The URL can be used to link to this page

13792 (AR) IIIIIIIIIIIIIIIIIIIIIIIII 79 IE 44 P.O. BOX 1504 N Q. 13792 Building 49-416 Avila Drive 78-105 CALLE ESTADO Address LA QUINTA,CALIFORNIA 92253 Owner J.J. Smith Mailing SamLo BUILDING: TYPE CONST. OCC:GRP. Address A.P. Number City Zip Tel. La Quinta, C.R 92253 Legal Description Contractor Project Description Room Addition East Valley Construction Ad r.V Box 1281 City Quinta, Zip92253 Tel.` 564-4844 State Lic. City &Classif. 296565 Lic.# 1961 Sq. Ft. No. No. Dw. Arch., Engr., Size 80 Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic.# LICENSED CONTRACTOR'S DECLARATION I herebyjaffirm that I am licensed under provisions of Chapter 9(commencing with Section 7yf100)of�Divi"sion 3 of lhe'Business and Professions Code�and my license is in full force and ffec et/X�i�� !/J _7lif ._ pSIGNATURE - DATE OWNER-BUILDER DECLARATION Estimated Valuation $6,240.00 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 PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars($500). ❑I,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. 58.50 do the work,and the structure is not intended or offered for sale.(Sec. 7044,Buisness and Const. 90.00 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, Mech. 2,17v .00 provided that'such improvements are not intended or offered for sale. If, however, the building t�7 or improvement is sold within one year of completion, the owner-builder will have the burden Electrical 1! .28 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- Plumbing .00 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner or property who builds or improves thereon, and who contracts for .S.M.I. .62 such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec. B.&P.C.for this reason Driveway Enc. Date Owner Infrastructure 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 O - py is filed with the city. ❑Certified copy is hereby furnished. TOTAL -., � U_ •4-5 CERTIFICATE OF EXEMPTION FROM REMARKS /F} WORKERS'COMPENSATION INSURANCE ,+ C (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 thg 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 ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line-� CONSTRUCTION LENDING AGENCY Side Street -Setback from Center LineN I hereby affirm that there is a construction lending agency for the performance of the 1 }I r II li I work for which this permit is issued.(Sec.3097,Civil Code.) Side Setback from Property Line Lender's Name I If"� I�� 0 1994 Lender's Address FINAL DATE I EC—T'R 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. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building 1 R" Y _� construction, and hereby authorize representatives -of this city to enter the above-. I T mentioned property for inspection purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO.FT.® $ UNITS C r YARD SPKLR SYSTEM 2ND FL. SO.FT. POR. SO.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS CAR P. SO.FT.® DRAINAGE PIPING WALL SO.Fr. DRINKING FOUNTAIN. SO.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.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK I ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEM/PERM 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®11/4 c SEWAGE DISPOSAL 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 01 SETBACK GROUND PLUMBING UNDERGROUND A.C.UNIT COLL,AREA SLAB GRADE IV 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. O cu.yd. FRAMING c711—1 c� �� FINAL INSP. l—7 GIC $ plus x$ -$ ROOFING S�Ky 1 �_ �7�-9y REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 'Z —? az LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. �! FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL