The URL can be used to link to this page

002492 (RR)P.O. BOX 1504 11U. u zq u 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Y BUILDING. TYPE CONST: OCC: GRP. - A.P. Number 773"1--01 Legal Description Int 4 Project. Description 6l198o Sq. Ft. No. No. Dw. Size Stories Units New_q. Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address 52-3U '�� " eZ Address Owner City Rillex . Mailing Address Lic: # City LICENSED CONTRACTOR'S DECLARATION Zip Tel. 7'a eta 52 Contractor . OWNER -BUILDER DECLARATION msxwt yauev Pmfw Address j�(� /��{ 1#7 reason: (Sec. _ 7031.5, Business and Professions Coder Any 'city •or county which. requires, a- 445 S. ate ` -CityZip. - requires the applicant for such permit to rilea signed statement that he is licensed pursuant to Tel.'.. c�.��7P 9,23 '� 'Division 3 of'thd Business and Professions Code, or that.he is exempt therefrom, and the basis for the Any Section 7031.5 fora State Lic. alleged exemption. violation of by any applicant permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 'as City & Classif. 4.49 do the work, and the structure is not intended or offered for sale. (Sec. 7044; Buisness and Arch.;. E.ngr Professions Code: The Contractor's License Law does not 'apply to. an •owner of property who Designer builds or improves thereon and who does such work himself or through .his own employees, P.O. BOX 1504 11U. u zq u 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Y BUILDING. TYPE CONST: OCC: GRP. - A.P. Number 773"1--01 Legal Description Int 4 Project. Description 6l198o Sq. Ft. No. No. Dw. Size Stories Units New_q. Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic: # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under=provisions of Chapter 9 (commencing with Section of,Divi sion 3 of the Business and Professions Code`; and my license is in full force and .. effec. effect. _SIGNATURE •\R DATE OWNER -BUILDER DECLARATION Estimated Valuation 1 hereby affirm that I am exempt from the Contractor's License Law for the following"' j�(� /��{ 1#7 reason: (Sec. _ 7031.5, Business and Professions Coder Any 'city •or county which. requires, a- 41VaV17 ' permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also- - requires the applicant for such permit to rilea signed statement that he is licensed pursuant to PERMIT - �- - AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing'withSection 7000) of. ;t 'Division 3 of'thd Business and Professions Code, or that.he is exempt therefrom, and the basis for the Any Section 7031.5 fora - ' Plan Chk. ep. D alleged exemption. violation of by any applicant permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 'as 2lty Plan Chk. Bal.. 2.9, 17 ❑ I, 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 COr1St -296 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, Mech. ' . 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.,- Electrical - '- 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- Plumbing ' 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 S.M.1-; such projects with a contractor(s) licensed pursuant to the Contractor's.Ltcense Law.) Grading . O I am exempt under .Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION t hereby affirm that I have a certificate of consent to selFinsure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) . Policy No. Company O Copy is filed with the city. _ ❑ Certified copy is hereby furnished. TOTAL el9 17 _ CERTIFICATE OF EXEMPTION FROM REMARKS 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 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 ZONE: BY: subject to the Workers' Compensation provisions -of - the L660i Code, you - must forthwith comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Distances: - Front Setback from Center Line Rear Setback'from Rear.Prop. Line CONSTRUCTION LENDING AGENCY. . Side Street Setback front Center Line' I hereby affirm that there is a construction lending agency for the performance of the -' work for which this permit is issued. (Sec. 309 7,.CiW Code.) Side Setback from Property,Llne. Lender's Name Lender's Address FI NAL DATE INSPECTOR 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 certify that I have read this application.and state that the above information is correct. 'all 'county Issued by: Date • 7-2, 4 lRermlt I agree to comply with city and ordinances and state laws relating to building - - construction, and hereby •authorize representatives .of this city to enter the above-. mentioned property for inspection purposes. { Validated by: Signature of applicant r A • e .• i Chi F •f :fi pat Mailing Address�� f r l Validation: City, State, Zip A5035 7 24 HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES ' IST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. Q. 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 WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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. SQ. FT. ® c BATH TUB WATER HEATER SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11A c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac HOUSE SEWER $ GRADING cu. yd. —Plus—X$—=$ 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 GROUND PLUMBING UNDERGROUND A.C. UNIT OLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) TORAGE TANK [!ROCK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK STORAGE _ FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 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 DEC 17 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH--'— INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL