MISC (08352)44670 Marguerite Ct
08352
Building
Address M 44-670 NaPxmi9
Owner ,.:. ;+ • • -
Address
City Zip
n
COnlraCtOr
E. dw win
Address .
i
City Zip
State Lic.
& Classif. 493.913
Arch En "
P.O. BOX 1504 No. 0835-2
35-2
78-105 CALLE ESTADO
to ca=t LA QUINTA, CALIFORNIA 92253
BUILDING: TYPE CONST: OCC: GRP.'
f1• A.P. Number Rhr+. 6 . 8 — Sham T '
Tel. _ _ _
34-5-4,Legal Description.
•e
Project Description off.._, 6 _ Ma. 5i
Dev. can.
Tel.:. '
City
Lic. #
Sq. Ft. 2328.No. No. Dw.
Size a 'Stories - Units
' Designer -
New ❑ Add 70._; :-,..'Alter ❑ Repair ❑ Demolition O'
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 Division 3 of the Business and Professions Code, and mylicense is in full force and
i effect.
SIGNATURE - 'DATE
OWNER•BUILDER'DECLARATION
hereby'sffirm that i am exempt from the Contractor's License Law for the following
reason (Sec. 7039.5,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`
• Dii1sion 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 morethanfive hundred dollars (5500).
' .'. O l,'ss owner of the property, or my employees with wages as their sole compensation, will
Estimated Valuation
-
PERMIT • . - AMOUNT'
-
.•Plan Chk. Dep.
Plan Chk. Bal. 611.20 _
.,Const. h
do'the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and3
t 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
,'Mach.,'
Electrical. i
or improvement is sold within one year of completion, the owner-builderwill have the burden •
•. of proving that he did not build.or improve for the purpose of sale.)F6 .7
Plumbing
' 0 1, 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 -
-, S. M. 1. 8.7- 17_
does 'not apply to anownerof. property who builds or improves thereon, and who contracts for
•such projects with a contractors) licensed pursuant to the Contractoi's License Law.)
-
' '0- 1 am exempt under Sec. B. & P.C. forthis reason
,
~ Grading
Driveway Enc.
Date "S caner
; infrastructure $,5$
Art_uhle- -flibmes 61.18 '
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent ao'self-insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Com any'I
i ❑.Copy is filed with the city. p'Certified copy is hereby furnished.
N
TOTAL 4,574.25j.
- CERTIFICATE OF EXEMPTION FROM
• WORKERS' COMPENSATION INSURANCE
(This section need not be completed. if the permit is for one hundred dollars ($100)
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.
I
REMARKS
REMARKS
`
- .'- . \,._-••'' .•
,
' r ' b 215-
R1i9 u i Qvbd ' 45i1r l^ 7 - t .
Date owner
NOTICE TO APPLICANT: If,aRer.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. _. ' '
ZONE: - BY:
,Minimum Setback Distances: -
{ , ,
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY -
•. I hereby affirm that there Is aconstruction 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
FINAL DATE INSPECTOR
y
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.
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: Date Permit
Validated by:
Signature of applicant Date
+
'Mailing Address
- Validation:
City, State, Zip
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1.
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SQ. FT.
POR SO FT ®
GAR. SO, FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO 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
V
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
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FRAMING I L
FINAL INSP. l ! 0 q L
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
of
GROUND PLUMBING Na,
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
V
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS(ROUGH) A
"1
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. d
. y
$ plus x$
=$
LUMBER GR.
FINAL INSP.
Y
FRAMING I L
FINAL INSP. l ! 0 q L
ROOFING (, 1 Gj! ( %
l
// / q /,r
`(, (U/ "l
pIq
'
l `O
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING 4111KAt { I>
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION 3
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL