003420 (BLCK)! No.
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P.O. BOX 1504 N o .,�
Building -ZND 78-105 CALLE ESTADO
20
Address 53-b Avenida Catdanma LA QUINTA, CALIFORNIA 92253
&0=Zi CA. Y,.4 iaa,ra..c:s i AJ t -.L4 BUILDING: TYPE CONST. - OCC: GRP.
Mailing
Address. 7220 Trade Street, Suits 100 A.P. Number 774-051-012
City - Zip Tel.
San Diego 92121 619-693-8.444 Legal Description
Contractor Project Description Ret•aininq Wall
`!'he Lendel Corporation I 5p
Address at 4 ave. 375 star. Ft.
She
City
Zip
Tel.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
State Lic.
City
Side Setback from Property Line
& Classif. 330551
Lia # 859
Sq. Ft. No. No. Dw.
Issued by:
Date 10/2/87Permit
Size - Stories Units
Arch., Engr.; -
'
Designer
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip ✓'
State
/f
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby atfirm thaJ?1 am licensed under provisions of Chapter 9 (commencing with Section
7000) of i4isii�on:3-orf_the'Brupsiness:anndd P"rof/eessionns,Code,
and my license is in full force and
effect' lf�U : -1 it.'l -4i;
,7�r
SIGNATURE Y .: p '- 0 •.]•`..r '},/ DATE
r ! OWNER -BUILDER DECLARATION
I hereby affirm that I am'exempt from the Contractor's License Law for the following
Estimated Valuation
reason: (Sec. 7031.S,11us,,nes3 and Professions Code: Any city or county which requires a
permit to construct, akar, 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
PERMIT' AMOUNT
I the provisions o/ the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
_
r Division 3 of the Business and Professions Code, or that. he'is exempt therefrom, and the basis
for the Any Section 7031.5. by 'any for
Plan Chk. Dep.
alleged exemption. violation of applicant a permit
subjects the applicant to'a civil penalty o/ not more'than five hundred dollars ($500).
Plan Chk• Bal.
O 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
Const. ?�
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,
Mech. -
provided that such Improvements are not In or offered for sale. I/, however, the building
or improvement is sold within one year o/ completion, the owner -builder will have the burden
Electrical
o/ proving that he did not build or improve for the purpose of sale.)
0 I, as owner of the property, am exclusively contracting with licensed contractors 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 buildsorimproves thereon, and who contracts for
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
-
Grading
O. 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
` Date Owner
Infrastructure
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.)
I 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
li or less.) -
I certify that in the performance of tha 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 o/ 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.
i
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 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.
Signature of applicant Date
Mailing Address
City, State, Zip
HARD COPY
TOTAL
REMARKS tt f
�il(�I�'��..tf''�.lt�t ''C'�i�•1t')Yr.,-#fr'`Zal ^i1-f>tr�.
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 10/2/87Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING,.FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
2ND FL. SQ. FT.
BONDING
YARD SPKLR SYSTEM
FOR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
CARP. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. ®
OTHER APPJEQUIP.
DRINKING FOUNTAIN
SQ. FT. @
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
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.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
L-ATHING �. ,s r
GAS PIPING
PERMIT FEE
MESH
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 r� `
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.
e//BOND BEAM /G J5�
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING 2 ) 817
/J
AAL INSP.
ROOFING /� LS '
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
L-ATHING �. ,s r
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
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INSPECTOR'S SIGNATURESIINITIALS,
GARDEN WALL FINAL