13665 (RPL)414 a"
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 51-440 Ave. Ramireft LA QUINTA, CALIFORNIA 92253
Owner Sterling Homes I
Mailing
Address P.O. Box
450
City
Zip
Tel.
L'a Quinta, CAI
Demolition 0
92253
1 564-1866
Contractor
-
Lendel Ventures,
Inc.
4
Address
Estimated Valuation $11,000.00
P.O. Box 450
PERMIT
AMOUNT
C�ya Quinta, CA
I Zip
92253
Tel. 156-41-1866
State Lic. 638535
00
City 959
& Classif.
Electrical
Lic. #
Arch., Engr.,
Id I . UV
S.M.I.
Designer
Grading
Address
Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATI , ON
I herebgTrm that I am,licenseg under provisions of Chapter 9 commencing with Section
�900) of ivision 3 of the,Busine Is and Professions Code, and my licensetin.!!ill force and
,Vffe I e�? .
c -–AJ –T—i- JAJ- Z,
I hereby affirm that I am exempt from the Contrac�tor`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 repo 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 LawrChapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions C6de, 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 civilpenalty ofnot more than five hundred dollars ($500).
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 Licerise 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.)
0 1, 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 for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec.—B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
'Whereby 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
i6lwwopy is i e with th
I d e ci y. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COM P ENSATION 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 thp 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: 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
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.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I cer tify that I Jiave 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, Zi
No. 13665
BUILDING: TYPE CONST.—OCC. GRP.
A.P. Number
Legal Description
Pool
Project Description
31 rear yard setback approved
92-253
S -q. Ft. No. No. Dw.
Size Stories Units
New 0 Add 0 Alter 0 Repair El
Demolition 0
Estimated Valuation $11,000.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
00
Mech.
4'4 . VU
Electrical
45.00
Plumbing
Id I . UV
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
3 . 50
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
Rear Setback -from -Rear P�op.;Line
ide tree_AetbackUfiom Genter Line
.i e Se/t6ack from Property Lire
I � t
FINAL DATE— ORJ I
Issued by: iDate-'--t I Retmit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. @ $
UNITS
COLL. AREA
.4
SLAB GRADE
ROUGH PLUMB. BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. @
ROCKSTORAGE
GAR. SO. FT. @
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. @
GAS (FINAL) TEMP. POLE
WALL SO. Fr. @
DRINKING FOUNTAIN.
GROUT
WATER HEATER SERVICE
URINAL
SO. FT. @
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation'
ELOOR DRAIN
MECHANICAL FEES
FRAMING
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.
SO. FT. @ c
BATH TUB
LATHING
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE I
PERMIT FEE
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST.FEE . JELECT.FEE
SMIFEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING/ — UNDERGROU
ep
A.C. UNIT
COLL. AREA
.4
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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
L) VI, *r
I r
J
LA C,
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTORS SIGNATURESHNITIA LS
GARDEN WALL FINAL
0
Ln
MINIMUM RADIUS 1'-0pr—
LONGITUDINAL - SECTIONI r)M C
SCALE
--'
A/C
!�
16
CITY OF- LA Q Ul NTA. A.
51-0.� .....
N
,<<c. WATER RETURN ..
1
BUILDING & SAFETY DEPARTME
f
��
CONDITIONALL`�
:.
COL
EQ c
POOL FI
L
ACCEPTED I=OR.CONS I UCTION
12ly;L6"
S' IBJECT TO.INST�,LLATi O J
P AS PER
,
GHT' 4 o
y
...
48-01'
AND ALL APPLICABLE C DES
-011
DATE
DRAIN
3 —0"
LINE
I)
•
5 FT TO 3 FT. DEEP.767610
)
SKIMMER
30'-0"
=�..
IN'ITIAL
co
INITIAL
�
WATERRETURN .
'
I
- I
i
pIOT..15, B.LOCI66, JOB X10
LEGAL DESCRIPTION:.
SCALE:. 1/4"' = 1'-0"