11216 (PLBG)Building 54770 RAMIREZ
Address
Owner
JAMES LAIER
Mailing
Address SAME
City Zip Tel.
LA QUINTA 92253
Contractor
RbBENS PLUMBING '
Address.
AA—?AA ATIRMA UTgTA
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City
Zip
Tel.:
DESERT ROT 3
RINGS 92210
320-7318
State Lic.
City
& Classif. C36 610554
Lic: # 2387
' Arch., Engr.,
Designer
- PERMIT
Address
Tel.
City
Zip
State
for the alleged exemption: violation .of by applicant a permit
subjects the applicant to a civil penalty'of not more than rive hundred dollars.($500)..
Plan Chk. Bal..
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
70 00) of Dlvi��i//ooff�. 3/of the Busingss and .P �ofess/ions Code; -and my license is in full force and ry
effect.
if,/Lfi'1. 4 L • lr-�f..t1�.ffF/"
/"s�:9� �j
No. 11216
LDING: TYPE CONST. OCC: GRP.
P. Number
Legal Description
Project Description SEWER HOOKUP
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑
(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 for which this permit is issued, I shall not
employ any person in any mannei so.as to become subject to tfie,W,orkers' Compensation '
Laws of Californias ' ly/,
Date 7,_-&) -X-Owner
NOTICE TO APPLICANT:.If,Yalter 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. (Stec. 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 if work thereunder is suspended for 180 days. '
I certify that I have 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, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
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:
OWNER -BUILDER DECLARATION'
I hereby affirm that I am exempt from the Contractor's Lirense Law for the following
Estimated Valuation
$1,600
reason: (Sec. 7031.5,Business and Professions Code: Any city or county, which requires a
permit to construct, alter, 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
- PERMIT
AMOUNT
the provisions of the Contractor's License Law, Chapter .9 (commencing with Section 7000) of
Division 3 of the Business and *Professlons- Code, or that. he is exempt therefrom, and the basis
Any Section 7031.5 `any for
Plan Cfk. Dep.
-
for the alleged exemption: violation .of by applicant a permit
subjects the applicant to a civil penalty'of not more than rive hundred dollars.($500)..
Plan Chk. Bal..
❑ 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 of offered for sale. (Sec. 7044, t3uisness and
Const....
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.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con,
Plumbing
ee
y 30.00
struct the project. (Sec. 7044, Business and Professions. Code: The Contractor's License Law
does not apply to an owner or property who builds or improves thereon, and who contracts* for
S.M.I.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ I am exempt under Sec. B. 8 P.C. for this reason
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:)
IN -1 }
Policy No. Company
sa rJ.it.jl7%u
f ''
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
-
TOTAL .
$30.00
CERTIFICATE OF EXEMPTION FROM
REMARK$
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 for which this permit is issued, I shall not
employ any person in any mannei so.as to become subject to tfie,W,orkers' Compensation '
Laws of Californias ' ly/,
Date 7,_-&) -X-Owner
NOTICE TO APPLICANT:.If,Yalter 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. (Stec. 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 if work thereunder is suspended for 180 days. '
I certify that I have 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, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Lin
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. r PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SQ. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN.
SO FT ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES •
WATER SYSTEM
WATER SOFTENER
VENT.SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3Ac
HOUSE SEWER
LATHING
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
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
AI
EWER ORK ZOUGH
e
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 SIGNATURESIINITIALS
GARDEN WALL FINAL
t..� y;s` ... ... .,�.
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4
COACHELLA VALLEY WATER DISTRICT
'
CASH RECEIPT DETAIL
• r� `'6,
Received From:
Address: J'�� , • c
, ,
}
Account No. '�L� �3 1
`Ci- , 3 )
Tract
Service Address
_
G.A.Code
r O Meter(s)
t
t
'0 Services)
4�rk,s.
+
❑ Backflow(8)
- ^
+
;,' •' t ' "!.F� *ti
❑ HouseLateral(s)
+' O Detector Check(s)
❑ MeterSurcharger
�'
• t , K;
SanitationCapacity Charge
4 % dl3
. ' + ❑ _ W..S.B.F.C.
(..• O Temporary Construction Meter
❑ Tum on Charge r,
r
. t-0 jficoltseted Acoount = Name r + r� * �.. •. rr •�
i : , r'• ° x- ;' , a `,� 3 err Y
`E �0;71ns.yp�eotiyon'Fee `Tract-
~ M g'J t .- kiL�1
i, iJ'-
`^tw+G� f. .l
'Fee
Ci , t*. ,
�• J
f, '�.iR• 1a:.t^'7r.S`.
}-•�.�,,
-
��
,A :� _T
_
,
*' O Plan Check Fees Water /Sewer
k- tJt Tract-
�O "Bond Payment-A.D: -
Bond
Assmt.
' O Customer Deposit
e �sP/��JI
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4.
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253,- (619) 564-2246
August 7, 1992
TO WHOM IT MAY CONCERN:
Re: 54-770 Avenida Ramirez
La Quinta, CA 92253
The above address was inspected and approved for sewer hookup on
July 23, 1992 (please see enclosed permit).
Sincerely,
BUILDING/ AND SAFETY DEPARTMENT
Ellie Shepherd
Secretary
LTRESO4
Enclosure: Permit #11216
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253