15150 (PAT)P.O. BOX 1504 N o . 15150
gilding 78495 CALLE TAMPICO
Idress 52-900 -Avenida Rubio LA QUINTA, CALIFORNIA 92253.
:A 37iZCL[8 .itC,i•iGJEAC:
BUILDING: TYPE CONST. OCC.GRP.-
A.P. Number
Legal Description
Project Description.. •C0-6li :Lattice Patio .Cover
-
Mailing
Address game as -above
CityZip
La Quinta
92253
Tel.
.
Contractor
owner /builder
Address
City
Zip
Tel.:
State Lic.
& Classif. '
City
Lic. #
Sq. Ft. No.
Size 260 ..Stories
No. Dw.
Units _
Arch En r
Designer"'g
New ❑ Add ❑ Alter ❑
Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'SMECLARATION
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.
'
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703i.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 rile a signed statement that he is licensed pursuant to
the provisions o/ 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 o/ Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty o/ not more than live hundred dollars ($500).
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
Professions Code: The Contractor's License Law does not apply to an owner o/ 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. 71, however, Me building
or improvement is sold within one year of completion, the owner•bullder 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 /or
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Estimated Valuation
,.
-
-
I
PERMIT ..
AMOUNT
- ..
Plan Chk. Dep.
-
7.
Plan Chk. Bal.
40-95 .
Const.
e1hh
.. i9W
Mech. -
-
Electrical
-
Plumbing
-
S.M.I.
Grading
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
❑ Copy Is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completedif the permit is for one hundred dollars ($100) valuation -
or less.)
I certify thatinthe performance of thg work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California
-
-
TOTAL
REMARKS
_
- -
Date Owner
NOTICE TO APPLICANT.- ff, after, making this Certificate o/ Exemption youshould become. ZONE: BY:
subject to the Workers' Compensation provisions of the labor Code, you mush forthwith NIIrY1rilUm Setback Distances: -
comply with such provisions or this permit shall be deemed revoked. - -
Front Setback from Center Line
Rear Setback from®Reo Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL. ANDSide Street Setbaente Ille
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,. Side Setback fromy
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF. THE LABOR CODE, INTEREST, AND '
ATTORNEY'S FEES. '
This is a building permit when properly filled out; signed and validated, and is subject•to FINAL DATE ��NSPEG'l�R
expiration if work thereunder. is suspended for 180.days. 1j x
I certify that I have read this application and state that the above information is correct, ISSUed by: Date+
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 ; abova. / v
mentioned property for inspection purposes. Validated by
Signature of applicant Date `
Mailing Address Validation: 1
City, State, Zip
. .f
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. $
UNITS
t
2ND FL. S0. FT.
BONDING
YARD SPKLR SYSTEM
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
OTHER APPJEOUIP.
DRAINAGE PIPING
CAR P. SO. FT.
TEMP. POLE
WALL SO. FT.
'
DRINKING FOUNTAIN
SO. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
=$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ®c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESH
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND
GAS PIPING
PERMIT FEE
FINISH GRADING
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE rPL.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 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.
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
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL
W
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (760) 777-7000
FAX (760) 777-7101
TDD (760) 777-1227
December 17, 1997
Brian Maloney
52-900 Avenida Rubio
La Quinta, CA., 92253
RE: Lattice Patio Cover Permit #15150
Dear Mr. Maloney
The purpose of this letter is to inform you that your Lattice Patio Cover Permit #15150, for the
project at 52-900 Avenida Rubio, 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., Building Inspector I, at (760) 777-7012 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:
'-I )"Abatement of the project through the City Attorney's Office 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 10 working days to resolve this issue, and
for any questions you may have.
Sincerely,
Mark Harold
Buildi & Safety Manager
Daniel P. Crawford Yr.
Building Inspector I
cc: file. .._. . _
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
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