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12291 (BLCK)Building N 78»672 Hwy 111 P.O. BOX 1504 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Carl Karcher Ent. No. 12291 BUILDING: TYPE CONST. OCC: GRP. ' Mailing Address P.O. Box 4999 A.P. Number ' City Zip Tel. " " Anaheim.P CA 1 92843 1(7141491-4325 Legal Description Contractor Project Description 141 It.of screen wall Tavaglione Construction A � Arlington Ave. versirle, CA Co9) ZIP 92506 6 6$4:4420 ,State Lic. City & Classif. 9-1 278222 Lic. # Sq. Ft. No. No. Dw. Engr., Size Stories Units Designer CKp New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Addri3s N. Harbor T614) A-91-4 to,o CityState Anahe,4, CA lzi)2103 Lic. # V LICENSED 60NT ACTOR'S DECLARATION I hereby aff�imthat I atfi licere unde rovisions of Chapter 9 (commencing with Section y 2000) of Di'visio��3 of e-Busi,nes an rofes i5ns Code, and my license is in full force and kef�fect. „ ILILATUEE Or DATE ' OWNER -BUILDER DECLARArN I hereby affirm that I am exempt from the Contract is License aw for the following Estimated Valuation n I i/ ' reason: (Sec. 7031.5,Business and Professions Code: Ab ry or unty which requires a - permit to construct, alter, iir!prbve, 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 PERMIT AMOUNT ' Division 3 of the Business and Professions Code, or thathe is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Plan Chk• Bal. ❑ 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. Bi ii0 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 intended or offered for sale. If, however, the building ' • orimprovement is 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.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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 .S.M•1• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading -- ❑ I 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.) Policy No.Company OL_r Copy is filed with the city. O Certified copy is hereby furnished. TOTAL 54. UU • CERTIFICATE OF EXEMPTION FROM REMARKS,f 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 thg 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: N, 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 reenter Line 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.) - Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECT t 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. Issued by: Date ermit 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 for inspection t SEP 1 6 1993 property purposes. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip by ✓"t ff� J 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 ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) METER LOOP GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CARP. SQ. FT. GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/e c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 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 FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL CITY OF u QUINTA AdWITFITMENT OF PLANNING & DEVELOPMENT 99pp BUILDING DIVISION �� 1 �24U-HOUR NOTICCEE-FOR INSPECTIONS Owner Carl Karcher Ent. Contractor Tavaglione Construction Permit Number 12291 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 78-672 Hwy 111 Screen Wall - 141 l.f. TYPE OF INSPECTION I DATE I INSP. FOUNDATION & SETBACK MAIN GROUND SYSTEM j I GROUND PLUMBING DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED CONCRETE SLAB JOISTS & GIRDERS ELECTRICAL GROUND WORK DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED nvv�an CLCV 1 nlV I I Of111f_`U DI 11LA012Jf_` COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED DRYWALL INTERIOR EXTERIOR LATH POOL PRE PLASTER POOL FENCE & GATE SEWER SEPTIC TANK ELECTRICAL PLUMBING FINAL GAS TEST HEATING - A/C HOUSE NUMBERS JOB COMPLETED TPUP P(1Wif 4!88 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING