11229 (RER)' P.O. BOX 1504 No. 1+229
Building 77-224 Potrero78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner
Anthony Sestich
Mailing BUILDING: TYPE CONST. OCC: GRP.-
Address P. U. Box 837
A.P. Number
City Zip Tel. Lots 11, 12, 13, 14 B1k 272
La Quints 922 3 564--1057 Legal Description
Contractor Project Description Remodel — permit to
Same as above
Address . replace permit #3316
City Zip Tel.:
State Lic. City
& Classif. 335932 Lic. # 1047 Sq. Ft. 5G • 25 No. No. Dw.
Arch., Engr., Size — - - Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip 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, an my license is in full force and
effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 18,000
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 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.
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
O I, as owner of the property, or my employees with wages as their sole compensalton, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 128.50
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. - 17.00
provided that such improvements are not intended or offered for sale. n, however, the building
or improvement is sold within one year of completion, the owner -builder wig have the burden Electricalo
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- Plumbing 26.00
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 S.M.I. 1.23
such projects with a contractor(s) licensed pursuant to the Contractors License Law.)
f Grading
0 1 am exempt under Sec. B.'B P.C. for this reason.
jTT , /J - // Driveway Enc.
Date l 1_ Owner r . r rt i' -y �L% Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that *1 have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Poli No Company
Copy is filed with the city. Certified copy is hereby furnished. !).�i�i .1 .4 's 47- '14--97 _ _ _ 14
TOTAL Y',�187TT3 ; : ii n3.. .L 4 + 1 ...
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
Date-Owner
NOTICE TO APPLICANT, If, ager making this Certificate of Exemption you should become ZONE: BY: f
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. Minimum 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
Lenders Name
J
Lenders Address FINAL DATE INSPECTOR
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 certity that I have read this application and state that the above information is correct. Issued by: Data Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives sof 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
IST FL. SO. FT. ® $
2ND FL. SO. FT. ®
POR. SO. FT. ®
GAR. SQ. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SQ. 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
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FOUND. REINF. IV
LAUNDRY TRAY
AIR HANDLING UNIT CFM
METER LOOP
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.
SO. FT. ® c
BATH TUB
FINAL INSP.
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
GRADING
cu. yd.
plus x$
SO.FT.GAR ® 3/sc
HOUSE SEWER
FINAL INSP. 1,2 2 _9,Z JL)
FRAMING / l Z ?
1.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWERS
ROUGH WIRING.
DUCTWORK
ROCKSTORAGE
FOUND. REINF. IV
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE q1 Q�
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FINAL INSP. 1,2 2 _9,Z JL)
FRAMING / l Z ?
1.
��'
FINAL INSP. q GI y`
l _I `
ROOFING � `3 � /
C
l
I�LO
-�y_q3
REMARKS:
'•
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR.
fFIIREWALL
AT ING/
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. O
FENCE FINAL
INSPECTOR'S SIGNATURESRNITIALS
GARDEN WALL FINAL