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11731 (RER)P.O. BOX 1504 N o . 11731 Building 78-105 CALLE ESTADO Address 49-920 Co SCh,_Zlri, LA QUINTA, CALIFORNIA 92253 Owner G..-rald R. Novotny Sr. Mailing BUILDING: TYPE CONST. OCC. GRP. Address P.O. $O7, 229 A.P. Number City Zip Tel. Palm Desert, C1: 92260 Legal Description Contractor Project Description Remodel :arid roc -#,.,i additions Environmental Development Co. Address P.O. Rox 229 City Zip Tela Palm Der.ert, C� 92261 345-1982 State Lic. City & Classif. B Lic. # Sq. Ft. No. No. Dw. Arch., Engr., Size 210 Stories 1 Units Designer Leroy Rosa -Architect New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. Addition $15,700.00 P.O. Box 229 345-1982 City Zip State Remodel 14, 300.00 Palm Dexie.rt, C. i 92261 Lic-0 C-3024 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section w.70pp) of Division 3 of the Business and Professions Code, and my license is in full force and effecto ; q SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractors License Law for the following $30,000fl Q reason: (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 (or such permit to file a signed statement that he is licensed pursuant to 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 Plan Chk. Dep. O subjects the applicant to a civil penalty of not more than five hundred dollars (5500). Plan Chk. BBI. 1 $ • 9 3 ❑ 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 Const. d$4 . 509 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, Mech. ?7 QQ 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 Electrical 35 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- Plumbing 15 , 00 struct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law t does not apply to an owner of property who builds or Improves thereon, and who contracts for S.M.I. 2 17 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading ❑ I am exempt under Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION 1 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 ❑ppy Is filed with the city. a Certified copy is hereby furnished. �T1 TOTAL 535 . 95 !. - 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 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. Dale 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 Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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 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. Issued by: Date Permit 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 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ UNITS A.C. UNIT 2ND FL. SQ. FT. SLAB GRADE YARD SPKLR SYSTEM. POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS CARP. SO. FT. @ ROUGH WIRING. DRAINAGE PIPING WALL SQ. FT. ®' ROCK STORAGE DRINKING FOUNTAIN. • SO. FT. @ GAS (ROUGH) iQ 9 7 URINAL ESTIMATED CONSTRUCTION VALUATION $ HEATING (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER SERVICE GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY -- AIR HANDLING UNIT CFM WATER SYSTEM 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 1% c SEWAGE DISPOSAL r♦'! ., SQ.FT.GAR @ V4c HOUSE SEWER FIRE ZONE ROOFING GAS PIPING PERMIVFEE :• PERMIT FEE PERMIT FEE DBL %;y .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//z5/9#jt /.LNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS t� SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) iQ 9 7 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. 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 '�lr 7 T J �� FINAL INSP. / �3 ROOFING n �LLLLI� �1�� 2 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION) 5 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS_ GARDEN WALL FINAL 78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 FAX (619) 564-5617 September 1, 1992 Regarding 49-920 Coachella Room Addition - No Permit TO WHOM IT MAY CONCERN: Room enclosure meets City and building codes for egress and ventalation. From. the surface. it.appears .., to meet all codes. However, we are unable to see insulation or drywall nailing under textured walls. Sincerely, BUILDING AND SAFETY DEPARTMENT �c� ZAI- Lonnie Day Building Inspector LTRLD.02 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253