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9639 (CSCS) 1991Twyl 4 4 Qum& Buildin Address 78250 Highway 111 T. S. Restaurants Mailing Address 2526 S. highway 101. City Cardiff lZip P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST Number No. OCC. GRP. 9639 619) 792--$651 Legal Description Parcel Ray 22596 Parcol 3 ntractor 1Project Description Restaurant Pacific Building Industries dress 350 Fischer Dr$tee :y izip Tel.' Costa 14esa 92626 714/755--0299 State Lic. City & Classif. 507150 g I Lic. # 1835 .... _..., _.-.1 Designer William Zmistowski ASSC. Address Tel. 1909 Broadway 303/449_4831 CityZip State Boulder, C© Lic. # C017387 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Division 3 of the Business and Professions Code, and my license is in full for a/and f rim JW.. /�'i .. 2_. .0 �3 lP V/ SL_NATIIRF 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, 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 rive 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 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 or 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date owner 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 (it 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 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: It, alter 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 Address City, State, Zip 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: Sq. Ft. 9()00 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 586,000 PERMIT AMOUNT Plan Chk. Dep. 1500.00 Plan Chk. Bal. 545.89 Const. 2297.50 Mech. 364.00 Electrical 196.80 Plumbing 454.00 S.M.I. 123.06 Grading Driveway Enc. Infrastructure 12000.00 Arts in Public 2930.00 TOTAL 2.(83Zqfj�761 IU:NL 1 IGYII.+'�l REMARKS Infrastructure amount include; entire site 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APPJEOUIP. DRINKING FOUNTAIN. SO 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IKITCHEN 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 SPARK ARRESTOR SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/4 c SEWAGE DISPOSAL SO.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 D PLUMBIN Lt UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK �BONDING DOUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. RAAMING FINAL INSP. ROOFING loe O � ai� �'�FIRE �/!•�17 Co, fl [ �^� / ��2 �lL F12AV-x l� �'�G�"T I REMARKS: VENTILATION ZONE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL • y , a CITY OF LA QUINTA DEPARTMENT OF PLANNING & DEVELOPMENT BUILDING DIVISION 564-2246 24-HOUR NOTICE FOR INSPECTIONS . Amer T. S. Restaurants ontrector Pacific Building Industries ermit Number 9639 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES DBADDRESS 78250 highway 111 TYPE OF INSPECTION DATE INSP. )UNDATION & SETBACK AIN GROUND SYSTEM IQUND PLUMBINGys: /- Z.,% 71—e- lE-GUNITE 1 Z) NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED )NCRETE SLAB )ISTS A GIRDERS .f TICAL GROUNDWORK NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED r w v v v vrw a vrw v cv i ATING & VENT -A/C , r•• TEPLACE COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED oe IYWALL INTERIOR TERIOR LATH POL PRE PLASTER 1 � ///AT c4- a (2(,er-. Fdp b `� �Z 1--16 e�e 4tez-z %vim pv ti -a 7 - 62 ( RC < e0c."'o lao, L4, .11( 1-2 P-,2 i- Gl / J ABOVE APPROVALS 00 NOT INCLUDE RIGHT TO