The URL can be used to link to this page

07476 (SFD)4 4 a" Sa n'd �v1 P.O. BOX 1504 N0, QT� Building 79-M78-105 CALLE ESTADO Address r LA QUINTA, CALIFORNIA 92253 JM Peters Mailing Address 12526 High Bluff Drive Suite 280 City Zip Tel. San Diego 1 921303 1 Contractor ress ity lZip State Lic. & Classif. Arcn., tngr., Designer Address TTel. CityI Zip I State n I Lic. # �� LICEN ED CONTRAJTOR'S DECLARATION I hereby f 'r That V am lice rider p�visions of Chapter 9 (commencing with Section X00) of D viion�3 of the Businyss d.P,ro, fes"pions Code, and my license is in full force and OWER--VUILDER DECLARATION I hereb affir, that I am a empt from the Contractor's License Law for the following re Son: (Se3. 703 .5,Business nd Professions Code: Any city or county which requires a peiL�it to co truct, alter, improv demolish, or repair any structure, prior to its issuance also "q I, the plicanl 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 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 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who ..�*{bullds 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.) ❑ 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 a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Com ensation I surance, or a certified gopy thereof. (Sec. 3800, Labor Code.) Policy No. Company ic� -�f-�aa,,, Ctipy is filed with the city. — Certifi is hereby furnishel 1 CERTIFICATE OF EXEMPTION FROM fb WORKERS' COMPENSATION INSURANCE (This section need not be completed i1 the permit is for one hundred dollars ($100) valuation or less.) 1 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, 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. CONSTRUCTION LENDING AGENCY Ihereby 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 Lender's Address 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 BUILDING: TYPE CONST. OCC: GRP. A.P. Number_ /YleV56 Legal Description Citrus 6mrse tis! .04!! Project Description TraCt 24890 Plan 2A ZONE: BY: Minimum Setback Distances: Front.Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued �� Issued by: Dated ermit Validated by: Validation: Sq. Ft..1 Size 439 No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $1780550 PERMIT AMOUNT Plan Chk. Dep. 275.00 v Plan Chk. Bal. 468.20 Const. 916.00 Mech. 78.00 Electrical 718.53 Plumbing ,; .156.50 S.M.I. 12.52 Grading Driveway Enc. Infrastructure 4.017.M , TOTAL $6.042-13 1 it LED REMARKS I �'«y(„� ,y[y��} ,A_ ,,,�a,).j } ( 40 Y til T- S I f` ,S+,VS N113 - ZONE: BY: Minimum Setback Distances: Front.Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued �� Issued by: Dated ermit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ 1 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 GRAD FLOOR DRAIN MECHANICAL FEES ROUGH PLUMB. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/. c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac HOUSE SEWER WATER SYSTEM 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 ROUND PLUMBINGy UNDERGROUND A.C. UNIT COLL. AREA SLAB GRAD Q ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS 10 SEWER OR SEPTIC TAN aROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) 1 METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL 4 11 90 GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP.��! - % 46 FRAMING/ to FINALlSP11 f." i !� V ROOFING O VIN- �`6 C r` LJA `FtaC%/H� % 4J? REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUN S� FINISH GRADING FINAL INSPECTION, Gly CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL