The URL can be used to link to this page

002297 (SATT)6 4,4 P.O. BOX 1504 No. 0022917 Building 78-105 CALLE ESTADO Address 54®397 C.k Hill LA QUINTA, CALIFORNIA 92253 Mailing Address 75"'W5 OMMtXy ClUb lkiye CityZipTel. .n DeSart Contractor Address Sam City" State Lic. & Classif. 2W Afch., Engr'., ' Designer Address BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description PM WWTV PIM 3 0 4A Tela City EIM, 1627 Lic. # Sq. Ft. No. No. Dw. �$ Size 424 Stories i Units 1 New Add ❑ Alter ❑ Repair ❑ Demolition. ❑ Tel. WORKERS' COMPENSATION DECLARATION 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." 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 the work for which this permit is issued, 1. 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. 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 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 x �� -.�°fin i7'se�f }- •< Date Mailing Address . . 1 City, State, Zip I '�" HARD COPY TOTAL 2.558.76 REMARKS ZONE: BY: Minimum Setback Distances: City Zip State Lic. # Side Street Setback from. Center Line LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am.licensed under provisions of Chapter 9 (commencing with Section 7000) of Division3,of the Business'and Professions Code, and my license is in full force and ' effect.. Side Setback from Property Line FINAL DATE INSPECTOR , , SIGNATURE -DATE ' '' OWNER -BUILDER DECLARATION' I hereby affirm that I am exempt from` the Contractors License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or .county which requires a permit.i'o 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 Licehse.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 GIolation 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).36+9 0 1, 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. If, however, the building or improvement is sold within one year of completion, the owner -builder will have theburdenElectrical of proving that he did not,build or.improve for the purpose of sale.) ❑ I, 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.) O 1 am exempt under Sec. B. & P.C. for this reason Estimated Valuation t� " - - PERMIT ' AMOUNT . Plan Chk. Dep.. - Plan Chk. Bal. - 4 10 i55&76 U Const. �(�� 50 Mech. - �� .t�:7.t Plumbing $7.50 _ _ S.M.I. 7.18 - Grading Driveway Enc. Date Owner Infrastructure —,554.98 WORKERS' COMPENSATION DECLARATION 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." 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 the work for which this permit is issued, 1. 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. 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 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 x �� -.�°fin i7'se�f }- •< Date Mailing Address . . 1 City, State, Zip I '�" HARD COPY TOTAL 2.558.76 REMARKS ZONE: BY: 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 b Y� Date 4-1 Permit Validated by: Validation: A 5 1 8 1 4 10 i55&76 U CONSTRUCTION ESTIMATE IST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO FT ® ESTIMATED CONSTRUCTION VALUATION $ NO. ELECTRICAL FIES9111111111k UNITS MOBILEHOME SVC. POWER OUTLET NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER. PIPING NOTE: Not to be used as property tax valuation COLL. AREA FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) LAUNDRY TRAY AIR HANDLING UNIT CFM OTHER APPJEOUIP. 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 GRADING cu. yd. $ plus x$ SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINAL INSP. SO.FT.GAR ® 3/ac 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 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IIV,Ytt:l Va\" J onaMA1 UMCJ/Ir II IALb. GARDEN WALL FINAL