The URL can be used to link to this page

10287 (BLCK)Building -225 Obregon Address 5 -Owner Joe Lewis P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 51-495 fibre on City Zip Tel. La Quinta9.2253 564-3772 Contractor Owner/Builder Address State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City (Zip I State 1 Lic. # LICENSED CONTRACTOR'S DECLARATION I 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. SIGNATURE DATE OWN ER -BU I ILDER -DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 703 11. 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.lile a signed statement that he is licensed pursuant to The provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Divlslon 3 o the Business and Professions Code, or that. he Is exempt therefrom, and the basis forrthe;�alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit ibjects the applicant to a civil penalty of not more than rive hundred dollars.($500). I, as owner of the property, or my employees with wages as their sole compensation, will Ido the work, and the structure is not intended or offered for sale. (Sec. 7044, Bulsness and Professions Code: The Contractor's License Law does not apply to an owner of property who- builds hobuilds 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'the burden 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.) ❑ I am exempt under Sec. B. 8 P,Clifor this reason t Date Owner WORKERS'JCOMPENSATION DECLARATION I hereby affirm that I have a ertificate 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 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM `• WORKERW COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation - or less.) I I certify that in the performance of the work for which this permit is issued, I shall not =any person in any manner so as to beco�e ysubject to the Workers' Compensation Laws of California. /� Date Owner NOTICE TO APPLICANT. If, faller malting this Certificate of Exeiription you should become subject to the Workers' Compensationl 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.lhe 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 It 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 Malling Address City, State, Zip No. 14287 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description 10' of 4' stucco wall; 100' of 5' stucco wall; 120' of 6' stucco wall. Sq. Ft. '.No. No..Dw. Size • Stories Units New Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ stimated Valuation 5345.32 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. .Const. 8 • U is Mech. Electrical Plumbing S.M.I. .60 Grading Driveway Enc. Infrastructure - TOTAL • b REMARKS � 00", q R 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 by: Date Permit Validated by: Validation: SETBACK GROUND PLUMBING UNDERGROUND CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. 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 HEATING (ROUGH) FLOOR DRAIN FORMS MECHANICAL FEES ROUGH WIRING. WATER SOFTENER DUCT WORK VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) METER LOOP APPLIANCE DRYER HEATING (FINAL) GARBAGE DISPOSAL REINF. STEEL FURNACE UNIT WALL FLOOR SUSPENDED TEMP. POLE LAUNDRY TRAY AIR HANDLING UNIT CFM GROUT KITCHEN SINK SERVICE ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' BOND BEAM COMPRESSOR HP POLE, TEM/PERM LAVATORY GRADING cu. yd. - $ plus x$ _$ HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SO. FT. ® c BATH TUB ROOFING 213 SO. FT. ® c WATER HEATER REMARKS: MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FIRE ZONE ROOFING SQ.FT.GAR ® 3/ec HOUSE SEWER SPARK ARRESTOR 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 FINAL INSPECTION-? CERT. OCC. 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 APPJEQUIP. 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 A` �/ L FINAL INSP. ROOFING 213 �/ Avl� ��V ✓—j�� M Q �l-- �`/c, L y�/ REMARKS: VENTILATION,A^aC(� FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING ya& MESH INSULATION/SOUND FINIS FINAL INSPECTION-? CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL