Loading...
003857 (RR)Twit " P.O. BOX 1504 Building,� 78-105 CALLE ESTADO �� Address Cedros Circle LA QUINTA, CALIFORNIA 92253 Owner MV. 4M=4 No. 003857 Mailing' BUILDING: TYPE CONST. OCC: GRP. - Address Iqanloo- A.P. Number 61?—'Item—Qi i City Zip Tel. Tn �_ ��� Legal Description Contractor -t3—iDQ$ c• .v` I'i ofinc8 _ Project Description— c. escription Address City''- Tela "- dl0 92202 398"5186 State Lic. City & Classif. 35-2007 Lic. # Arch.,_Engr., - Designer Sq. Ft. No. No. Dw. Size Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. I City Zip State i .Lic. # /). LICENSED CONTRACTOR'S DECLARATION I herebyy affirm that Item licensed under provisions of Chapter 9 (commencingswith Section ' j 7000) of Division`3 of the Business and Professions Code, and my license.is,in full force.and effect- " ' a� DATE e OWNER -BUILDER DECLARATION t I hereby affirm that I am exempt from the Contractor's. License Law for.the following Estimated Valuation p reason: (Sec. 7031.5,Business and Professions- Code: Any city or county which requires a tV PERMIT permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to 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 five hundred dollars ($500).' O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. Const..' j do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and I Professions Code: The Contractor's License Law does not apply to an owner of property who 'Meth. 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 Electrical 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.) Laws of California. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors tocon-Plumbing 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. ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) D.I. am exempt under Sec. B. & P.C. forritthis reason Grading Driveway Enc. ZONE: - BY; z+nr•1 1. - .;! Minimum Setback Distances: Date Owner Infrastructure Front Setback from Center Line WORKERS' COMPENSATION DECLARATION Ihereby affirm that I have a certificate of consent to self -insure, or a certificate of CONSTRUCTION LENDING AGENCY Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Side Street Setback from Center Line Policy No. Company " ❑ Copy is filed with the city. O Certified copy is hereby furnished. ' work for which this permit is issued. (Sec. 3097, Civil Code.) - TOTAL Side Setback from Property Line AMOUNT- AAA MOUNT-AAS# A9 7A _ c;n CA i CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred -dollars ($100) valuation - or less.) - - - I certify that in the performance of thg work for which this permit is issued, I shall not - employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. _ •� Date' Owher ,+ q+y��y� f'vMf 7 "uc: 1 rT` t r-17 ✓ ��_ 't-� NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor' Code, you must forthwith comply with such provisions or this permit shall be deemed revoked: ' ZONE: - BY; z+nr•1 1. - .;! Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the " ' work for which this permit is issued. (Sec. 3097, Civil Code.) - Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is'subject to expiration it work thereunder is suspended for 180 days.jj� /$' I certify that I have read this application and state that the above information is correct. 'relating Issued by: Date [ Permit agree'to comply with all city and county ordinances and state laws 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. p $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. S0. FT. ® GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. 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 LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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. SO. FT. ® c BATH TUB LATHING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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 APP./EQUIP. REIN F. 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH I N SU LATIONISOUN D FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS_ GARDEN WALL FINAL