15151 (PAT)P.O. BOX 1504 N o . 15151
BuildE-, j. 78-495 CALLE TAMPICO
Address, 2-840 Avenida t:aa:T"a>r za LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address Same as above
City Zip Tel.
La Quina 92253
Contractor
.owner/builder
Address
Zip I Tel.:
State Lic. City
&Classif. Lic. #
Arch., Engr.,
Designer
Address Tel.
City (Zip (State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 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
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
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). 1 .
❑ 1, 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 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.)
❑ 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 contractors) (icensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
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
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
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: h, 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.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR' IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
Ttiis-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 Address
City, State, Zip
r
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Open Lattice Patio Cover
Sq. Ft. No. No. Dw.
Size 200- Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
3timated Valuation $2,-660.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
35, 10
Const.
54.00
Mech.
Electrical
Plumbing
S.M.I.
. "27
Grading
Driveway Enc.
Infrastructure
TOTAL
a •
REMARKS
Ir Rt\ht etback from Center Line
1-1-41 t Re�r S tback from Rear Prop. Line
Pt i
�Side'Stiee4etback from Center Line
V 5 e"aback from Property Line
yB..
-E---.INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO.
ELECTRICAL FEES
NO.
PLUM13INU FEES
1ST FL SQ. FT. a
2ND FL. SQ. FT. Cad
POR. SQ. FT. a
GAR. SQ. FT. @
CAR P. SQ. FT. ®
WALL SQ. FT.
SQ. FT. ®
ESTIMATED CONSTRUCTION VALUATION
$
UNITS
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
$
WATER PIPING
NOTE: Not to be used as property tax valuation
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
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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.
SQ. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
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.IEQUIP.
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
�
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
1NSPECTOR'S SIGNATURE&INITIALS
GARDEN WALL FINAL
� IUrtD •�(.H• 'C7zU 5S
Salter Site S • aci Ma Sooffa• Note l&lw
Species I( Specify Noting t Shoothla• ape qao Lattice
0►C,
_ - -
goof ►fico AJA
d
teatfaw•a k tr►
Stat Y sad Salle Strap
LL a rwal-slw glib .III
4-111 6 smile Or belt
Oaf ter iPae/A1- _ het oPactat--J�W
--
• Y
Qua N 001+} _ � Q ` — - @"Tall 1tLSth 1 —0
ria. Cad, boat.
RJ1R, P�. SIDE
.,+JLi
L_1
ttia. u-a12-
/aOLia= 12-
�3/S"at' let our" lata @tach at IS' •.e. klvr Crede
Costfaw•e ledger V-atrq ar
Angle
Aucke
' — f4=- •`• •, - ; Provide 1 1 1t.*-eae*oot:.. i telt.
1 �• Plate ••
learanc =
ost To �- - - - •�iU�
Concret
Joist tooter w Solid slocii
Nall Ultat to Slotllm
U• t2.4R--%=W 3 - It 4 sella K It
z)-= ta:0w 70
INOM M INUM G 10e4 aseaers Ir L ease.
Ps 20-40
(feet a tacros)/
2n41
16' o.c.
21'
11-2 1
9.4
1"
H
7-11
a -S
a-3
H'
236
512' 0. C.
17-10
17-S
3-0
13-7
10-0
16•
16-3
ASIA
1-3
u
2t'
13-3u-0
fl -2
}
u-
10-20(1V21
7.4
s -i
2A
16.O.c.
21-5
11-101•-20
u-0
21' -
17-6
16-3
12-1
u
!-d
72'
1•-S
1]-0
10-0
10-
7-i
& -h c 4.
/ Qu
FUSO 1.3 Ir•2,97,
L jilt
• N� Crate ~�" • �I
TIr3
EMM
llag3as tir lc.l
.i: low 'ice �iA1+
64 ....... S• .•V �'-
1"32._—....17• y!1i 1s'
4al•........ 20• • W
CI
F.
e
11LQ SAFETY DEPARTMENT
a. •cad d L ai,. pitch with 301
fat k L.
ACCn2..
d. Rfcit r=! 3/12 ataxy -1r p =h.
AND ALL APPLICABLEQEStw
ZYPICAL P' FR
�,� BY
1&hf 4 444 a" -
78-495 CALLE TAMPICO — LA QUINTA, . CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
September 19, 1996
Mr. Carmen Marie Alvarez
52-840 Avenida Carranza
La Quinta, CA., 92253
RE: Open Lattice Patio Cover Permit# 15151
Dear Mr. Alvarez,
The purpose of this letter is to inform you that your open lattice patio cover Permit#15151, for
the project at 52-840 Avenida Carranza 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. at (619) 777-7027 to obtain any information you need
regarding a new permit and/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'00ffice 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 30 Days to resolve this issue, and for any
questions you may have.
Sincerely,
Mark Harold
Buildin & Safety Manage
r �Y
aniel P. Crawford r.
Building Inspector I
cc: file
dpc
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253
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