07297 (AR) IIIIIIIVIIIIIIVIIIIIII 43 44 "
IE No. 07297
P.O. BOX 1504
Building 49,..5551 7&105 CALLE ESTADO
Address � � LA QUINTA,CALIFORNIA 92253
Owner Ni l l ian F. Mc Cl enahan
Mailing BUILDING: TYPE CONST. OCC:GRP.
Address49-551 Avila A.P.Number La Quinta Country Club
City Zip Tel.
La Quinta 92M 56¢3203 Legal Description
ContractorRoom Enlarge tent
S&-* Project Description
Address
City Zip Teta
State Uc. City
&Classif. Lic.# Sq.Ft. 6X14 foot No. I No. Dw.
Arch.,Engr.,
Size Stories Units
Designer New ❑ Add ❑ Alter❑ Repair❑ Demolition ❑
Address Tel.
City Zip State
Lic.#
LICENSED CONTRACTOR'S DECLARATION
I affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of tlmsion 3 of the Business and Professions Code,and my license is in full force and
effect
SIGNATURE DATE
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $6,000
reasort (Sec 7031-5,9usirress and Professions Code: Any city or county which requires a
permit to construct ata, irprove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to No a signed statement that he is licensed pursuant to PERMIT AMOUNT
the pnmftbw of the Conbaclvrs License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the!Business and Ao/essions 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 Plan Chk. Dep.
sutliao a the applicant to a av1 penally of not more than two hundred dollars(E500).
❑1,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. b �_•�
do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const.
Professions Code: The Contractors License Law does not apply to an owner of property who
bids or improves thereon and who does such work himself or through his own employees. Mech.
provided dxd such irprovements are not intended or offered for sale. If, however, the building
or irprovenarm is sold wlhb one year of completion, the owner budder will have the burden Electrical
of prong dig he 6d not bid or improve for the purpose of sale.)
❑I,as owner of the properly,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 appy to an owner of property who bu7ds or improves thereon, and who contracts for S.M.I. •
42
such projects wth a contractor(s)licensed pursuant to the Contractor's License Law.)
❑1 am exempt under Sec R_&P.C.for this reason Grading
r r_ Driveway Enc.
Date'-- owner Infrastructure
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self-insure, or a certificate of !
Wokers Compensation Insurance,or a certified copy thereof.(Sec.3800,Labor Code.)
Policy No Company Y r r
❑Copy is filed wind the ally. [3 Certified copy is hereby furnished.
r !
TOTAL `�• .. � c_
CERTIFWATE OF EXEMPTION FROM REMARKS
WORKERS'COMPENSATIONINSURANCE . .•Ft + _ maQD .(���mv'l,Gyw,
(nis secbnn need not be completed ff the permit is for one hundred dollars ($100) valuation t .s ti•,rf c +`1+.+� � w
a Less.)
I certify that in the performance of thg work for which this permit is issued,I shall not
employ ariy person in any manner so as to become subject to the Workers'Compensation
Laws of California
Date ,Owner 'Z
NO710E TO APPLICANT: 9. after makig this Certificate of Exemption you should become ZONE: BY:
sutject to rhe Mbrkers' Conpasaton provisions of the Labor Code, you must forthwith
compywill?such Provisions or this Pemashatbedeemedrevoked. 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 isIssued.(Sec.3097,Civil Code.) Side Setback from Property Line
Lerdees Name
Lenders Address FINAL DATE INSPECTOR
This is a building permit when property filled out,signed and validated,and is subject to FINAL
expiration if work thereua nder is suspended f 180 days.
1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
constnlctior4 and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing wmrrss Validation:
City. State, rip
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES
1ST FL. SQ.FT.® $ UNITS
2ND FL SQ.FT.® YARD SPKLR SYSTEM
MOBILEHOME SVC. BAR SINK
POR. SQ.FT.
GAR. SQ.FT.® POWER OUTLET ROOF DRAINS
CAR P. SO.FT.® DRAINAGE PIPING
WALL SQ.FT.
DRINKING FOUNTAIN.
SQ.FT.@ URINAL
ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING
NOTE:Not to be used as property tax valuation FLOOR DRAIN
MECHANICAL FEES WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY
AIR HANDLING UNIT CFM 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
SQ.FT.®c WATER HEATER
MAX.HEATER OUTPUT,B.T.U. SQ.FT.RESID®1+/.c SEWAGE DISPOSAL
SQ.FT.GAR®V4c 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
LUMBER GR. FINAL INSP. _1� Cu.yd.
FRAMING LD FINAL INSP. $ plus x$ =$
ROOFING REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING fPjj1A1 70`f 9
MESH
INSULATIONISOUND �� 9
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
I ;
I
I
j
I
''^�,,._ I I !
g
I
I
t � I
I
qq
i
E I
f
k r�
� 4 .• ->. s; .�. ",mss' { . , .s 7 .., �t-14
_ a I
y
j
I
I
4 y}
I :
4
AI ,
�'�'=�• •_��» .�s;� w�� ,,:•y -.:,F,,, ALL.,. .�;.� .'�:� ,�� -a:.� .,;..�� �-� _ : !
I
_ I
;
{ I I I I
I
I 1 ! .,.-�'"' I .''- ::�, :^rte - ., I >:,".M.."" ~' t i I µ�:,:, � i ! j •I
_
I
'tea
Y
r ;
-- : _... '.a � is� - _ ��. _.. �'a�`�Y �`3 f •(:�t 'Td�.[y � I. � '. i. I.
$.,j 4�
zc t ¢ F }tet...
It
rl y
r
�� d
I ' ':. a:.,. ',. � 3 r}' , v :$'*''. � },f�i � : •I� y� „ j {� (.. t'. ... _ :.
ir
,
:
' I
. �4 .4�..::'a. �.Y._.•..:.::� _Jw.�.�'�,_.k.�.w,...s:...._._.,,.m.cr�: -+si�,5,ra..<,<,+e.. Z '�,;<E'. � �. 'J : I :
's ,.,�a, .«,..w..es.:v<, c.,vs:<„Y..�,�_r�..�.,.�a:.r �3 •,�' 'r : I. :. : _ - _
a
”
. Y _
C
� I t, - _ _