14458 (RR)Building
Address 54-'950 Ave. Ramirez
Owner ma!"yLou Walter
4:WQ�«tw
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
No. x.445$
Mail'
Address SaIM
BUILDING: TYPE CONST.
A.P. Number
Legal Description
- OCC: GRP.
City
La Quislz�� CA
Zip
12253
Description.
i erooZ
ContractorProject
' C. V.' ' Roofing
Address .
P.O. Box 1256
' TCi-
nty
dio, C
Zip
*2202-
el
TX98-518
State Lic.
City
& Classif.. Cr39 332007
Lic. #
Sq. Ft.
No. No. Dw.
SizeStories
Units
Arch., Engr.;
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition 11.
Address
Tel.
City
Zip
State
'
Lic. #
+ICENSED CONTRACTT"�ECLARATION
I hereby affirm that I&Mlicensed,under provisions gf Chapter 9.(commencing with Section
7000) of Di/vis 10 33Jofltthe Business�and'Pro essi�oans'Code, and my 11 is is in full fore n
effect. F7� r ..,-«s. ) / 6
SIGNATURE.-1DATE
.74 OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason:_ (Sec. 7031.5,Busfness 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 /or such permit to rile a signed statement that he is licensed pursuant to -
- the provisions o/ the Contractor's License, Law, Chapter 9 (commencing with Section 7000). of
Division 3 of the Business and Profess/ons 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 civil penalty of not more than rive hundred dollars ($500):
O 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 Coder The Contractor's License Law does .not apply to an owner o/ 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
o/ proving that he did not build or improve for the purpose of sale.) _
Estimated Valuation
G n Ap rtnnA
$5! 850.00
. • -
PERMIT
- -
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
'
Const.
30.00
Mech.
-
Electrical
'
Plumbing
O 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) #.tensed pursuant to the Contractor's License Law.)
0 1 am exempt under Sec. B. & P.C. for this reason ti
S.M.I.
Grading
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 cerlifi cop thereof�(Sec. 3800 bor Code.)
Policy'No. ,Company (
•Copy is filed with the city, O Certified copy is hereby furnished.
-
TOTAL
30.60-.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(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-
aliforniaDate
-
DateOwner
NOTICE TO, APPLICANT: ff. after making this Certificate of. Exemption you should become
subject to the Woikers' Compensation provisions of the Labor Code, you must forthwith-
comply with such provisions or this permit strait be deemed revoked.
ZONE: BY:
-
Minimum Setback Distances: -
••
Front Setback from Center Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONCOVERAGE IS'UNLAWFUL, ANOSide
SHALL SUBJECT AN EMPLOYER TO. CRIMINAL PENALTIES AND CIVIL FINES UP TO. ONE'
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND.
Rear Setback from Rear Prop. Line
Street SQ ti�.Nkvr�Center Line
! '
Side Setbac � Pro l ty Line '
a
ATTORNEY'S FEES. ",r l._
' 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.
FINAL DATE )1,ISPEC Q1\ e
c�
ID
I certify that I have read this application and state that the.above'information is correct:.
I agree to comply with all city and county4ord�afLces and state laws relating to building
construction, and hereby authojfie`r'ep�resen ahves of this city to enter. the above.
mentioned an for i "specpo dpurposes. •' r t y � _��
Signature of applicant.• } Date' r
Malling Address > Ca c �r `? `3 Lsp ,_..1 � �.
Issued by:
Validated by:
Validation:
ated a irllt'
%•
1� O
#
City, State, Zipt tP-.ice!
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
FOR. SO. FT. ®
GAR. SO. FT. ®
CAR P. S0. FT.
WALL SO. FT. ®
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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
AIR HANDLING UNIT CFM
GAS (ROUGH)
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
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Va c
SEWAGE DISPOSAL
BOND BEAM
SO.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
a 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
SEWER OR SEPTIC TANK
ROUGH 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
`y'—fir,
/ 'i "� `
N_
/�41—
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL