14944 (AR)No.14944
` P.O. BOX 1504
Building ' 54--!024.' live. Bermudas das 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner POPPY OweII
Mailing
Address P.O. BOX 252,
City Zip Tel.
La Quintus CA.1 92253 1.
Contractor
.Address
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description doom Addition — 496 s. f.
Patio Cover - 98 s.f.
City -
Zip
Tel.:
State Lic.
City-
& Classif.. ,; , ,'
Lic. #
Sq._Ft. No. No. Dw.
Size" 496- Stories Units
' Arch., Engr.;, ' . : "'j3ICf L Ltd a ami
Designer
New ❑ Add ❑ Alter ❑ Repair O Demolition ❑
Address
T145-5993
CityZip
State
.
Lic: #
LICENSED CONTRACTOR'S DECLARATION
I hereby afisfirm th I am licensc5"nder provisions of Chapter 9 (commencing with Section
7000) of Divion;3 d1 tthh-e,Business and Professions Code, and my license is in full force and
• ° effect. .. ..C/ -
GNATUR .17 f L / DATE
OWNEWBUILOER DECLARATION '
I herebv affirm that I am exempt from the Contractors License Law.for the following
reason: (Seg. 7031. S, Business. and Professions Code: Any.. city or county whichrequires a
permit to nstruct, atter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file.a signed statement that he is licensed. pursuant to
Estimated Valuation .%'$28#236.00
-
PERMIT AMOUNT ,
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
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 civil penalty of not more than rive hundred dollars ($500): ' -
❑ 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 Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who doessuch work himself or through his own employees,
.provided that such improvements are not Intended or offered for sale. If, however, the building
orImprovement is sold within one year o/ completion, the owner -builder will have the burden
., of proving that he did not build.or xnprove for the purpose of sale.) r
01, as owner of the property, am exclusively contracting with licensed contractors to con-
'
Plan Chk., Dep. -
Plan' Chk. Bal. 278.00
Const. .
Mech. --.C:.S�
Electrical - 32.36
Plumbing 18.00,
'. 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) #censed pursuant to the Contractor's License Law.)
❑ I'am exempt under Sec. B. & P.C. for this reason
S.M.I. - - 2. a2_i
Grading 20.00..
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.)
Policy No. company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL X -5-14-z-34
CERTIFICATE OF EXEMPTION FROM
' WORKERS' COMPENSATION INSURANCE
REMARKS -%
(This section need 'not be completed H 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 California -
-
Date Owner
' NOTICE TO APPLICANT. H, 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. '
"ZONE: BY:
Minimum Setback Distances:
Front Setback from Line n
1
Rear Setback from' Pro
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND '
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO.ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE: INTEREST, AND '
Side Street Setba k fr0-rrfiJ.Center ie
Side Setback fr$n Prope,y^.line \
ATTORNEY'S FEES.
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.
Icertify 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.
FINAL DATE IN\ECTOR
n f
�J'p
ISSUed by: Date Permit'.
Validated by:
Signature of applicant Date
Melling Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FAS
IST FL. SO. 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
CARP. I SO. 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.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1 Va c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR @ 3/ac
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
MESH
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. UNI'
COLL, AREA
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 APPJEOUIP.
REINF. STEEL ry f/
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//Q
/
i•)�./� /� Q�
/'/vY (/ 7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION �j57
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS
GARDEN WALL FINAL