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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