Loading...
11679 (RER),�e.•�yy _ i + i I,""�. P.O. BOX 1504 No. 11679 Building 76-1$8 LAGO DRIVE 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner GENE BIEDEBACH Mailing Address 196-188 LAGO DRIVE City Zip Tel. .LA QUINT® P9225.3 Contractor WH H. FRITZ Address. 54-550 '4ELASCO City Zip LA QUINTA 9.253 State Lic. & Classif. B 594854 Arch., Engr., Designer Address 564-6402 City Lic. # 113 BUILDING: TYPE CONST P. Number OCC: GRP.: Legal Description Project Description UNCONDITIONED SPACE ENCLOSE -EXISTING AREA Sq. Ft. 731/2 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑ City Zip State Lic. # ' 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. • e 1 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 (5500). 0,1, 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 Improvesthereon, and who contracts for -such projects with a contractor(s) licensed pursuant to the Contractor's License Law;) 0 am exempt under Sec. B. 8 P.C. for this. reason Estimated.. Valuation $1,357 $1 s 357 PERMIT - AMOUNT Plan Chk. Dep. - Plan Chk. Bal. + 3 Const. 43 �� Mech. Electrical - Plumbing S.M.I. • • U - Grading Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION 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. O Certified copy is hereby furnished. k„ TOTAL 474.45 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 thg work for which this permit is issued, I shall riot 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 ' Ihereby affirm that there is a construction lending agency for the performanceof 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 REMARKS '11CI 4r-4 c ill 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 r 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT, ® CARP. SQ. FT. WALL SQ. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SEWER OR SEPTIC JANK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM IKITCHEN 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 ® 1% c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 34C 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 Z PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSAr SEWER OR SEPTIC JANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATE SERVICE FINAL INSP. BOND BEAM WATER SYST GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. / � , FRAMING IA13Q FINAL INS ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING G MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION•/10 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL t `7G -t�s4l L�G4 •fie. i Q 10 Q, -- �L-0-3-0f— w - CLtt— Jo�S�S EY�9T,►V ���CK.G� St.ra(� f�< .-.3Ih, M` y''�CIST' PATr0 � "C- L>COV t , � S-ru t AC, -c Ci m ,o J V w.. Cc,a T- 10 L � I ' AJ G J i FrtCNCH oa u 2 .+ I P, [l�t�Ytr"L L=Xisr'i�� ?jT1T 14'ZOD)VA it ,J5 L G�OvN � c Y OF LA QUINTA G & SAFETY DEPARTMENT ITIONALLY ACCEPTED FO CONSTRUCTION SUBJECT TO IN TALLATION AS PER AND ALL APPLICABLE CODES 1 � DATE _� ` q;2, B L—�,ge-,WL wa��s ,asp\ -v t',0w- Uj w�•..7o.N�•.��"g T ___L•� mac..