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15377 (PAT)Building Address 44--105 Ca OwneFjuio` >i Bghl g I P.O. BOX 1504 78-495 CALLE TAMPICO ino Lav anda LA QUINTA, CALIFORNIA 92253 Mailing Address same as above City Zip Tel. %a Quinta. 1 92253 Contractor Address... , City Zip Tel.: Indio 92201 775-5248 State Lic. City & Classif. , s,28742 Lic. # 3732 -Arch., Engr., Designer Address t Tel. City lZip ( State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am lice under provisions of C pier 9 (commencipg with Section 7000) of Division 3 of the usi ess ar�d Profe on C and my license is h f Moe and effect: �( S j SIGNATURE ( ° GATE OWNEWBUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following 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 file a signed statement that he is licensed pursuant to the provisions or 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 rove hundred dollars ($500). O 1, 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 Contractors License Law does not apply to an owner or 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.) ❑ 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 contractors) licensed pursuant to the Contractor's License Law.) O I am exempt undee Sec. B. & P.C. for this reason Date Owner 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 O Copy Is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need ,not be completed it 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: K, 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. 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 3706 OF THE LABOR CODE, INTEREST, AND 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. 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 No. 15377 BUILDING: TYPE CONST.. OCC: GRP. A.P. Number Legal Description Projectl Description 372 sq • f t • ©pen lattice pati® cover Driveway Enc. Infrastructure TOTAL 'I "49 REMARKS ZONE: . BY: Minimum Setback Distances: f Front Setback from Sq. Ft. 372 Size No. Stories No. Dw. Units New ❑ Add ❑ . Alter ❑ Repair ❑ Demolition ❑ FINAL DATE f ti INE Issued by: -L. Validated by: Validation: Estimated Valuation $4048.00 I { PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 46,80 Const. 72.413 Mech. Electrical Plumbing S.M.L _ 14 Driveway Enc. Infrastructure TOTAL 'I "49 REMARKS ZONE: . BY: Minimum Setback Distances: Front Setback from Rear Setback fro 21 4 Side Street Se;IMSI Side Setback FINAL DATE f ti INE Issued by: -L. Validated by: Validation: Line kLine ent Line CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBIW FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS SEWER OR SEPTIC TANK POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APP./EQUIP. DRAINAGE PIPING CAR P. SQ. FT. TEMP. POLE WALL SQ. FT. GROUT DRINKING FOUNTAIN SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as property tax valuation =$ FLOOR DRAIN MECHANICAL FEES FINAL INSP. 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 I 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. SQ. FT. ® c BATH TUB GAR. FIREWALL SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V. c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPL.CK.FEE CONST. FEE !ELECIT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.G. 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 APP./EQUIP. 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 INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL r ike 6goll - (ienere! CgnirectQr Lkense 526742. 619-775-524 Mr. Don 8ohlio 44-105 Cami o (av nda. La Quina QM. 9Z 53 612-39-P-2292 I ELEVATION �� p�rro oov,�rzs ��_ 4rUy�� r�Re.9.!'Yii►.rN� 2'x B' RAFTER r x I' d 2' x 2' SLATS, ALTERNATING 2"x S"RAFTERS rte_,.........._...... ....._...................._ .: - . --_ - 'y x 2* SWAM O'x6'SHORT CONNECTOR POSTS �.- _...,__...�......,...... Y x 6' BEAMS 6' x 6' POSTS -> C866 POST ANCHORS EXISTING FOOTINGS (BLAM NEINFOOTINGS 16' x f6' (RE)) SECTION - -: YX4'82'ft2'SLAYS ONMGE•4.5'O.0 2' X S" LEDGER • SV X S` LAG,BOLTS. Ir O.C. r. 2"X 1' RAFTERS .__Yxa-BEAMSCONNECTEDTOP t ILU26R MANGER TO FACHIAWfTH TWO 510' GAW. DOLTS •_.v \ ' EAfaa.i'�Nj2CtE.!•Hnflc.t�wldaDc.3.P ..ldl9 ........ ...__.__._— —_ `— 2` X r RAFTERS f ^` LU28R HANGER TO FACMIA ----r X Ir BEAMS _ D TO (; I POSTS A35 FAF.R TO REAR OF FACHIA I WITH TWO 618 OALV. MOLTS STN x W POSTS POST ANCHORS - OWSON CM �_-.-. FOOTING 1B' X !8' X 18" t FROI9 PrOSPEC. ConSt. PHONE NO. : 619 775 7723 May. 0 1995 03:42PM P3 Wt i e &ge/l - g2neral Contractor Licenso 5-28242 f i9-ZZ5-5248 ��s.wuaomaamu -.���.-w�-.........w•�n^w.•�ss. wa.w..�....._,ws-.mWs.ms W 12Qn BOW 41-105 Cgoino L@vgnda, Le Quints Ga, 922, 3 §19-360-9282 6"x 6'AO9TS - SPAN ON CENTER 6"x 6"POSTS 6 6°x 6"SNORT CONCCTOR POSTS -SPAN ON CENTER 7L 9B �c—��t.,1 %-..�:443.6' A3,d' 13 p^ t'S ._ ..,jw _ dP 80— -/. ° '._ 5' RESIDENSE R - rio^ s 1211-1--."; e Aspell - General Contractor L_ erlse 528742, 699-775-5248 Mr. Don Bohlya 44-105 Qamino Lavanda. Lo Quinfa Ca. 92253 69.9; Q- 292 EXISTING PATIO MVERS CHANGES ON EXISTING PATIO COVERS - RESECURE 2"x 6" RAFTERS TO FASCIA USING SIMPSON LU26R HANGERS SECURE FASCIA TO ROOF TRUSSES USING A35 FASTNERS ADD 2" x 2" SLAT BETWEEN EACH EXISTING 2"x 4" SLAT FOR INCREASED SHADING kESIDENSE — 12' _.