10450 (SFD)1
11111111 IIIII III IIIII 1111 18
IE
Building 54735 Alvarado
Address
Owner
Expectation Construction
44d
dad
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253'
Mailing
Address 54-295 .Diaz
City
La Quinta
Zip
92253
Tel.
564-0793
Contractor
Same
Address ..
No. 10450
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description
Project Description
Lot 11
Block 269
SFD
City
Zip
Tel.:
r
State Lic.
& Classif.
633.406'
City
Lic. # 0105
Arch., Engr.,
Designer
Sq. Ft.
Size
1614 No.
Stories
No. Dw.
Units
New ❑
Add 0 Alter 0
Repair 0
Demolition 0
Address
Tel.
Permit d.oes not include block
City
Zip
State
Lic. #
wall or pool
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of
fT Division 3 of the BOsiness`and Professions Code, and my license is int{ull force and
eff;t•Ir"Iti d.,, f!i i f n a t) isle rj5°
+> k {1 1 //)
SIGNATURES \'- •J 1_..h -4c- ,i 34 \1y 1 11 'T
• OWNER -BUILDER DECLARATION 0 ' t °
'4I hereby affirm that I amrexempt •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, 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 islicensed pursuant to
g- : the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
-ti Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
,,.44Zr.;the ..alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
;subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
'04, 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. lf, however, the building
or improvement is sold within one year of completion, the owner•bullder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the properly, am exclusively contracting with licensed contractors to con- 1
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.)
❑ I am exempt under Sec: B & P.C. for this reason
Estimated Valuation
8,555.00
PERMIT
AMOUNT"
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 certified.copy.thereof. (Sec. 3800, Labor Code.)
Policy No. .Company '
6 Copy is filed with the city. 0 Certified copy is hereby furnished.
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 th1; 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: lf, 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.
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
Lenders 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
Plan Chk. Dep.
250.00
Plan Chk. Bal.
288.32
Const.
635.00
Mech
49.00*
Electrical
Plumbing157.50
130_49
S.M.I.
9_90'
Grading -
2.0..00
Driveway Enc.
20.00
Infrastructure
2086.39
s
I.
TOTAL (.e"
REMARKS 1.-'
. b t✓
r1 •' "''1
BY• " )` TLi!" iy.. it:1: r} +.rrlf) •
ZONE: ' f
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 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUMBING FEES
1ST FL
SQ. FT.
SO. FT.
SQ FT
g0, FT.
SQ. FT.
SQ. FT.
SO FT.®
VALUATION
®
$
STORAGE TANK
a
FORMS
l -`
UNITS
19gOUGH WIRING.
DUCT WORK
ROCK STORAGE
rl
FOUND. REINF. .f'�
GAS (ROUGH)
METER LOOP
2ND FL
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE -
GROUT '
WATER HEATER
YARD SPKLR SYSTEM
FINAL INSP.
POR.
®
GRADING
cu yd
_$'
MOBILEHOME SVC.
FINAL INSP. 3AA.20..0
$ plus x$
BAR SINK
FINAL INSP.
GAR.
@
/
N I ' ry // 2 c j[ '. Lb
N/
9
REMARKS:
VENTILATION
POWER OUTLET
FIRE ZONE ROOFING
ROOF DRAINS
CAR P.
GAR. FIREWALL
[JITHING als/w, L)D
MESH
DRAINAGE PIPING
GRADING
WALL
FINAL INSPECTION U9//,2_,V
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
DRINKING FOUNTAIN
URINAL
ESTIMATED CONSTRUCTION
$
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
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, 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 @ 1V4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 311c'
HOUSE SEWER
-..:,
, {'!
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 d/ VV. L6
vvv/// r�
GROUND PLUMBING/7/3/V`/2UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
�
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
a
FORMS
l -`
t 4 SEWER DR -91' ife3 b162,.
19gOUGH WIRING.
DUCT WORK
ROCK STORAGE
rl
FOUND. REINF. .f'�
GAS (ROUGH)
METER LOOP
HEATING (FINAL),
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE -
GROUT '
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu yd
_$'
LUMBER GR. -
FINAL INSP. 3AA.20..0
$ plus x$
/
FRAMING //3 //4,
In
FINAL INSP.
ROOFING n/l///
HA2/ 2 4�
/
N I ' ry // 2 c j[ '. Lb
N/
9
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
[JITHING als/w, L)D
MESH
INSULATION/SOUNDNh [[
2.. 1.-PFINISH
GRADING
FINAL INSPECTION U9//,2_,V
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
CALVIN C. KAMINSKAS
Assistant Commissloner
(714) 2753000
OFFICE OF •
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201
(619) 342-8291
DEVELOPER'S NAME:
ADDRESS:
CASE NO.
37M SN,//31../psi.Misvc rL'a
CV3x dAtz ,pie
IIIIIIIIIIIIIIIIIIIIIIIII 19 1
IE i
DAN RILEY
Sealer. Weights & Measures
(714) 275-3030 .
TELEPHONE: (
Lof 9 ( ch '1 o Cif./738 &k.
Ld.2/ 84%4.3.2 9uauk,. ("5 &Arbil Magido
t C/S 8/oj 31 Maw Left 7 6641 1uana
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions
do occur and they differ from plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.
LofZO a°6‘40 &QMau.a-
LD1 3 /Foc%.i57 I z nL L
(d 1( aoe4,6y 4Puovkado
-2 (�CPlL
Agricultural Conmissiois Office
cc: Indio and Riverside
4Q80 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275-3012
i'i