PAT (13390)414
All
'*
• P O BOX 1504 No 1339D �' �
Building
3—yrp„ li�]LiAZr3
78-105 CALLE ESTADO r
Tel.
Address
LA QUINTA, CALIFORNIA 92253
City
Owner
Cole Lee
" Ytt' rel
LICENSED CONTRACTOR'S DECLARATION
;
' Mailing
SIGNATURE DATE
- . ^ OWNER -BUILDER DECLARATION
- , Lhereby 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 islicensed 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do
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 arra not intended or offered for sale. If, however, the building
BUILDING: TYPE CONST.-"• OCC: GRP.
��
Plan Chk. Dep. _
Address
. '} `•) . ��
COf1St' ~ ,
Mech. +' '
Electrical
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.) _
774-132-01.5
❑ 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.) ,.r -.
-
0 1 am exempt under Sec. B. & P.C. for this reason
S.M.I..• ��
_
Grading
Driveway Enc.
A.P. Number
Infrastructure ="
City
zip,
' Ihereby 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.)
r
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
rIFy®s
11
TOTAL
La Qi�i��8ty- �±
..
9225.3:;,64.
2364
Legal Description ,�, •
Vli+rabl�%Biilf°?.i
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.
ZONE:—BY: -
Minimum Setback Distances: 1•
Project Description
Cove
Address1,4
t
Rear Setback from Rear Prop. Line
'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
Side Street Setback from Center Line
'•.
- -Side Setback from Pr opetity Lin
Q
FINAL DATE INSPE OR �•
f'
Issued by: ' Date / mit
= 1 1 �.
]'�
Validated by: A -
x v { : "
Validation:3
- -•
Lender's Address
This is it work th 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
City
-
Zip
Tela
}.
r -
State Lic.
City
& Classif.
Lic. #
Sq. Ft. 171
No.. No. Dw.
Size
-Stories Units
Arch., Engr.,,
Designer
New ❑ Add ❑ ', .-Alter ❑ Repair ❑ D'emolitiori ❑
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 my license is in full force and
effect. ,
SIGNATURE DATE
- . ^ OWNER -BUILDER DECLARATION
- , Lhereby 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 islicensed 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will
do
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 arra not intended or offered for sale. If, however, the building
Estimated Valuation $2,,-274.00
'
- PERMIT AMOUNT '
, -
Plan Chk. Dep. _
Plan Chk. Bal. 35;10r" -
5:10`" -
. '} `•) . ��
COf1St' ~ ,
Mech. +' '
Electrical
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.) _
Plumbing
❑ 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.) ,.r -.
-
0 1 am exempt under Sec. B. & P.C. for this reason
S.M.I..• ��
_
Grading
Driveway Enc.
Date Owner
Infrastructure ="
WORKERS' COMPENSATION DECLARATION
' Ihereby 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.)
r
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
rIFy®s
11
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS'
,
(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 lhg 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: 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.
ZONE:—BY: -
Minimum Setback Distances: 1•
Front Setback'from Center Line
t
Rear Setback from Rear Prop. Line
'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
Side Street Setback from Center Line
'•.
- -Side Setback from Pr opetity Lin
Q
FINAL DATE INSPE OR �•
f'
Issued by: ' Date / mit
= 1 1 �.
]'�
Validated by: A -
x v { : "
Validation:3
- -•
Lender's Address
This is it work th 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
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES'
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE ��
r Fv
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. I SO. FT.
OTHER APPJEQUIP.
REINF. STEEL
WALL SQ. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SQ. FT. ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
_$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1 % c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR ® 3/4c
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
ROCKSTORAGE
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.
FRAMINGl�_o?,il f0
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL 71
• C
TWyl 4
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227-
December
77-1227December 19, 1997
r
Cole Lee Cantrell -
53-585 Avenida Mendoza
La Quinta, CA., 92253
RE: Patio Permit #13390
Dear Mr. Cantrell
The purpose of this letter is to inform you that your Patio Permits #13390, for the project at
y
53-585 Avenida. Mendoza, has expired. In accordance with 1994 UBC section 106.4.4, no
further work may be performed until a new permit has been issued.
Please contact Daniel P. Crawford Jr., Building Inspector I, at (760) 777-7012 to obtain any
information you need regarding a new permit an&or any required inspections. Should you
choose not to complete the project, we would then have to pursue any or all of the following
actions:
1) Abatement of the project through the City Attorney's Office and Code Compliance Division.
2) Notice of non -conforming structure placed upon property profile.
.3) Action filed with Contractor State License Board. Optional if Owner/Builder.
Please contact us at your earliest convenience prior to 10 working days to resolve this issue, and
for any questions you may have. i.
t
Sincerely,
Mark Harold
Buildille & Safety Manager
Daniel P. Crawford Jr.
Building Inspector I
cc: file '
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 `z �J