07071 (GRES)51-503 Bermudas
John
Address A
City
La
a Quinta 97.253
Contractor
ginner/BuUder
ress
. u
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. - 07071
BUILDING: TYPE CONST. ---`-OCC'. GRP.
. A.P. Number 773-14-0,014 , ~•�
el. --:
Legal Description
Project Description I\Garage convert
r <
City Zip Tela
State Lic. City `
& Classif. Lic. # Sq. Ft. No. No. Dw.
Arch., Engr., Size 4� Stories Units
f ti
Designer (` New ❑ Add ❑a Alter ❑ Repair ❑ Demolition ❑
Address I Tel. q I \
City ZipState {
' Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code ,rand my license is in full force and
effect.
SIGNATURE r DATE
OWNEWBUILDER DECLARATION t
I hereby affirm that I am exempt from the Contractor's License Law for theJollowing
reason: (Sec. 7031.5,Busiress and Professiorms Code: Any l,ctry or county which requires a
permit to construct, alter, irgrove, demofth, or repair any structure, prior to its issuance also
requires the applicant for such pemmi to tie a signed slatemer(t that he is licensed pursuant to
the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) or
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 civ? penalty of rnot more than this hundred dollars ($500).
❑ I, as owner of the properly, or my employees with wages as1,their sole compensation, will—
do the work, and the structure isnot intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contiador's `License Law does not apply to an owner of property who
builds or improves thereon and wino does such work himself or through his own employees,
provided that such iirprovements are not,kriended or offered for sale. If, however, the building
orimprovement is sold within one year of�completion, the owner -builder will have the burden
of proving that he did not bald or iniprove for tlta Purpose of sale.) #
❑ I, as owner of the property, am exclusively„contracting with licensed contractors to con-
struct the project (Sec. 7044, Businass and Professions Code: The 'Contractor's License Law
does not apply to an owner or property who bndHs or improves thereon, and who contracts for
such projects with a contraUar(s) licensed pursuant to?he,Contractor's License Law.)
❑ 1 am exempt under Sec a. & P.C. fords reason �r
Date Owner
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that 1 have a certificate of consent to self -insure
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3`801
Policy No Company
0 Copy is filed with the city. 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
or'a certificate of
Labor Code.)
(This section need not be compieted 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 manner so as to become subject to the Workers' Compensation
Laws of Calmfomia.
Date Owner
NOTICE TO APPLICANT: 9, 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 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
itimated Valuation
$15,520
BY:
PERMIT
AMOUNT
Plan Chk. Dep.
Front Setback from Center Line
Plan Chk. Bal.
$126.25
Const.
207.00
Mech.
53.00
Electrical
24.00
Plumbing
39.00
S.M.I.
1.40
Grading
Validated by:
Driveway Enc.
Infrastructure
TOTAL 1435.65
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 Pr Line
FINAL DATE
SPE R
2/13/3t}
Issued by:
ate ermit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES- .,
1ST,,'FL. SQ. FT. @ $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM i
A?1D FL SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
POR. SQ. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. SQ. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
WALL SQ. FT.
DRINKING FOUNTAIN,
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTOHDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
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
FIREPLACE
SQ. FT. ® c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
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
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
GXp�t1�5 G `l 9�
I -101r
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
(/✓Cl U
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
--6fiRT__6cC—'
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
$ rti
CITY OF u CUINTA
n.rr DEPARTMENT OF PLANNING & DEVELOPMENT
BUILDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner John Mitchiner
Contractor Same
Permit Number 7071
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 51-503 Bermudas
Garage convert
TYPE OF INSPECTION
DATE
INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITF
DO NOT POUR CONCRETE UNTIL, ALLAHOVE HAS IIEEN
SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
HAS BEEN SIGNED
DRYWALL INTERIOR
EXCTERIOR LATH
POOL PRE PLASTER
FOOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FI NAL GAS TEST
HEATING - A/C
HOUSE NUMBERS
JOB COM PLETED
TEMP POWER
0
CITY OF LA OUINTA,
DEPARTMENT Q,g PLANNING & DEVELOPMENT
BOLDING DIVISION
564-2246
24-HOUR NOTICE FOR INSPECTIONS
Owner John D. Mitchiner
Contnkctpr_ Owner/Builder
Permit Number 6657
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS_ 51-503 Bermudas _
Garage into room + new gage
TYPE OF INSPECTION
DATE
INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTILALL ABOVE-KAS SEEN
SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN
SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- NC
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' ❑ 8'
FRAMING
/ 90
INSULATION
PRE -ROOF
COVER NO WORK UNTIL ABOVE
H S BErEN SIGNED
DRYWALL. INTERIOR
EXTERIOR LATH
POOL PRE PLASTER
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
oq
HEATING - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Ewa W
i
4
OF
of a Wuinta
J
I
jluitbin' dub '*afP iijb5i n
I
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building;
If�
j
I
Code certifying that at the time of issuance this structure was in compliance with the various.
I,
• ;
I
,
ordinances of the City regulating building construction or use. For the following:
((
,
BUILDING ADDRESS 51-503 Avenida Bermudas
7071
Use Clossification Two Car Garage Bldg. Permit No.
Group M Type Construction VNFre Zone Use Zone R3
i
John Mitchiner P.O. Box 438
Owner of Building Address
j
f
is
City La Quinta, CA 92253
By:. Tom Hartung
i
Dote: July 15, 1994
Building Official-
POST IN A CONSPICUOUS PLACE