The URL can be used to link to this page

003555 (AR)• ./I, /,�,/�� / 4 P.O. BOX 1504 No. 003555 r Building 78-105 CALLE ESTADO - Address 52-090 Avenida Garrazr.a LA QUINTA, CALIFORNIA 92253 Owner Address TsIn Fix *41A City Zip La Quanta. 922.53" Contractor ft i@r%Builder LDING: TYPE CONST: .. OCC: GRP:. A.P. Number I. F ity, , lZip . . _ Tela State Lia City & Classif. Lic. # Arch., Engr., Designer Address Tel. .. Legal Description Project Description Room S€ dation to zeplace OXPired Permit 40092 City_ I Zip I State Lic. # t 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 1 hereby affirm that I am exempt from the Contractor's License Law for the following treason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, 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 ' 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 the work, and the structure is not intended or offered for sale: (Sec. 7044, Buisness and �+ I 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 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 of proving that he did not build or improve for the purpose of sale.) O 1, 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.) e ❑.I am exempt. under Sec. B. & P.C. for this reason Date, f tOwner - -�------j-- 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.) Policy No. Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM .WORKERS'.COMPENSATIONINSURANCE - (This section need not be completed if the permit is for one hundred dollars ($100) valuation orless.) 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. 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 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 ateMailing Address City, State, Zip v HARD COPY Sq. Ft. No. No. Dw. Size - 494 Stories Units New ❑ Addy Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT Plan Chk. Dep. Plan Chk. Bal..' Const. Mech. Electrical Plumbing S.M:I. Grading Driveway Enc. Infrastructure -AMOUNT , • � 73.25•. • , 147.94 14.00 TOTAL`S REMARKS jfpt4,%.Aff t:�qj.y, vJ-aL••.1 "Ac t 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_ FINALf,DATE INSPECTOR i Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. ® FORMS SEWER OR SEPTIC TANK POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) gTHER APPJEQUIP. DRAINAGE PIPING CAR P. I SO. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN SQ. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation _$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/4c HOUSE SEWER / INSULATIONISOUND /pC 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) gTHER 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. FRAMING 8 �� FINAL INSP. ROOFING / AS/ X ( — (/ Aral O/V REMARKS: VENTILATION - FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH / INSULATIONISOUND /pC FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 'NO. PLUMBING FEES A.C. UNIT COLL. AREA SLAB GRADE 1ST FL. SO. FT. ® S UNITS HEATING (ROUGH) 2ND FL Sp. FT. FORMS YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CARP. SO. FT. ® DRAINAGE PIPING WALL Sp. FT. GAS (FINAL) DRINKING FOUNTAIN SO. FT. Q! URINAL ESTIMATED CONSTRUCTION VALUATION E SERVICE WATER PIPING NOTE Not to be used as property tax valuation BOND BEAM FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. = plus x: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN, WASHER(AUTO)1DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED / � O �� y'y' DG � O•a %F,p C As. 7 I5 x 7 ��"� C' �/Y l� / a �,#f— D/V 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER NEATER MAX HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Va c SEWAGE DISPOSAL LATHING SO.FT.GAR ® Nic HOUSE SEWER MESH 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) ' THER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. = plus x: =E LUMBER GR. FINAL INSP. FRAMING 8 FINAL INSP. ROOFING / � O �� y'y' DG � O•a %F,p C As. 7 I5 x 7 ��"� C' �/Y l� / a �,#f— D/V REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR az GAR. FIREWALL LATHING MESH INSULATIONISOUND _71// le;4?4 /le;4^ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL . INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL ec4a P.O. BOX 1504. No.. 003555 Building ' 78-105 CALLE ESTADO Address 52-094 Avenida Carranza LA QUINTA, CALIFORNIA 92253 Owner Address L& {dime . 92251 j. L Contractor P • • �91fli��3t�1C�@� Address r,lf.r 716 TPI . P. Number Le M cityZip State LID. ff - LICENSED CO.NTRACTOR'S DECLARATION 1 herepy aftlpn that I am IRXWM d under provisions of Chapter 9 (commencing with Section 7ftppi el V.' 9 , 3 of the Business and Pmfesalone Codd, -and my license Is in full force and ettec(. alflllmTLrhn'_ DATE OWNER•RUILDER DECLARATION 1 hereby artlon that I am exempt from the Contractors License Law for the following .7reaseh: (Seo.., 703 f.6,Buai.eea .+d f3o/eaaloru Gbde:.My d(f! or county whkh requires a orirar(ro arrstrua. sires We.; deripiDYl. or raper any'strtfctrrre. Rrfor ro 8s rssuar�e alio ..qu sea the• sppse.,t Ion "such Pane to rib a dyned steternent that he Is licensed pursuant to. all Of Ole COTMIClo/S .LICOM Law. Chapter a (commenc�lp calla Section Togo) of D;.,aai S of the Atita" aed.Avifsisiuns Code, a thth.hb Lf•eXemPt therefmm. and Ore basis for me staged exrarmtlon. Any 1lbWM of SecOon .7031.5 by 'any AW11cant for a permit suNsatn the tpptesnt to a elut penally of nat marc than ruse hundred dollua (9500): - ❑ 1, all Owlla% of tf W Pfoparly, a my emp(Oyses with wages as thetr tole compensation, will do Iho xWls, and 1ho otryitur0 (a net Intended or offered Lor sole: (Sac. las, Bulsriess and IrrWeStlorK Coda: TNa ConOndDrk rJCanss Law does not 2PPly'to-an owner of property who. bum %"twO1^°° th..eeo .ed who dews such wool, hrmsep or through his ownees, provided Olaf. S+icil• ilptovements are trot intended or offered Yon sale. it, however, the a LMpibv~I Is sold within ens you of oeepletion, the owner -builder wit hero the burden Growl" am no Meet.owarenvallafor Oropurpose arsafe.] . ❑ I. as owner of the propene am exclusively contracting with licensed contractors to cos - atruat the ixa)oeL. (See. 7011, Business and lorofessans Code: -The Contractor's Manse law am trot apply to;m Ownm Of property who phos or ertvroves Mereon, and who contracts for auah pre/eete with OX eantaeter(a) teonead purcuarrt to Me Centraetor'e License Law.) El t JIM exempt.Under Sec_ B- a PIC. for this reason — Data r��(Swrwr .•.-- WORKERS' COMPENSATION DECLARATION - I hereby affirm that I (!lave a certificate of consent to self -insure, or a certificate of WorKora angenaation In3uranGO, or a Genifled copy thereof. (Sec. 3800, Labor Code.) f gtIsy rig, Company G Copy to filed with•tho otty. C)Cortificd cgpy is horeby fumi3hod. GERTIFIGATE OF EXEMPTION FROM WORUAS'.COMPENSATION INSURANCE (Thal aaetlon Road mat be eenprefed N, Na pamut is for one hundred dollars (9100) valuation it Ivss,l . I earthy that In the parfohnanea of trio work for which this permit is issued, 1 shall not trmpl% any voragn to any mannOr oro as to become aub)eot to the Workers' Compensation Uwe of Call ornla . Data wnor Wrl'0 c 1`0 APPLICANT: d. aRvr maftslg ws Certificate OfExemption , you should become se10*wact ' the Workara' ConfWAt2ton Provisions of "the