The URL can be used to link to this page

06953 (SFD)P.O. BOX 1504 Building 49• 05 � dada Court LA QUINT Address A, CALIFORNIA 92253 Owner BARCOR DEVELOPHM Mailing Address 68-'713 Perez Road, ill city . Cathedral Ci ° yip 92234 JTJ 773-9024 Contractor SME Address City 8�Classif. 337077 Arch-, Engr., Designer Address Tela Lic'# 1219 el. CityI Zip I State I Lic. # . LICENSED CONTRACTOR'S DECLARATION I hereby affirm -ft a I am licensed under provisions of,Cfiapter 9 (commencing with Section 7000) of Division 3 of the Busiinnesss arndProfessions.Gode, and my license is in, full forc66e.and effect- � ��`J t7.sr"t•�'��'�s.�3i".'Vr^ ��%'r!� SIGNATURE r ' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Busimess 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 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 chd penally of not more than rove 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 inpmves 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 wither one year of completion, the owner -budder 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 Coder 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 contra tors) 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. 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 the work_ far which this permit is issued, I shall not employ any person iri any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: ft, 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 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.) Lenders Name Lenders 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 car tity that I have mad this application and state that the above information is correct. 1 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 No. 06953 BUILDING: -TYPE CONST- OCC: GRP. A.P. Number Legal Description Project Description Tract #21555-5, Phase PARC !A QUIRTA Plan 2222 OL, Lot #24 V Sq. Ft. 2,222 Size No. No. Dw. Stories Units New 1:9 Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation �11 161 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. bu5.ou Mech. W. UU Electrical 12th. 7 9 Plumbing 144.50 S.M.I. 7.91 Grading Driveway Enc. Infrastructure r TOTAL 4,1 2.93 REMARKS 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 1ST FL. SO. FT. ® $ UNITS COLL. AREA SLAB GRADE 2Z l b id Raj YARD SPKLR SYSTEM 2ND FL. Sp. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SD. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL DRAINAGE PIPING CAR P. Sp. FT. WALL Sp. FT. DRINKING FOUNTAIN. SERVICE FINAL INSP. URINAL SQ FT ® WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. C FLOOR DRAIN MECHANICAL FEES ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(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, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ®c BATH TUB /FIREWALL H1 6 LA 13 l 719,) (r l SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c 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 2-&0o -,j GROUND PLUMBING / LD ecjuNDERGROUNDe- A.C. UNIT COLL. AREA SLAB GRADE 2Z l b id Raj ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) pa ZZ 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. C FRAMING rd Ct 6 7tk FINAL INSP. ROOFING k�� /� [� /1 ) F' w //�% � !Pf G� �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. /FIREWALL H1 6 LA 13 l 719,) (r l MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION rJ u CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL