003342 (RPL)P.O. BOX 1504 No, 003342
Building 78-105 CALLE ESTADO
Address 53--saQ PUMRM 1° LA QUINTA, CALIFORNIA 92253
Owner
NC IMPIAT
Mailing
BUILDING-- TYPE CONST. OCC: GRP.*
Address
A.P. Number PGA S� T
CityZip Tel.
LA ,QUINT C92253 Legal Description
Contractor Project Description SPA AND 3 HIGH GARDEN WALL
GIB. POOLS
Address
P.O. A�' X 399
City.. ..Zip _. • Tel. --
CATH MCi'l 92234 328--2681
State Lic. City
& Classif. 275796 Lic. # 60 Sq. Ft. No. No. Dw.
Size • Stories Units
Arch., Engr:,
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•tKe Business and'Professions Gode%and my license is in full force and
effect. ria r ry
r
SIGNATURE DATE
OWNER -BUILDER DECLARATION- Estimated Valuation '
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. sfructure, prior to its issuance also -
requires the applicant for 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 'r
-Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis Plan Chk. De
'for the alleged, exemption. Any violation of Section 7031.5• by -any applicant for a permit p
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 Plan Chk. Bal. 95.22do the work, and the structure is not intended or offered for sale- (Sec. 7044, Buisness and Const. C
.Professions Code: The Contractor's License Law does not apply to an. owner of property who 346••30
builds or improves thereon and who does such work himself or- through his own employees, Mech. .Z �
provided that such improvements are not intended or offered for sale. If, however, the building
00
or improvement is sold within one year of completion, the owner:builder will have the burden�AA,+'
of proving that he did not build or improve for the, purpose of sale.) .. • Electrical
O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 14.00
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. 1.44-
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
O I am exempt under.Sec.. B. 8 P.C. for this reason Grading
Driveway Enc.
Date owner Infrastructure
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.
TOTAL 293.16
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;q•i° ,gy ��•Tx:
its
employ any person in any manner so as to become subject to the Workers' Compensation -
Laws of California.
Date Owrier
NOTICE TO APPLICANT: If, alter 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
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.)
Lender's Name
FINAL DATE
Side Street Setback from Center Line
Side Setback from Property Line
INSPECTOR
Lender's Address
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 /17187 Permit
I agree to comply with' all city and county ordinances and slate 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
SLAB GRADE
2ND FL. SO. FT.
BONDING
YARD SPKLR SYSTEM
POR. -SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT.
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
INAL INSP. f. Q_�
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, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® 3/ac
HOUSE SEWER
LATHING
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 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.
INAL INSP. f. Q_�
FRAMING
FINAL INSP. /. 0-
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
GRADING
/FINISH
1NAL INSPECTION/ /.&
�( CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL