Loading...
002595 (SATT)Building 5es121 CU Address P.O. BOX 1504 78.105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No.. 00 595 swwise BUILDING: TYPE CONST. OCC: GRP. Mailing Address 7ci,.jbA.P. Number Cityp Tel. ���__c7tz, P� 92M -%&!-28n Legal Description Project Description t -11M PIW- A Contractor s4�il.nFxa t PUM, 2 M Address City' Zip- Tel.'' State Lic. & Classif. 288130 City Lic. # 328 DW 1548 Sq. Ft. No. No. Dw. Size GM AN Stories ' Units Arch., Engr., Designer New Q. Add ❑ m Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION �I a hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and Professions Code, and my. license is in full -force and effect..,,,,. y SIGNATURE DATE` OWNER -BUILDER DECLARATION I hereby affirm that I am exempt 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 is licensed pursuant to 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 a permit ' subjects the applicant to a civil penalty of not more than:five hundred dollars ($500). D I, as owner of the property, or my employees with -wages as their sole compensation, will Estimated Valuation C �? ��3��� Y' tt - PERMIT - ' - AMOUNT Plan Chk. Dep. Plan Chk. Bal. 352.05 Const. �. _ 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 hisown employees, 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 of proving that he did not build or improve for the purpose of sale.) - Mech. - 3�y�ti ElectrlCdl �p !t slt Plumbing 87.5+0 . 0,1, as owner of the property, am exclusively contracting with licensed contractors to con- 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason _. S.M.I. . �C Q - 6.83 _ Grading Driveway Enc. Date owner Infrastructure 1,464.35 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 2,437.17 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 the 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, 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. ZONE: BY:. ..Minimum Setback Distances: 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 FINAL DATE Issued by: INSPECTOR . a4_ _ �93, �G Date Y 3 Permit 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 Validated by: Validation: A6+26 9 50 i4�7,1i LK City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FE NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CAR P. SO. FT. WALL SO. FT. ® SO 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 (,BOUGH PLUMB. 9 .� FLOOR DRAIN MECHANICAL FEES STORAGE TANK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROCK STORAGE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED AS (ROUGH) �p 16 LAUNDRY TRAY AIR HANDLING UNIT CFM OTHER APP./EQUIP. 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. SO. FT. ®c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. 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 '3' ROUND PLUMBING/0_ - UNDERGROUND A.C. UNIT COLL. AREA `/ SLAB GRADE (,BOUGH PLUMB. 9 .� BONDING HEATING (ROUGH) STORAGE TANK FORMS 14eSEWER OR SEPTII/r K Qy(�fSOUGH WIRING / F� DUCT WORK ROCK STORAGE 7 FOUND. REINF. f/ �� AS (ROUGH) �p 16 METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL ., l GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE fC4_fl.NAL INSP. ( ` �O I BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. KEINAL INSP. W&RAMING /� / ` FINAL INSP. ��ROOFING nr. 1-14 1a►Q, REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH Le-INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I brGG 1 Un"J WUNA 1 UnrWINI 1 IALb. GARDEN WALL FINAL