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15633 (PAT)• 44Q P.O. BOX 1504 No. 15633 Building 4,, 78-495 CALLE TAMPICO Address 48-623 Paseo J arazo LA QUINTA, CALIFORNIA 92253 Owner 'Ralph € . Pierson r Marlin BUILDING: TYPE CONST. OCC: GRP. 9 Address Same A.R�Number CityZip Tel. La Quinta, CA 92253 771-5904 Legal Description Contractor Project Description Open lattice pati© cover Oe ner/Fiu3lder Address -City State Lic. I City & Classif.. Lic. # Arch.; Engr., Designer Address Tel. E _.- City ]ZipStateI Lic. # LICENSED CONTRACTOT'S DECLARATION I hereby affirm that I am licensed under provisi ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business arid~esslons Code, and my license is in full force and • effect. ' f` .��J SIGNATURE r— DATE OW-.13UILOER DECLARATION I hereby affirm that I am exempt from the Contractors 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 rile a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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•lhe work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness 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.) p 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 contractors) licensed pursuant to the Contractor's License Law.) 0 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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, O Certified copy is hereby furnished. 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, 1 shall not employ any person in any manners as to become subject to the Workers' Compensation Laws of California Date `A - I. 'i %wner NOTICE TO APPLICANT: N, 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 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. Signature of applicant Date Mailing Address City, State, Zip Sq. Ft. No. No. Dw. Size 230 Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ REMARKS r'. ZONE: BY: Minimum Setback Distances: Front Setback from Cente Rear Setback from Rear p%Line\ Side Street Setb�aek f or m Center L-ine� Side Setback front Propert ine��%� FINAL DATE IQ ECT013 Issued by: Date \\ Permit:. Validated by: \ c9s Estimated Valuation $3,059.00 PERMIT AMOUNT . Plan Chk. Dep. Plan Chk. Bal. 40.95 Const. 63.00 Mech. Electrical Plumbing S.M.I. .50 Grading Driveway Enc. Infrastructure TOTAL 104.45 REMARKS r'. ZONE: BY: Minimum Setback Distances: Front Setback from Cente Rear Setback from Rear p%Line\ Side Street Setb�aek f or m Center L-ine� Side Setback front Propert ine��%� FINAL DATE IQ ECT013 Issued by: Date \\ Permit:. Validated by: \ c9s CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. ® POR. SQ. FT. ® GAR. SQ. FT. ® CAR P. SQ. FT. ® WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET ' YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEOUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY JAMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL ROOFING SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL 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 UNDERGROUND 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 Q REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL see `oriLe.5er.o below opclft bo.fled t sAeetbloe et flee Lattice L -J Ili.&. lrslr 11' �>t/s":!- los &trees bete stabat li• •.e. /ootist•e lee cub Omatisuseo W or INtrop or vale J Aocber lt' ` •w Provide 1" �. Ile*-«r*«ice.;` belts 4 - learanC / blots . r' . ost To Joist &&rive W solid slocales Concret rail isLtet to Slodisd �� w ' L. I i Am Ge --%=Q; I4 d sells w beltWAU CDM.WW 70 cc ` '� ' `• �" y V'—` Will Wn=C lobed vesers r is *Inc. LATTIf Ifa 11AT70 !AN Uzz i0: edL- q Rues R 20-:0 (feet 4 lacd►a,) , INLAMM &Rims fir ND.1 Nin aper► S" • W ------- S' t1•• U'. 4"30----- I .,c 146— L ...17' NeJ�! i 1V ........20• yew rr 4• .,bloc lot Rairq Noce a. teed stakes 4117 pitch (3/12 &sin. pitdh t.- h los felt ts+de:layl Class A - �. teed. mrpmaitiar. e+_ -ole: 4,112 pisC► 13/12 tai.. pdtsr %rtt 156 felt uldrlay) . Class A c. b -It tV mlled sae! s1Qe to doe_.. d- lack rm! 3112 siuc zn ptrh. TYPICAL PNM C J R iC2S0 Is 3 (x•2.67, �i 2Y4 16' D.C. 11-210-1 7-11 h] a4 S-2 2Nd 12- D.C. 17-10 17-5 3-0 1]-7 I" 14- 16-3 Ur -1 1-3 11-'1 H 24- 13-3. 12-4 9-2 94 1-1 32- • 10-10 9.11 7-4 7.4 S-4 Ut 14• D.C. 21-5 11-10 14-10 ls-4 11.4 24• 17-6 16-3 32- 11-5 13.0 10-0 10-2 1-i INLAMM &Rims fir ND.1 Nin aper► S" • W ------- S' t1•• U'. 4"30----- I .,c 146— L ...17' NeJ�! i 1V ........20• yew rr 4• .,bloc lot Rairq Noce a. teed stakes 4117 pitch (3/12 &sin. pitdh t.- h los felt ts+de:layl Class A - �. teed. mrpmaitiar. e+_ -ole: 4,112 pisC► 13/12 tai.. pdtsr %rtt 156 felt uldrlay) . Class A c. b -It tV mlled sae! s1Qe to doe_.. d- lack rm! 3112 siuc zn ptrh. TYPICAL PNM C J R iC2S0 Is 3 (x•2.67, �i 14��So'. 1 la - ' i%� �, X ,'I wr t f �. e G 1`�u " L� ►i t i� r.� ea� . �: Oi! ti� iG�r' ` t�IP - :x�C�n +F .. �, ; f ems. 3..... r o ., �'►� ' �~ r . ul t r To