10908 (PAT)Building
A Building
54'165 Juarez
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 10908, '
Owner
Mr. and Mrs. Bryan Elsner
BUILDING: TYPE CONST. OCC: GRP.
Mailing
Address same as above
A.P. Number
Legal Description
Project Description
Patio Cover
City
La Quinta
Zip
92253
Tel.
Contractor
L Construction
Address �.
P. a. Box 228
' CityZip
Tel.:
TQIuinta
92253
564--4447
State Lic.
& Classif. 343335 B
City
Lic. # 2051
Sq. Ft.
Size 330
No. No. Dw.
Stories Units,
• Arch.; Engr.,
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Designer
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 . dlessions Code, and my license is in full force and
.effects �,,+'% ........... ✓ r P^
! is
_SIGNATURE : DATE
OWNER -BUILDER DECLARATION
I hereby affirm Ithat 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 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) or
Division 3 of the Business and Professions Code, or that he is exempt therefrom, and the basis
for the alleged exemption. Any violation or Section 7031:5 by 'any applicant for a permit
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
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 notaapply to an owner of property who
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
or Improvement is sold within one year or completion, the owner -builder will have the burden
or proving that he did not build or improve for the purpose of sale.)
Estimated Valuation
4,323.00
PERMIT
- AMOUNT -
Plan Chk. Dep.
"
- -
Plan Chk. Bal.
46.80
Const.
- 72.00
Mach.
Electrical
-
Plumbing
O 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 or property -who builds or improves thereon, and who contracts for
- such projects with a contractors) licensed pursuant to the Contractor's license Law.)-
❑ I am exempt under.Sec. B. & P.C. for this reason
S.M.I.
Grading'
,
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
ihereby 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
l Copy is tiled with.the city. ❑ Certified copy is hereby furnished.
1}'•:? j �ji # y,.�r i'tt r 1 r if dLr
, •N .1 1 �,h �,L1
TOTAL
119.30
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
-
(This section need not be completed if the permit is for one hundred dollars (5100) 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
" 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:
Minimum Setback Distances:
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
Side Street Setback from Center Line
Side Setback from Property Line
Lender's Address
FINAL DATE
INSPECTOR
This is a building permit when properly filled out, signed and validated, arid 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.
Issued by:
Validated by:
Date Permit
,
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CARP. SQ. FT.
WALL SQ. 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCTWORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FRAMING& L%�
'/
FINAL INSP.
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
DUCTWORK
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.
FINAL INSP.
FRAMING& L%�
'/
FINAL INSP.
ROOFING
'
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION wL
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
PAGE I
-4z
Y..A N it L S N E R
214nUF,
CITY OF LA I.
BUILDING & SAFETY DEPARTME
Ac-fC.1T-'.l'l'TErl FOR ACIIVACST61CTION
SUBJEECT TO INSTAL'U",010N. AS PER
1_
CITY OF LA I.
BUILDING & SAFETY DEPARTME
Ac-fC.1T-'.l'l'TErl FOR ACIIVACST61CTION
SUBJEECT TO INSTAL'U",010N. AS PER
ALL-_- 13E_lq_TU....13..E_,pOU_GLA5 FIZZ .AVO 2 OR ►3ETTE12
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CITY OF LA L�l�ITAX �"�IR p ' L
BUILDING & SAFETY DEP TM _
�.. CONDITIONALLY--------
C o C . FOOT I N -4
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND ALL APPLICABLE CODES
DATEL�:_.l� BY