Loading...
RPL (10808)Building Address 53-330 MENDOZA Owner X 1504 No. 10808 7&105 CALOLE ESTADO LA QUINTA, CALIFORNIA 92253 maning Address 73-415 PI14YON CityZip PERMIT Tel. RALM DESERT 02260 558-6708 Contractor DON OSTLER Address . P 0 BOX 1481 City Zip Tel.: RANCHO MIRAC E 328-3023 State Lic. City & Classif. 277489 Lic. # 2482 Arch., Engr., Designer Address Tel City Zip State . Lic. # 1 h'LICENSED CONTRACTOR'S DECLARATION ereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section Ve7000) of Division 3 of -the Business and Professions Code, and my license is in full force and ff.ct. All _SIGNATURE".'..wf' - . C /"C„i tiR.._ BATE 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, after, improve, dmno6sh, or repair any structure, prior to its issuance also requires the applicant for such permit to fie a signed statement that he is licensed pursuant to the provisions or 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 penally of not more than five hundred dollars ($500). ' ❑ I, 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 Contractors License Law does not appy to an owner or 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. 1f, however, the budding or Improvement is sold within one year of completion, the owner -budder .will have the burden of proving that he did not build or improve for the purpose of safe.) . O 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 bnproves 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. R. & P.C. for this reason 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.) Ll�,CNo. �mpa„ypy is filed with the city. ❑ Certified copy is hereby furn shed. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if 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 person in any manner so as'to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT. ff. after malting ibis 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 shag 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 property 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 LDING: TYPE CONST. OCC: GRP. Number Legal Description Project Description P001. ANT) SPA Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Aimated Valuation $8,000 s00© PERMIT AMOUNT Plan Chk.°Dep.` , Plan Chk. Bal $64.35 Const. 99.00 Mech. 24.00 Electrical 45,00 - Plumbing 27.00 S.M.I. .80 Grading Driveway Enc. Infrastructure TOTAL 4260.15 REMARKS 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 IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. 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 FdUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 . FRAMING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 34c 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 D GROUND PLUMBING NDERGROUND 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 UVI FOUND. REIN F.ff GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. FINAL INSP. GRADING cu. yd. $ plus x$ =$ LUMBER GR. . FRAMING ROOFING / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL