10653 (RPL)P.O. BOX 1504
No. 10653
Building 53-165 Rtlb10 7&105 CALLE ESTADO
.Address .-LA QUINTA, CALIFORNIA 92253
Owner : s
David `Ross Miller
Mailing
BUILDING: *TYPE CONST - OCC: GRP.-
Address P. �,O. Box 722
A -P. Number.
city 'Te
La 3Zp2564- PLegal `Descnp*tio
Contractor rojectDescrip.t
io
nPacific Traded
Address.:'..'Pool 4 Spa <:& 2i0 -lf of. 5' block yell
s aia:e
City Zip Tel..
State,Lic. city f
&Classif. 8425381 Lic. a i955 sq. No. ow.
Size Stories - . .Unfits
Arch.' Engr.,
Designer New p _ Add O.� -Alter O -Repair ❑ Demolition O
,
Address . Tel
Pool �b 'S a "bol4
City Zip. , State ,
all 4�° 54'6'. 50
Lic. A r " y
LICENSED CONTRACTOR'S DECLAMTION
1: 'am licensed under siond ter g (commencing with section
s 3 f wsusines{ and Pru sIons. my I ld In II farce and
'i
J�NATLIHE
OWNER -BUILDER DECLARATION '" Estimated Valu
1 trereby affirm that I am exempt from the'Contractors License taw for the following d 12" 540. 5
M
(Sec. • 7031.5,euskrefa
ss end Professions 'de: Any city or county wf" repu`es a.., ; - .
pemdt to construct. alter -.improve, demolish, or repair any structure, pvbr to; Its issuance afro r
reprdnes tlue applcanI for such pemmtt to Me a &*adstatement that he, is �Mobrised�pursuant eo,. PERMIT .. - :AMOUNT
P =
the Provisions o1 the Connectors Lk ease Lew: - ter a (cortmendg :.air Section `7000) of ' '
Msion 3'ot Me Business and Professions'Code. or that. he /s-'exerrpt therefrom;--aro ma bests Plan Chk' pep
for the/eg
. aed exemption Any.,vblatlon of Section oy.
on 7031.5-.any-�plcard br, e•pemi ; .: Y. . .
=Ao-b"wplcent to a ova pena4y of nO more than the hundred dolma (1500) _
PIari Chk Bal rr r�
' •D,1, a5 Oairher of the Property. or -my employees with wages as their sole oomper�atiorti will
do the walk 'and the structure'le not intended or offered for sale. (Sec:, 7044. Bubriess and r,'. 7 r r x y
,.. .Professions. Code: The Contractor's. Liceinse' Law does not apply to an owner; of. popery .ho ^ . CiOnst. a 1 �
.: hrids or krproves thereoni and . who does- such war* himself or throogh,lift ,own . engbyses, . ? !f }� -
:prorlded mat such- hlprovements are not )Mended or -offered for hale.. ll„ however, no &&AV • %Mech . s - • •` 2•T . i7 y:
....
.;.a-Iiprorernenf a sed w+thm one year of.00m isacki,-the owner�uNder.ri have ft,brdsn:,-.< : 'Electricals _. .. ::_ (e• r •.�. t .' AA
.•61provingthat hedidnotbuid.o..improvefor the purpose ofsale)'�•_':."..
M
0 1, as owner of the property, am exclusively contracting with Ilcansad coniraddrs to con Plumbing 24 w jj rl
street the project. (See. .7044; Business. and Rolessbns Code: The OwMactorm Lkonse lav ih'
. , does not.apply to an owner o/ Property •who bads or I proves.theraon, ad aft contacts $:M.l. - # - - : • :r ...g.3 0,-`,-r„':,
z
such pre jects with a contractor(s) _licensed punsuarq to the Canbactor s license Law.)
0.11 am exempt urMer sea w 6 P.0 for this reason , ' Grading
„.
bete r Own01 a F' .. F. s• n, ti frastructure n l
r n t a
x�A �r&� v'�r f- a s?S• S;' t^a"N �r fS�
' r WORKERS COYPEtISAT10N DECLARATION
A
..T ,! :?. .4w 4'ra..Y' �s '\z. - �.hY y .. j _.f �' •�lM+. f%1+t�T
A hereby affirm that 1 have a Certificate of 6�to selHrhsiire or a oertlficate Of x:' , } � _ j a � , ,. �✓ ;� � i r}�
Wodcer s_Coavpeasetion livsurarfce. or aeeRUFed thereof. 8800 LaOar bode } �1 { * y y
Poi No Company t' r ( r ti
z r
S.
Copy is filed with the city. O Certified copy:p hereby.fumished:.
Wit'- -• t ? 7!.:s
_ TOTAL 334.9D
CERTIFICATE OF EXEMPTION FROM :REMARKS
"WORKERS' COMPENSATION INSURANCE.
Matsssection need'not b3.completed If me pemdt is for one'huctred dofbra (Sloo) valuation .
1 certify that In the performance of the work for which this permit Is issued, I shall not m. '
employ any
omla ppeerrssoon In any manner so as to become sublect.to the Workers' Compensation
Laws of Calnf.
r•
Date ' ' Owner _.
N077CE TO APPLICANT: It, after making •this Certificate of Exemption you" sham bmcome ZONE:-.. BY: .
subject to the Workers' Compensation Provisions of me Labor- Code, you. must. lolunre - -
campy with such provisions or this permit -shall be deemed revoked. Minimum Setback Distances:, _
Front Seback from Center Line
-Rear Setback from Rear Prop., Line
CONSTRUCTION LENDING AGENCY Side: Street Setback from Center Line
hereby affirm that there Is a construction lending agency for the-perfomhance of the "
work for which this permit is issued. (Sec. 3087, Chill Code.) Side Setback trom Property Line
,
Landers Address
This Is a building permit when properly filled out, m
signed end validated, W is subject to, FINAL DATE INSPECTOR
expiration if work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the above inforrnatioo fa coreet Issued by Date Peimit'
I agree to -corn with all city and county ordinances and state laws relating to building
construction, and hereby, authorize representatives T! 'this city 1to enter the, above
mentioned property for Inspection purposes. a Validated by: r
natuiaofapptiprvL
Me01ng' Address ` d _. Validation 5 ti xnrr� { a s+ i�
T
riity 'state, zim—. q .its
'� i, ca 1
4 •
�, 2t. t,,L,. - - ,ft -:y' F ��, i ar ... !L � y,_;,�: c�. �. r r^� � i�r• x:..
+' r (.+mow r` 1*�u ,Q Z"i, dye j' J'+S^.Y ,pT..,, Gm �'c_=�"-cis 37�'-•+.;'i'�✓'1''.y �.� .
...:$: .. ...-.....�..._ ..._.•.. :m�_ _ �......... ._ ,_. ...'ct...,as.- - -.,..:.•;{' e .. �.- ._ �.•u= ..r.... ��,,;._a..:3,. ✓... r. _"2t_e ,,.>,,,.3n_,�t:i_ ..e..._...r �+a, xs-.S"."
CONSTRUCTION ESTIMATE 10. ELECTRICAL FEES NO. PLUME
IST FL. SO. Fr.
2ND FL SO. Fr.
. SO. FT.
POR @
GAR. SO. FT.
CAR P. SO. FT.
WALL SO. Fr.
SO. 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
A.C. UNT
FLOOR DRAIN
MECHANICAL FEES
a
WATER SOFTENER
VENT SYSTEM. FAN EVAP.COOL HOOD
SIGN I
IWASHEP4AUTOXDISH)
APPLIANCE DRYER
I
1GARBAGE DISPOSAL
FURNACE UNIT -WALL FLOOR SUSPENDED
I
LAUNDRY TRAY
AIR HANDLING UNIT CFM
I
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
SO. Fr. a c
WATER HEATER
MAX HEATER OUTPUT, B.T.U..
SO. FT. RESID a 114 c
SEWAGE DISPOSAL
FINAL INSP.
SO.FT.GAR @ 44c
HOUSE, SEWER
BOND BEAM
WATER SYSTEM
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH-FEE PLCKFEE
OONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR -
SETBACK
GROUND PLUMBINGe
N MD'
A.C. UNT
COLL AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
E
STORAGE TANK,
-FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCK STORAdE__
f
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
GE
FINAL INSP.
BOND BEAM
WATER SYSTEM
yd.
LUMBER GR.
FINAL INSP.
FRAMING
FINAL IMSP.1"
ROOFING
0
REMARKS
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR FIREWALL
LATHING
MESH
INSULATIOWSOUND
FINISH GRADING
FINAL INSPECTION -
Cm. occ.
_FENCE FINAL
INSPECTOWS SIGNATUREWIMMALS.
Rc
GARDEN WALL FINAL
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
May 26, 1993
According to the Uniform Building Code, Section 303(d), no further
work shall be .performed on .the ..above permitted.. job-site.,until a new
permit has been issued or an extension.:;gran`ted. An extension of
this permit can be requested in writing,.wi.t,in' 14 days of the date
of this letter.
if a final inspection has not been requested due to an oversight by
either yourself or your contractor, please schedule that final
inspection within 14 days to resolve this matter. Failure to do so
will result in further action by the City.
Please contact me at .your earliest convenir : ce We appreciate your
immediate attention to this matter.
Sincerely,
BUILDINA AND S TY DEPARTMENT
Q
Conie Day
Building Inspec r
kt
Attachment
MAILING ADDRESS -P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253