Labor. Code. you must forthwith o0r" trOh aftWn WOV4109 Or GO Permit &W oe deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that theio Is a 'consttuction landing agency'for the performance of the xgrh fir whish this permit la Issued. loot. 3os7. cm Code.) Landvelt Name Lcndero Addre33 This lae building permit when properly filled out, signed and vall0ated,'and is subject to euplratian If work thereunder is suspanded for 180 days. I certify that I have read this application and state that the -above information is correct. I agree to Ggmplyy wlth'ail city and county ordinances and state laws relating to building eenstfuetlon, and hereby authorize repreaentativea of this city to enter the above-. mentioned property for inspection purposes- Sienaturo of applicant Date Maili�8 Addroo* Olty, Brats, 21p "non rnov TYPE CONST: . OCC: GRP.. Description reject Description A`` dition to replace expired permit .40092 Sq. Ft. Size - A.94 No. Stories No. Dw. Units New ❑ Add XL Alter O Repair O" Demolition ❑ Estimated Valuation PERMIT AMOUNT Plan Chk: Dep. Plan Chk. Bal.. ? �- Const. 147.94 ' 'Mach. Electrical 10.00 Plumbing 14.00 S.M:1. 2. Grading Driveway Enc. Infrastructure TOTAL REMARKS _ kii ...1:;t; ._ 8 til' . ;{ :- .. • _, 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: NOTICE: THIS IS NOT A BUILDING PERMIT APPLICATION TO CONSTRUCT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF RIVERSIDE DISTRICT Permit No 284 199A 9/74 1 CANARY—FILE, PINK—APPLICANT U � U..� rLFIZ Owner hitect-- _. --_. Contractor _r r1 � n- C Qv'��`��A�r�___ Address_ —.— ---- Address2—�OA17—Ac / Cityk�U�l /ff -ACi— City— Phone_� Phonty_e _ Phone_ I (we) the undersigned, hereby certify and acknowledge that I (we) have read the application and agree that if Curb and Gutter, and W Z Paving, and/or Dedication of right of way is required by the County of Riverside, the Riverside County Department of Building and Safety 3 shall not make a Final Inspection until said requirements have been met. I am also aware that no work is to be done within the County R/W O without an encroachment permit. , NOW, therefore, it is agreed that I (we) will not occupy said property and will not cause said property to be occupied until I (we) have complied with all laws of the County of Riverside and the State of California governing said property. DATE �_.__'_SIGNATURE OF OWNER AND/OR AGENT — Approval by Signature from the Following Departments L d Below Must Be Obtained Prior to the Issuing of a Construction Permit. Sw� !SPACE NO. Q Qj1 USE OF STRUCTURE Z W JOB ADDRESS /��%�_ —r/�-- SINGLE FAMILYDUPLEX LEG P DESCRIPTION OF OP TY Z �� —� APARTMENTS [] AGRIC. [� �J Q r 7 # COMMERCIAL E] INDUSTRIALEl j '^ COMMUNITY ALTERATIONS ❑ eq Z NO. OF SUBMITTED PLANS USET CASE NO. --- p Z NO. OF PAr5KING PACES REQUIRED _ NO. OF BUILDINGS NOW EXISTING — — Q ZONE SETBACKS: FRONT SIDE REAR m GRADING PERMIT REQUIRED? YES ❑ NO ❑ LOT SIZE SETBACK ORDINANCE #OF FEET REQUIRED ON STREET fir+---- DATE ' SIGNATURE OF LAND USE OFFICIA —_ t DEDICATION REQUIRED: YES ❑ NO ❑ NO. OF FEET W CURB AND GUTTER REQUIRED: YES ❑ NO ❑ —STREET H d CAN CURB AND GUTTER FEASIBLY BE INSTALLED? YES ❑ NO ❑ W HAS AN ACCEPTABLE APPLICATION BEEN MADE FOR ENCROACHMENT PERMIT FOR DRIVEWAY AND STREET D IMPROVEMENT? YES ❑ NO ❑ °C DATE SIGNATURE OF ROAD DEPT. OFFICIAL Z SWIMMING POOLS PUBLIC Q W SEWAGE DISPOSAL FOOD ESTABLISHMENT _ WATER POLLUTION — REMARKS u+ FLOOD CONTROL z AIR POLLUTION _ DIV OF HWY c a — YOUR PROPERTY MAY BE SUBJECT TO a c FLOOD. RIVERSIDE COUNTY ASSUMES NO RESPONSIBILITY IN EVENT OF FLOOD. 284 199A 9/74 1 CANARY—FILE, PINK—APPLICANT