7348 (SFD). T4t�t 4 4 Q"
P.O. BOX 1504
Building 44-125 C'4Q 4i 1 l0 Jr. 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
No. 07348
Owner
'rd_ak'1Cif�-i�daiiS Venture
BUILDING: TYPE CONST. _OCC. GRP.
A.P. Number tract 4451, - Rancho Giciutillo
Mailing r _ n
Addresslte'-60(;' look Jtreet, Silk �e 135
City
Zip
Tel.
Palm Desert
92260
345-7541
Legal Description
Project Description
Plait��@. Lot 1f
Contractor
iMl lams Deve owent Corp,
Address
Sarie
City
Zip
Tel.
State Lic.
& Classif.
City
Lic. # 11! 31
Sq. Ft. 255(,°
Size
No. No. Dw.
Stories Units
Arch., Engr.,
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Designer
Address
Tel.
City Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provision; of Chapter 9 (commencing with Section
7000) t. of Division 3 of the Business and. Professions Code, and my license is in full force and
effec
SIGNATURE DATE
_
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: fSec. 1031-5, Business and Prefesseons Code: Any city or county which requires a
pormit ft, conatrucf, akar, krrprove, demofash, or repair any Structure, prior fo fls fssuaRCe abo
requires the appAnwl for such pomW to file a signed statement that he is hovesed pufsuanr to
the provisions of the Confraclor's Liremo Law, Chapter g (cotnrnanciRp with Sesffm 7000) of
Division 3 of the Business and Prorassaris Code, or that. he is exempt therefrom, and the basis
for the alleged exanViwr_ Any viofarion of Section 7037.5 by any appfrcanl for a pamif
sutljocts the aIPPgc of 10 a cMlpenaily of not more than five hundred dollars (S500J.
CJ I, as owner of the property, or my employees with wages as their sake compensation, will
do the work, and the structure is not intended or oftered for sale. (Soc. 7044. Buisness and
Code-- Tho Contractor's Lkanne Law does not apply to an owner of property ww
builds of &Wfovez thereon and who does such work himself or through his awn employaas,
proNded that auch unprovemenis are not intended or offered for mdu. It, however, the building
or lmprovemenl is Sold within one year of comrpletion, the owner•buildet will have the burden
of proving that he did not build or improve for the purpose of sale.)
Estimated Valuation
yQf
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
AMOUNT
— -
_• '
Const.
Mech.66.
50
Electrical
_ .jb .
Plumbing
..f }
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Profasskom Code: The Contractor's License Law
does not apply to an owner of property who builds or improves lhereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ I am exempt under Sec B. 8 P.C. for this reason
S.M.I.
'..i
Grading
Driveway Enc.
Date owner
Infrastructure
++,Litili•t}
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.
TOTAL
$4,857 5r_
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
..
(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 p�rsan in any manner so as to become subject to the Workers' Compensation
Laws of California
DateOwner
NOTICE TO APPLICANT: N, after making this Certakete of Exemption you should become
f
subject to the Workers' onwnsoNm provrs)ons of the Labor Code, you must forthwith
comply with such provisions orMpennitshalbedeemed revoked.
ZONE: BY:
Minimum Setback Distances:
Frons Setback from Center Line
Rear Setback from Rear Prop. Line
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 _
Side Street Setback from Center Line
Side Setback from Property Line
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 100 days.
FINAL DATE
INSPECTOR
INSPECTOR
3/19/90
1 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.
Issued by:
Validated by:
Date Permit
Validation:
Signature of applicant Date
Mailing Address
City, State, Zip—
CONSTRUCTION ESTIMATE
GROUND PLUMBING
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FIL
2ND FL
POR.
GAR.
CARP.
WALL
ESTIMATED CONSTRUCTION
SO. FT. $
SQ. FT.
SQ. FT.
SQ. FT. ®
SQ. FT.
SO. FT. @
SQ. FT. @
VALUATION S
ROUGH PLUMB.
UNITS
HEATING (ROUGH)
STORAGETANK
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
GROUT
BOND BEAM
DRAINAGE PIPING
SERVICE
DRINKING FOUNTAIN
=S
URINAL
FINAL INSP. /D/'j/(qvj
WATER PIPING
NOTE: Not to be used as property tax valuation
ROOFING 7
oC ❑
FLOOR DRAIN
MECHANICAL FEES
REMARKS:
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
VENTILATION
SIGN
WASHER(AUTOXDISH)
APPLIANCE DRYER
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.
SQ. FT. ® c
BATH TUB
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
CERT. OCC.
SQ. FT. RESID ® 11/s c
SEWAGE DISPOSAL
SQ.FT.GAR ® IYic
HOUSE SEWER
GARDEN WALL FINAL
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 11 �`) �KI
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGETANK
FORMS
FOUND. REINF.
REINF. STEEL
EWER S1,4�n1 /�
5 (ROUGH) 9 ! /
GAS (FINAL) l l [ cv
ROUGH WIRING
METER LOOP
TEMP. POLE
DUCT WORK
HEATING (FINAL)
ROCK STORAGE
OTHER APPJEQUIP.
GROUT
BOND BEAM
WATER HEATER
WATER SYSTEM
SERVICE
FINAL INSP.
GRADING
_...yd.
y plus x5
=S
LUMBER GR.
FINAL INSP. /D/'j/(qvj
FRAMING 1 fQD
r c
FINAL INSP.( tet$—.G� 4L
l
ROOFING 7
oC ❑
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIJEWALL
LA HING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPEGTOR'S SIGNATURESlINiTiALS
GARDEN WALL FINAL