6601 (BLDG) i 27414u �c�cv
I IIIIIII III�I III VIII IIII
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P.O. BOX 1504 N o• 06601
Building78-105 CALLE ESTADO
Address 80-202 Aveme 58 LA QUINTA,CALIFORNIA 92253
Owner
Landmark T Attd tpraga
Mailing BUILDING:-TYPE CONST. OCC:GRP.
Address P. b. $pg 1000 FGA West
-•� � � A.P.-Number
City Zip Tel. _
La Quinta 92253 ,,_ _. Legal Description
Contractor Project Description 74iginterts' ee PV-ility
Address ••-w-
City Zip Tela -
State Lic. City
&Classif. 288190 Lic.# Sq. Ft. 4W No. No. Dw.
Arch.,Engr., - Size Stories = Units
Designer New ❑ Add ❑ Alter ❑ Repair❑ -Demolition ❑
Address Tel
City Zip State
Lic.#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Divisioq 3 of the Business and Professions Code,,and,my license is in full force and
effect. ff f�'�i����). !,1�.�<� .��.•✓j``.r�a!!`.:s,''a/+�,..,...�
SIGNATURE'_` - - •i'1 ..r•'..ro,.,: . :,/:'.:r.� DATE
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following $86,000
reason: (Sec. 7031.5,Busi7ess and Professions Code: Any city or county which requires a
permit to construct, after, Lmprove, demolish, or repair any structure, prior to its issuance aso
requires the applicant for such pemuT 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 av9 panally of not more than rive hundred dollars($500). Plan Chk. Bal. $374-73
❑I,as owner of the properly,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 Const. 715+��
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.
provided that such Lnprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of corrpletion, the owner-builder will have the burdenElectrical 56.00
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
struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner o1 property who builds or improves thereon, and who contracts for S.M.I.
such projects with a cordrador(s)licensed pursuant to the Contractor's License Law.)
Grading
❑I am exempt under Sec B.&P.C.for this reason
Driveway Enc.
Date owner Infrastructure $1935.00 .00
s rk Credit 1935.00
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. ❑Certified copy is hereby furnished.
TOTAL � stJ'EDf.:C /('� `}
CERTIFICATE OF EXEMPTION FROM REMARKS Ale'Z�.rtf�rF �c, C�iYci {f_{ _s�t� �`'• ;
WORKERS'COMPENSATION INSURANCE R
(This section need not be completed B the permit is for one hundred dollars ($100) valuation .1• = WI;ff R t U f nL 1 1 4A i a Z
or less.)
I 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.
Date Owner
NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: BY:
subject 'to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line
Ihereby 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 IN COR
This is a building permit when properly filled out signed and validated,and is subject to O �
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
construction, and hereby authorize representatives.of this city to enter the above-.
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
IST FL. SO.FT.® $ UNITS
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.FT.
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.COOL HOOD SIGN WASHER(AUTO)(DISH)
APPLIANCE DRYER GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY
AIR HANDLING UNIT CFM KITCHEN SINK
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%c SEWAGE DISPOSAL
SO.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 JELECT.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. cu.yd.
FRAMING FINAL INSP. $ plus x$ =$
REMARKS:
ROOFING
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION 1
CERT.OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
IIIIIIIIIIIIIIIIIIIIIIIII 33
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This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! ! I
' 6 Code certifying that at the time of issuance this structure was in compliance with the various.
i' ordinances of the City regulating building construction or use. For the following:
il . BUILDING ADDRESS , 80-202 Avenue 58
Maintenance Facility 6601 j
Use Classification Bldg. Permit No.
Group 82 Type Construction VN Fire Zone Use Zone R2 i l;
Landmark Land P.O. Box 1000 i
Owner of Building Address
it 'La Quinta CA 92253
City By Richard Kirkland
Data; February 1990
_ Building Official
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