The URL can be used to link to this page

002448 (BLCK)T a itT 4 a& QuIbII&I Z, I o Building 40-8055 AVMlida El Ni& Address Owner B�TW M002 jai Mailing Address Sam j City Zip Tel. la Contractor Address 92253 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002448 WILDING: TYPE CONST. OCC. GRP, l.P. Number .egal Description Iroject Description 74-233 M Pam ✓ City' Zip Tel. Paan De8mst 92260 348-5889 State Lic.,, City '.,,. 8 Classif. t Lic. # Sq. Ft. No. No. Dw. S �� 112 'Stories Units Arch.; Engr., . _ Designer New ❑g Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. _ fr4batt. him bltllak umu City State JZip r� 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, •arid my license is in full force and effect./ `�� 1'! , !1� T SIGNATURE - DATE OWNER -BUILDER DECLARATION EStlrriated Va�UatlOn I hereby affirm that I am exempt from the Contractor's License Law for the following �^ 2800. 0 reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires _a permit to construct, after,, improve, demolish, or repair any structure, prior to its issuance'a/so 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 Division 3'of the Business and Professions Code, or that. he is exempt therefrom, and the basis Section 7031:5 'any for Plan Chk.. Dep. •' for the alleged exemption. Any violation of by applicant _a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ' Plan Ch k. Bal. t1c ri O 1, 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, Suisness and Const. : 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. •• 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 Electrical of proving that he did not build or improve for the purpose of sale.) 0 1, as owner of the property, am exclusively contracting withticensed contractors to con- Plumbing slruct the project. (Sec. 7044, Business and Professions Code:. The Contractor's License Law improves thereon, for S.M.I. does not apply to an owner of property who builds or and who contracts such projects with a contractor(s) licensed pursuant to the Contractor's License Law:) Grading ;50 ❑ 1 am exempt under Sec. B. ti P.C. for this reason 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 - O Copy is filed with the city. ❑ Certified copy is hereby furnished. - TOTAL 64.02 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 Owner NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: - BY: 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 Y 1hereby affirm that there is a construction lending agency for the performance of the work forwhich 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 if work thereunder is suspended for 180 days. �r —2`•'810. I certify that I have read this application and state that the above information is'correct. Issued by: Date—7-2-810. Permit I agree to comply with all city and county. ordinances and state laws relating to building construction, and hereby authorize representatives; -of Ahisscity to enter the above- mentioned property for inspection purposes. 01 Validated by: V Signature of applicantDate Mailing Address �'. - Validation: City, Stale, Zip A591U 7 2` 64,02 CK HARD COPY T CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA SLAB GRADE YARD SPKLR SYSI EM 2ND FL. SQ. FT. ® HEATING (ROUGH) - FORMS MOBILEHOME SVC. S BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. I SO. FT. ® GAS (FINAL) TEMP. POLE WALL SQ. FT. ® DRINKING FOUNTAIN SO. FT. @ WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM 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 LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Va 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 i' FOUND. REINF.Si G 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 OR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING 1 . FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, , GARDEN WALL FINAL i -')'7 -+m '207.1,1 S c�e ISR, *� -M� 7 V 0) 15 4CIO