The URL can be used to link to this page

003452 (RR)Building Address Mailing Address 52-042 Ayi City lZip Contractor Ow"fc r! Address City - - " State Lic. & Classif. o Arch., Engr.-' Designer Address I Tay/ P.O. BOX 1504 No. 003452 78-105 CALLE ESTADO Ey LA QUINTA, CALIFORNIA 92253 Tel. '53 Ix Tel. City Lic. # Tel. BUILDING: TYPE CONST. OCC. GRP. A.P. Number 7E9-105-010 Legal Description Project Description Sq. Ft. No. No. Dw. Size -Stories Units - New ❑ Add X Alter ❑ . Repair ❑ Demolition ❑ CERTIFICATE OF EXEMPTION FROM REMARKS art's ranlacina roof City Zip State Lic. # (This section need not be completed if the permit is for one hundred dollars ($100) valuation 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, and my license is in full force and effect. ' ` or less.) - - - I certify that in the performance of thg work for which this permit is issued, I shall not I SIGNATURE DATE I OWNER -BUILDER DECLARATION I I 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 quires the applicant for such permit to file a signed statemenf,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 fora 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 Professions 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 i - 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.) 0 1 am exempt under Sec. - B. & P.C. for this reason l r-� Estimated Valuation - - _ PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. ., 1�; , e . Const. 298.00r , Mech. 27.01) . Electrical m Plumbing- 47. O( , _. S:M.I. Za� - Grading Driveway Enc. Front Setback from Center Line Date' �- f /1 7 owner� Infrastructure Rear Setback from Rear Prop. Line • r' 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. r Side Street Setback from Center Line - Side Setback from Property Line - TOTAL $632. RID Lender's Name CERTIFICATE OF EXEMPTION FROM REMARKS 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 60511 09 t A 7400 +n-_rr-Z e, . 3 • employ any person in any manner so as to become subject to the Workers' Compensation - - 1 f t t .i w tut13�1 t} fiAL;•T{ ` Laws of California. ., 1�; , e Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith•'Minimum comply with such provisions or this permit shall be deemed revoked. 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 FINAL DATE -INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to1 expiration it work thereunder is suspended for 180 days. e u j I certify that I have read this application and state that the above information is correct. Issued by: Date d .i 4P?ermlt 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. Validated by: - Signature of applicant Date Mailing Address Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS COLL. AREA _ gods LAB GRADE 12_ YARD SPKLR SYSTEM 2ND FL. SQ. FT. HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. DRINKING FOUNTAIN SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. —Plus—X$—=$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER � GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED REMARKS: LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 INSULATION/SOUND SQ. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FENCE FINAL INSPECTOR'S GAS PIPING PERMIT FEE GARDEN WALL FINAL 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 PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA _ gods LAB GRADE 12_ OUGH PLUMQj —,12 BONDING al HEATING (ROUGH) STORAGE TANK FORMS / SEWER OR SEPTIC TANK OUGH WIRING /—_`.!/ STT lld DUCT WORK ROCK STORAGE QJZFOUND. REINF. ,;.2 _ --7 GAS (ROUGH) / METER LOOP HEATING (FINAL) OTHER APP./EQUIP. ��REINF. STEEL ! _ 2. GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. —Plus—X$—=$ LUMBER GR. ` INSP./ FRAMING V-12— FINAL INSP. L4R , FI NG � O � / VENTILATION � a �� / A M 11^6c§�Z?� . v / REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL v GLATHIMNG • MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL