Loading...
06890 (SFD)TWY� 4 4 a" P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 44~120 C ld= MrMs LA QUINTA, CALIFORNIA 92253 Mailing Addreso—SM malt Stre,_t: Suite 135 City Zip Tel. Palm Twart 42260 1 345-0541 Contractor Address Tel. State Lic. City & Classif. 493919 Lic. # 1231 Arch., Engr., Designer Address City IZip I State 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, and my license is in full force and effecL SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,13ushess and Professions Code: Any city or county which requires a permit to construct, afterrrprove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to He a signed statement that he is licensed pursuant to the provisions of the Contractors 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 viofalicn of Section 7031.5 by any applicant for a permit subjects the applicant to a cid penally of not more than live 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 Contractors 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. ff, however, the building or improvement is sold with" h" ayear of completion, the owner -budder wig 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, mss 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 fs) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec B. & P_.C. for this reason Date . 1 r Owner f -� WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 fumished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed B the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thF work for which this permit is issued, 1 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: Y, after making this Certificate of Exemption you should become subject to the workers' Corrpensatim provisions of the Labor Code, you must forthwith comply with such provisions or this permit shat 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, Ciel 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: 1 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 P No. ©6890 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Cactus Flower — Tract 22982 Legal Description Project Description Plzen 6 LJiI� 4 Sq. Ft. 2328 Size No. No. Dw. -Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $124,470 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 6 1.20 Const. 727.00 Mech. •S0 Electrical 142.54 Plumbing 169.50 S.M.I. • 73 Grading Driveway Enc. Infrastructure s t1• TOTAL REMARKS +r.�x.+fid t+u '►�%.'' (Y h ,. ca. .+l 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 Property Line FINAL DATE INSPECTOR Issued by: Date 1/19/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SQ. FT. ® $ UNITS SLAB GRADE h 04 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SD. FT. @ FORMS SEWER OR SEPT ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® / GAS (ROUGH) /SQ d ( METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SQ. FT. ® FINAL INSP. WALL SQ. FT. WATER SYSTEM DRINKING FOUNTAIN. GRADING cu. yd. $ -Plus-x$-=$ URINAL SQ FT ® FRAMING 7/3 �Q FINAL INSP. . /� If ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES VENTILATION WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIREPLACE 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER CERT. OCC. 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 PLUM BING� NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE h 04 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPT ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. (�%G! G / GAS (ROUGH) /SQ d ( 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. �o FRAMING 7/3 �Q FINAL INSP. . /� If ROOFING ® REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LAT NG �O , 6-D MESH INSULATION/SOUND-?k v FINISH GRADING FINAL INSPECTION �4 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL