Loading...
002606 (SATT)P.O. BOX 1504 N O. 002606 44 Building 7&105 CALLE ESTADO Address q -,Ata LA QUINTA, CALIFORNIA 92253 Owner Mailing ' _ BUILDING: TYPE CONST. OCC: GRP. Address 75-4105 0M;; lb DrJVt_- u A.P. Nmber � City Zip Tel. � � F 568-2M Legal Description Contractor. Project Description PM VEW - ' PM%�E 13 A 1s►s wie+tr+a►1 PI 3.0 Address City. Zip Tel.. �3 State Lic. City 1627 . & Classjf. 28€1M Lic. # Sq. Ft. No. No. Dw. Arch.; Engr., • • - Size 424 • Stories Units Designer New ❑ Add ❑ Alter ❑ - Repair ❑ Demolition ❑ �yAddress Tel. City Zip State _. Lic. # LICENSED CONTRACTOR'S DECLA %TION V' I hereby affirm that I ani 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. i 1;t SIGNATURE DATE OWNER' BUILDER DECLARATION' Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law'for the following reason: (Sec. 7031.5,Business and,Professlons Code: Any city or county which ,requires a. 101,665.50 permit to construct, alter, improve, demolish, or repair a any structure, prior to its issuance also AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT the provisions of the Contractor's License Law, Chapter 9.(commencing with Section 7000) of. Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 .by 'any applicant for a permit . Plan Chk. Dep.. subjects the applicant to a civil penalty of not more than live hundred dollars ($500). Ci ❑ I, as owner of the property, or. my employees with wages as their sole compensation, will Plan Chk. Bal. 364.-1 9 do the work, and the structure is not intended or offered for sale. (Sec. •7044, Buisness and COf1St. aq Professions Code: The Contractor's License Law does not apply to,an owner of property whoQ+&�'f] . 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 IA .nAA- or Improvement is sold within one year or completion, -the owner -builder will have the burden Electrical or proving that he did not build or improve for the purpose of sale.) 0-1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing�� 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. 7'� such projects with a contractor(s) licensed pursuant to the Contractor's License Lew.) Grading it ❑ I am exempt under Sec. B. & P.C. for this reason Driveway Enc. Dale owner Infrastructure 1.554 AR WORKERS' COMPENSATION DECLARATION 1 kehereby' aft! rm that I have a certificate of consent to self -insure, or a certificate of Worr'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 2,558-76 CERTIFICATE OF EXEMPTION FROM - REMARKS . WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation - or less.) - 1 certify that in the performance of thg work for which this permit is issued, I shall not -employ any person in any mannerso 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: 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 Line Rear Setback from Rear Prop, Line CONSTRUCTION LENDING AGENCY. Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR .This is a building permit when properly filled out, signed and validated, and is -subject to - - - INSPECTOR— expiration if work thereunder is suspended for 180 days. 1J I cert� ify that I have read this application and state that the information is correct. Issued by: Date 0— Permit I agree to comply with all city and county ordinances and state laws 'relating to building construction, and hereby authorize representatives sof this city to enter the above-. mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip A 6 4 4 4 9 30 25506 it HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT. ® CAR P. S0. 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 ROUGH PLUMB. 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 ,e.AS (ROUGH) / LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac IHOUSE SEWER INAL INSP. ,V, ROOFINGQtr VENTILATION T c� ��� ` wl 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 O� �, GROUND RLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �U .. N ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEP I ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ,e.AS (ROUGH) / METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL �.�3�� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE,,,FINAL INSP.a t"'J/ BOND BEAM WATER SYSTEM $ GRADING cu. yd. -Plus-X$-=$ LUMBER GR. FINAL INSPZ 1411 RAMING _�/ INAL INSP. ,V, ROOFINGQtr VENTILATION T c� ��� ` wl REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ( 22, 0 MESH INSULATION/SOUND' FINISH GRADING 7�KINAL INSPECTION 2 ` !_ I d CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL