Loading...
002265 (SATT)atuv P.O. BOX 1504 No. 002265 Building 78-105 CALLE ESTADO Address 54-853 Oak HM LA QUINTA, CALIFORNIA 92253 Owner sulwim 0IMMMW BUILDING: TYPE CONST. OCC: GRP. Mailing Address ,i�„� ttxnTr&";• (ntaz^>. ` i -iv" A.P._Number City ZIp ` Tel. Palm DwAwt91260. 568-2828 Legal Description ContractorFGA MM' OR Project Description � 2 Address PbDm 3 'City .. .Zip' i State Lic. & Classif.2 fi City Lic. # 328 Sq. Ft. � 2548 Size GAR 424 - No. No. Dw. Stories Units .1 ._Arch., Engr.; Designer New E�, Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Dale Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become City Zip . State Lic. #- ' SetbackDistances: LICENSED CONTRACTOR'S DECLARATION. hereby. affirm that -:I am 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... N< .. 1..ft .. r .f f Minimum SIGNATURE , T - ! " 1'f! J ' •'Y I .. 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 permitto 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): -'Bal. El I, as owner of the property, or my employees with wages as,their sole compensation, will do the work, and the sfructure 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 - of 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.) .. . . O 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.) • ❑ I.am exempt under Sec. B. & P.C. for this reason - Estimated Valuation A 7 •-� ;% PERMIT - _ AMOUNT - - Plan .Chk. Dep.. .. Plan Chk. .. � 3x,��•05 COnSt. • �� Mech. Lender's Name Electrical q .. - ��9Ac�re Plumbing 87.50 S.M.I.; - _ 63.533 Grading Driveway Enc. Date Owner Infrastructure 1.464.35 Date I'agree to comply with'all city and county ordinances and state laws relating to building 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. O 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 construction, and hereby authorize representatives sof. this city to enter the above-. mentioned property for,ins4pection purposes. Validated by: TOTAL 2.437.17 REMARKS Mailing Address « "f Validation: or less.) - 1 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. Dale 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 SetbackDistances: comply with such provisions or this permit shall be deemed revoked. Minimum 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 . expiration if work thereunder is suspended for 180 days. I R �¢� �. 4 1 -10 -Kermit certify that I have read this application and state that the above information is correct. Issued by: Date 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,ins4pection purposes. Validated by: Signature of applicant i f:+. `r yd.d! Date Mailing Address « "f Validation: City, State, Zip f A 5 1 6 1 4 10' 24'7,17 C� ' IJHARD COPY CONSTRUCTION ESTIMATENO. '�� ELECTRICAL FEES "' NO. PLUMBING FEES $ SLAB GRADE /Z�l1GH PLUMB.7 / / 1ST FL. SQ. FT. ® UNITS STORAGE TANK FORMS 2ND FL. SQ. FT. GH WIRING 711,11 DUCT WORK YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. METER LOOP BAR SINK GAR. SQ. FT. ® POWER OUTLET GAS (FINAL) ROOF DRAINS CAR P. SQ. FT. GROUT DRAINAGE PIPING WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® GRADING cu. yd. $ plus x$ URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. A� FRAMING T i� Siyn ,- WATER PIPING NOTE: Not to be used as property tax valuation r FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN FIRE ZONE ROOFING WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM GAR. FIREWALL 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 FINAL INSPECTION BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1Ya c FENCE FINAL SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 rZ TJND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /Z�l1GH PLUMB.7 / / BONDING HEATING (ROUGH) STORAGE TANK FORMS ER OR GH WIRING 711,11 DUCT WORK ROCK STORAGE // /���FOUND. REINF. 9 3 !/ -y�IC AS (ROUGH) / ��l©� METER LOOP HEATING (FINAL) OTHER APPJEQUIP. �-y-/ EINF. STEEL ! z GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. A� FRAMING T i� Siyn ,- FINAL INSP. ROOFING -1/e/// 5P. a VENTILATION / r " REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING _7/ ^ MESH IINSULATIONISOUND-7/1 S FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL