HomeMy WebLinkAbout12506 (PAT)44405 Marigold Lane
12506
07344
07217
t
iBuilding
Address
Owner
P.O. BOX 1504
44-465 Tkari old Lane 78-105 CALLE ESTADO
J. LA QUINTA, CALIFORNIA 92253
ig and:Sudan 0"Brien
Mailing r'
Address Sam
City Zip t Tel.
. La Quinta;, 92253 _ .360-0921
Contractor
Address
Tel.:
°= a
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Pa.ti0 Cover
germuada Dune,-r+^ _
92203
34.5-7228.
State Lia
& Classic B-1 501 -jj'
'
City
Lic. # 22 6
Sq. Ft. 200
Size
_ _Arch., Engr.; - •..., ,
New ❑ Add ❑
Designer y` '
Address ;,,:, ,'
Tel.
City
Zip:. -
State
i'
Lic. #
" - LICENSED CONTRACTOR'S DECLARATION
'4 I hereby
affirm thaY I am licensed under revisions of Chapter 9 (commencing with Section
7b00) of Divisio/ro3/of the Bsiness ofe ssions Code,
1 and and my license is in ffuulll force a
c . fect.
_
/ J ... a f: -.icer !(>
S JIG_ N ATUR.DATE
i` OWNER
pdUILDER DECLARATION
Estimated Valuation
is 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 i 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
PERMIT, "
r Division 3 of the Business and ProlessioniiCode; or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violatiomrof 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). -
Plan Chk. Bal.
❑ I, as owner of the property, or my employees with wages as their sole compensation; win
r do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Const.'
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,
, Mach.
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
Electrical
of proving that he did not build or improve for the purpose of sale.)
O 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 of property -who .builds. or improves thereon, and who contracts for
.
.S. M. 1. '
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
Grading
Ij ❑ 1 am exempt under Sec. 8: & P.C. for this reason
-Driveway Enc.
Infrastructure
Date Owner
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.)
Polic y,Nr9 ' "Company ' ..
EJ'Copy is filed with the city.' ❑ Certified copy is hereby furnished. _ 4
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
kir or less.)
s'
,rreI certify that in the performance of thg work for which this permit is issued, I shall not
em'ploy'ariylperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
•- -'tom.. •
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 it 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
S
;;'TOTAL -,
REMARKS
No. No. Dw. t:
Stories >';- Units
Alter ❑ Repair ❑ Demolition ❑ r
f 4 r
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line ,
Rear Setback from -Rear Prop. Line -
Side:Street Setback from Center Line - t
Side Setback from Property Line ;
FINAL DATE+` -#
Issued by: at arm'
Validated by:,..
Validation:
••r A.,tr Frr
y
$2,620,00"
i AMOUNT
c yy
54.00
i5V
-
f? _ Kn
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line ,
Rear Setback from -Rear Prop. Line -
Side:Street Setback from Center Line - t
Side Setback from Property Line ;
FINAL DATE+` -#
Issued by: at arm'
Validated by:,..
Validation:
••r A.,tr Frr
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
COLL. AREA
1
ROUGH PLUMB.
BONDING
2ND FL. SQ. FT.
HEATING (ROUGH)
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SQ. FT.
HEATING (FINAL)
DRINKING FOUNTAIN
SQ. FT. ®
GAS (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER HEATER
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GRADING
cu. yd.
$ -Plus-x$-=$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
FIRE ZONE ROOFING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/a c
SEWAGE DISPOSAL
SQ.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
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 APP./EQUIP.
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
FINAL INSP.
ROOFING
l `l
ll 11!
any
4tL LAL
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL