Loading...
RPL (09258)TA. hf , y P.O. BOX 1504N Building 78-105 CALLE ESTADO • Address 8Q--135. -Vier ion _ LA QUINTA CALIFORNIA 92253 o . � •,' Owner- _' Mailing BUIL TYPE CONST.'.. OCC: GRP. '•• + :. Address 42 -600' S ook $.agree #200 A.P. Number ' City Zip Tel. Palm Desert 9226 558-2826 Legal Description Contractor. _ Project Description tr � 1 17,r$�tr sIe`�...siinln- - Address . , . Address . vol'' ' Tat$ . Spa - 68-465 Perez Road h• 7 City Zip TO,: .Cat. 1.92234 328 -2681 State Lic. City ' ,' & Classif.C 275796 Lic. # 6� Sq. Ft: Size ,No. " '' `- No. Dw. Stories ` Units .Arch. Engr., ' 'Designer, " New ❑' Add ❑ Alter ❑ Repair ❑ Demolition b.. Address Tel. ,.. City Zip State Lic..# r LICENSED CONTRACTOR'S DECLARATION ' r•• • I hereby affirm that I am licensed under provisi i of Chapter 9 (commencing with Section 7000) of Division 3othe Business andProfessio'ns Code,.and'my license is in full force'and effect. .-+,+C,+^"'.—F_ ra trd. 1� - - '--• • ' SIGNATURE r' (f .t - .DATE - ---OWNER-BUILDER DECLARATION 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 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 '*tithe -provisions -of the Contractor's License Law,. Chapter 9 (commencing with Section 7000) of Estimated Valuation. _ PERMIT - r AMOUNT". , "'Division 3 of the Business and Professions Code, or that -he is exempt therefrom, and the'basis ;Ifor'•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.(8500). _ 0 I, as owner of the property, or my employees with wages as their sole compensation, will . Plan Chk..Dep. - Plan Chk. Bal: - 122-85 ' 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 . COnSt_ �� s - Mech. ^•♦�7 pin _ - 24 00 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. Electrical - 00 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�� �- ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- ' slruct 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'sLicense Law.) ' ❑ I am exempt under Sec. - B. ix P.C. for this reason .. S. M. 1. - - - -26 Grading •-- Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION 1 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.) Policy No. .Company yopy is filed with the city... O Certified copy is hereby furnished.,, TOTAL i4+Q_ 1 REMARKS 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 the 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. • — - - ,z, '�,�'4u;�`: y ';; ._ %i,���k.'�;j�, .. e - ZONE: - ' ' BY: - - - - Minimum Setback Distances: _ - Front Setback from.Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line =� CONSTRUCTION LENDING AGENCY'. -- hereby affirm that 'there is a construction lending agency for the performance of the work, for which this permit is issued'. (Sec. 3097, CivilCode.) ' .`. y'hSide Setback from Property Line Lender's Name _ FINAL DATE , - INSPECTOR - 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. Issued by: . �- . Validated by:, Date Permit. • Signature of applicant' Date' Mailing Address Validation: - .,., ^i' is: -fvi ��✓ 'r,q•SSt -'. ..^-f. t' ,•7•- 1 . r , M "s? �.� R ; 'aJH Yi.,iy,5 :1c ,7 City, State, Zip ; fi ;u i f r.-..1 "•`a. '..C':tir •j ;� , -Kl "1.t-3' �. .,K • 'K". ,:, '�� f� ... f r CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. '@ CARP. SQ. FT. WALL SQ. FT. ® SQ. 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 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 APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM I 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE rPL.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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. NAL IN _ :` FRAMING 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 SIGNATURES/INITIALS GARDEN WALL FINAL f _ SIGNATURE' :.,o,•-•r..a ,•-.::.7 +.,f.. «,..•_.. Y� ATE - •-- (.� Building , ALJ ' Address - Ihereliy affirm that'l am exempt from the Contra Contractor's License Law for the following Owner .. ' reason: (Sec.,, 7031 5,Bbs1hess and Professions Codd:,fAny city or county which requires a SUNR I SE CON • Mailing Address " � ri City - '�'IZIp the provisions of the. Contractor's License Law, Chapter 9 (commencing with Section 7000) of "• contractor or, ) Address a City Zip State Lic. & Classif. : 288130.. *Arch., Engr., Designer Address City Zip LICENSED CONTRA( r ,,I hereby affirm that l am licensed under pros 7000)nof. Division 3 ofrthe Business and Profe: 4t .4 PgAsE 3t/OA, P.O. BOX 1504 No. 02459.- 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 • ,,�,• .• .. ;� til-- � _ ' �" BUILDING: TYPE TYPE CONST.' OCC: GRP. C t A.P. Number P7` R WE&T TFo ,T + stALL , 03— Legal Description « -2828 Project Description a1u a r•r_ '+ir. r a N! 663A Tel.. City Lic. # - Tel.' State LIC. # iDECLARATION of Chapter 9 (corgi Code, and my licen Sq. Ft. Size .. New ❑ ` t , t No. Stories' - Add '❑ ' ' Alter ❑ 3 with Section I full force.and No. Dw. Units Repair ❑ } =0. SIGNATURE' :.,o,•-•r..a ,•-.::.7 +.,f.. «,..•_.. Y� ATE Y OWNER•BUILDER DECLARATION - Ihereliy affirm that'l am exempt from the Contra Contractor's License Law for the following Estimated Valuation ' reason: (Sec.,, 7031 5,Bbs1hess and Professions Codd:,fAny city or county which requires a -j� �• ,) 2 -72 -603.00 - permit to construct, -after, Improve, demolish, or repair any structure, prior to its issuance also r-,. requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT -AMOUNT - the provisions of the. Contractor's License Law, Chapter 9 (commencing with Section 7000) of "• Division .3 of the Business and. Professions Code, or, thathe is exempt therefrom, and the basis - `Plan •. t - - _.- for the alleged ~exemption.. Any violation - of Section 7031.5 by any applicant for a permit Chk. Dep.- •r' . subjects the applicanhto a civil penalty of not more than five hundred dollars ($500). -- as ' -.'Plan Chk. Bal. • ,' ; O I, 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 Const.. ; 7 Professions Code: The. Contractor's' License Law does not apply to an owner of Properly who '• ' -00 builds or, improves. thereon and. who does such work himself or through his -own employees,, Mech.431 50 .,. provided that. such improvements are not. intended or offered for sale. If, however, the building or improvemenhis sold within one year of completion, the owner -builder will have the burden • 'Electrical - " - or proving that he did not build or improve. for the purpose of sale.) ` - ❑ I, as owner of the property, am exclusively contracting with licensed coritractors 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.I. '`�• '. -i i such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). - Grading ❑ 1 am exempt under Sec: B. & P.C. for this reason ` `• Driveway Enc. Date ' owner' Infrastructure 6,0001,00 3000"00 It S., ' i WORKERS' COMPENSATION DECLARATION \ R '�.431 - 1 hereby affirm that I have a certificate of consent to self -insure, or, a certificate,ofF!J - 1 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) _ .. Policy No. '' ` .Company -- ❑Copy-is,filed with the city.. O Certified copy is hereby furnished. TOTAL I E.18637 - CERTIFICATE OF EXEMPTION FROM . ' REMARKS - WORKERS' COMPENSATION INSURANCE 1 • (This section need not be completed. if the. permit is for one hundred dollars -($100) valuation.- - ,.h!>';641':!,-f.n � ,...,d ,,,,,(^j-.. �.-r', .,.2;;. _ or less.) I certify thafin'9he performance of thg work for which this permit is issued, I shall not � � , . ��:� . TAM A Ju. • 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 ZONE: BY: - ' subject to the. Workers' Compensation provisions of'the.Labor Code, you must forthwith comply with such provisions or this permit shall be. deemed revoked. ' Minimum�Setback.Distances: - _ Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the.performance of the { .R . work for which this permit is issued. (Sec. 3097, Civil Code.) - - - Side Setback from Property Line •Lender's Name Lender's' Address FINAL DATE INSPECTOR 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 1 have read this application and state that the'above information is correct.: Issued by: Date Permit 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. Validated by: Signature.of applicant Date r - Mailing Address .."Validation:• City, State, Zip •. 'y`•kr r �t-rI•"°'7¢°a�'. *,'wiz• r- ? �, y:,i +... i �t•r� ^' s'^x ;4 vflY l' �,�.�.�w b X - .,- r ! 3J.: d #.?,: r �`isv r. ,1.- Ar. , ,. .[,\ AtRa '-i••:1\`i"',Td"-Y♦ : -. -(,A •...f:: :. (• � NY.' _ :x f„ - r Ss •+.lgS'�J?ice• y f'tt. • ^�1I3'.i .. .�.i;4 l I�•n :r .. k'S `.5,•\ . CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. FT. ® CARP. SQ. FT. WALL SQ. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER AS (ROUGH)/.�� G� GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 EINAL INSP.- 0% SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION[ GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE LPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ROUND PLUM /.!��"% UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS WER OR S G ltge ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGH)/.�� G� METER LOOP HEATING (FINAL) OTHER APPJEQUIP. > �i INF. STS -��REINF. STECL /U—� — �/U GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR, EINAL INSP.- 0% FRAMINGJ e� FINAL INSP. n OOFING—// -,7 - ,/Y -RROOFING / / I -� iJ j f�J / _. [ f �C1�l L Lb° REMARKS: VENTILATION[ FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING q-qgwc- MESH 471 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL