3603
A y
joo
SI IEET NO.
OF
DATE
CAL-GULAI LD tlY
CHECKED BY
DATE
SCALE
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P.O. box 1504
7b 105 CALLE ESTADO ,
LA OUINTA, CALIFORNIA 9225
Contractor �� l,� . po', *is, Owner211LA_
Address - )2j �� Job Address - e ,��
La.Quinta City License No.: Expires: Bldg. Pernii.t No.:
This form shall' be -posted on the job with the Building Inspection Card and it
shall be the duty of -the General Contractor or if Owner -Builder Permit, the owner
' to see that all sub -contractors sign this 'card, 'giving his City of La Quinta
Business License Number, Contiactors License dumber anda current certificate
' of Workman's Compensation' Insurance Certificate when he starts the job., Failure
to comply may.cause Building Inspectors to stop work,'or complaints to be filed
against such contractors or owners.
CITY. `� CONT.
SUB -CONTRACTORS NAME LIC. NO. EXPIRES LIC. NO. EXPIRES
1• Grade i Excavate
2• Pipelines
3- Cement -Foundations y
4.. Cement Walks i Drives
5. Asphalt Paving
6: Framing
7• Steel Structural
8. Masonry
9• Plumbing
L0.' Lathing
Ll. Drywall
12. Plastering \. ,
1`3. HVAC
14. Electrical.oroi. FL�i
L5. Roofing µ
L6. Sheet Metal
17. Floors-All`Types "
18. Glass'- Glazing '
19• Insulation/weatherstrip S,aMTL-V - Reo v
20. Sewage Disposal `
•21. Painting/Decorating
22. Tile
23. Cabinets -Installations
24. Ornamental Metal
25. Fences/Blockwalls
26• Landscaping*
27.. Others
28.
DO NOT REMOVE THIS CARD
Before. Final Building Inspection Will Be Made
This Form Must Be Completed and Filed With Title 24 Calcs and Plans