10136 (SOL)C>r
Building78-105 ALLE
T4ht 4 4 Q"
P.O. BOX 1504
44-060 Camino La Cresta LA QUINTACCAL FORNAIA 92253
No. 10136
Owner
Ed & Lucille Mytek
BUILDING: TYPE CONST.
OCC: GRP.
Mailing
Address same
A.P. Number
City
Zip
Tel.
La. Qi21.X'ta.
92253
Legal Description
Project Description
Solar Panels
Contractor
Generic Electric
Address
74-036 De .Anza
City
Zip
Tel.:
Palm Desert
1 92260
568-5400
State Lic.
City
& Classif.��&S
Lic. # i%71
Sq. Ft.
Size
No. No. Dw.
Stories Units
Arch., Engr.,
Designer
i
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address-
Tel.
City, ,, ;•
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affiryn,�!hat I am Iicensedrunder provisions of Chapter 9 (commencing with S ction
7000 of Divisio 3 of thYye.Bft�1ln'e6 a di Pro d-ssion's Code, and mylicense i ti full fpr a and
effect. �,rl
.
SIGNATURE i - C DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt, from the Contractor's License Law for the following
re8s'bn: (Sec.. 7031.5,Business 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 for such permit to 81e a signed statement that he is licensed pursuant to
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 five 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
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,
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
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-
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) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
-
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
ry rt
j 5.e a, V
Const.
Mech.
Electrical
Plumbing
54.00
S.M.I.
.30
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 certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
Company
Copy is filed with the city. .0 Certified copy is hereby furnished.
;
1
F ii ti�rr, j7 jh 1 1 i l.�"7 , 14
R. �?. r
TOTAL
89.40
REMARKS
CERTIFICATE OF EXEMPTION FROM
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
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 Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from 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. 3097, Civil Code.)
Side Setback from Property Line
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.
FINAL DATE
Issued by:
Validated by:
INSPECTOR
Date Permit
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC TANK
POR. SO. FT.
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
OTHER APPJEOUIP.
DRAINAGE PIPING
WALL SO. FT.
TEMP. POLE
DRINKING FOUNTAIN.
SO FT ®
GROUT
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
=$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ®c
BATH TUB
SPARK ARRESTOR
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/+ c
SEWAGE DISPOSAL
LATHING
SO.FT.GAR ® 31Lc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR'
SETBACK
GROUND PLUMBING
(Ce DERGROUND
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
C /
J
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
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NOTES
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32
lA
CITY -®F..LA QUINTA
BUILDING & SAFETY ®EPARTMENT
CONDITIONALLY
CEPTED FOR COI�s7RUCi9ON
alFrT TO INSTALLATION AS PER
/
nanm 6ranm �
TOP VIEW (KITCHEN NOOK)
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AREA--- 960 SDUARE FEET
EDWARD AND LLCILLE N'rCEK
44060 CAMINO LA CRESTA
LA OUINTA,CA 92283
LOT 13
� w NAP BOOK 0678 PAGE 053 PARCEL 041
O
stw6a un 4 as a sse Lwo is Mn
TYPICAL COLUMN n '.°°w°m"°° �'"°"T6`m°
KIM
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7
AREA--- 960 SDUARE FEET
EDWARD AND LLCILLE N'rCEK
44060 CAMINO LA CRESTA
LA OUINTA,CA 92283
LOT 13
� w NAP BOOK 0678 PAGE 053 PARCEL 041
O
stw6a un 4 as a sse Lwo is Mn
TYPICAL COLUMN n '.°°w°m"°° �'"°"T6`m°
KIM
m