9991 (PAT)-991
P.O: BOX 1504 N o .
7&105 CALLE ESTADO
Address 44520 Marguerite Ct LA QUINTA;,CALIFORNIA 92253
Owner
Joseph and Tracey Boykin
Mailing BUILDING: TYPE CONST. OCC: GRP.
Address Sare.
A.P. Number
City Zip. Tel.
Yea Quina 92253 3.60-6064 Legal Description
Contractor Project Description
Address
COVER _
City
Zip
Tel.:
,
State Lic.
City
& Classif.
'
Lic. #
Sq. Ft,No
Size - 23
No. Dw.
Stories." Units
Arch., Engr.,
Designer
New ❑• Add ❑
.. Alter ❑ •• ' . Repair❑ Demolition ❑
Address
Tel.
City
Zip
State
•
Lic. #
LICENSED CONTRACTOR'S DECLARATION
Thereby 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
OWNER+BUILDER DECLARATION
I hereby affirm. that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Business•and Professions Code: Any city or county which requires 'a
permit to construct, atter, improve, demolish, or repair any structure., prior to Its issuance also
.• requires the applicant for such permit to We's signed statement that he is licensed pursuant to
• the provisions of the `Contractor's License Law, Chapter 9 (commencing with Section 7000) o/
Division 3 of the Business and Professions Code, or that. he is exempt therefrom; , and the basis
for the the alleged exemption. Any violation of Section • 7031.5 by 'any applicant for a perm!!
,•,.sybjects the applicant to a civil penalty of not more'than rive hundred dollars.($500). '""
r - 'I:' as: owner of the property, or my employees with wages as their sole compensation, will w
+'r;.do.the work, and the structure 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
Estimated Valuation
L
3275 o v+
- -
t PERMIT
- %° AMOUNT
Plan. Chk. Dep.
- -
Plan Chk. Bal.
,f •.
Const.
' y J . AJU y c
-
Mech.
- - `
- i,builds or•Improves thereon and who does such work himself or through his own+employees,•
}provlded.that' such improvements are; not Intended or offered for sale. If, however, the -building
EIQCtrICdl
f ? }
,or - improvement Is sold within one year o/ completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of safe.) +.
Plumbing -
•',,,
' q 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.) ..
O 1 am exempt under Sec. B. & P.C. for this reason
J-\
S•M,I_• ,.: r
-
i 'r , - e • #
-
_
Grading'
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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL;
• i 4..3 !'i
_
CERTIFICATE OF EXEMPTION FROM,
WORKERS'COMPENSATIONINSURANCE'
•. (This section need not be completed if the. permit is for one hundred 'dollars ($100) valuation
or less.) r
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 Jr 1 _.. .d^'""""" L;,`• _%.,' „"'"''r
REMARKS
10
d 1 Llyyhy.7 liyyr,_ s a j'rwv.w
-
_
•
ZONE: BY:
.:..Minimum Setback Distances:
t - - .
- NOTICE TO APPLICANT: II/, after making this. Certificate or Exemption you should become .;
subject to "the Workers^ Compepsation provisions' o/ the Labor Code, -you must forthwith
• 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 '. ='
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 Street Setback from Center Line
Side Setback from Property Line
Lender's Name
Lender's Address
FINAL DATE
.
INSPECTOR
N
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 certlfy 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.
Issued by:
Validated by:
Date Permit -
" Signature of applicant Dale
Mailing Address
Validation: .
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SD. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CARP. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS V
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
HEATING (FINAL)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVCWATER
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 ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® VVic
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 r _ / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK L
ROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS V
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 04, It of / Lo
//
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL :d
P.O. BOX 1504 N o .
Building 78-105 CALLE ESTADO
Address 44-520 i ar9m Ito Ckiturt LA QUINTA, CALIFORNIA 92253
Mailing
Address
City RI_" Tel.
ress
City - — - lZip
State Lic. City
& Classif. , ____ _ Lic. #
Designer
Address Tel.
City I Zip I State
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
OWNER -BUILDER DECLARATION
Phereby 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
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 ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am eRempt under Sec. B. & P.C. for this reason
Date _4/_2 3 ' / Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
08324
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number Tract 2620$ PbAft 1
Legal Description cactim Plc+eir
Project Description Flim 4GR — Lot: 56
CERTIFICATE OF EXEMPTION FROM REMARKS
-WORKERS' COMPENSATION INSURANCE t
(This section need not be completed i1 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 parson 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
subject to the Workers' Compensation 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 the
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 if 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
Mailing Address
City, State; Zip _
L •,
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:
Sq. Ft.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
546.43
Const.
590,00
Mech.
53.54
Electrical
113.71
Plumbing
121.00
S.M.I.
6.23
Grading
Driveway Enc.
Int,0=qAJif at'eiiSimon.:
Infr str(i tum
2.326.30
In VnhIle p20.00
TOTAL
3933.37
CERTIFICATE OF EXEMPTION FROM REMARKS
-WORKERS' COMPENSATION INSURANCE t
(This section need not be completed i1 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 parson 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
subject to the Workers' Compensation 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 the
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 if 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
Mailing Address
City, State; Zip _
L •,
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:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SQ, FT. ®
CAR P. SQ. FT.
WALL SQ. 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
l
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
LUMBER GR.
SO,FT.GAR ® 3Ac
HOUSE SEWER
FINAL INSP. 1
ROOFING 3-U
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 ;LT
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
l
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) S-!
7
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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. t! l (�
FRAMING G Old ['
FINAL INSP. 1
ROOFING 3-U
0( L P�„�p`-
/j/
�n / a��
l`
G
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
'/1
LATHING Lt(X-. ( LO
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION V14l
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL