The URL can be used to link to this page

003779 (BLCK)Building Addracs 525 JUAN Owner REST= AMIM maning Address City LA Contractor ress 1000 PALMS State Lic. & Classif. Arcn., tngr.; Designer Dm Address Zip 42253 92276 P.O. BOX 1504 No, 00379 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774-266-018 Tel. 564,-7411 Legal Description Project Description AINI110,*, RAL14 3 FRET HTM 564-7411 City Lic. # Tel. City Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70 OO) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _SIGNATURE + DATE OWNER•BUILDER DECLARATION I hereby affirm that 1 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 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add; Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 172 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 .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 for the Any Section 7031.5 by 'any for Plari Chk. Dep. alleged exemption. violation of applicant a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): I, 19,.17 / - Plan Chk. Bal. O 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 Const. 25tRil 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 notbuild or improve for the purpose or sale.) , ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con. 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.) Grading ❑ I am exempt under Sec. B. 8 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 ❑ Copy is filed with the city.. ❑ Certified copy is hereby furnished. TOTAL , CERTIFICATE OF EXEMPTION FROM 7 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. t1�it 314�6A•f?' 'f e4WNW14 Date Owner NOTICE TO APPLICANT: If, after making this Certificate or 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. ' F ont S tb k f C t L' 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 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. 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 HARD COPY r e ac tom en er the Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINQ FEF�S 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. $Q. FT. ® CAR P. Q. FT, WALL SO. FT. ® SO 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 ® 11/4 c SEWAGE DISPOSAL ` o✓G�S �% , /��/ ✓ % �/ J SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION��7 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 APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE WATER HEATER SERVICE FINAL INSP. /��GROUT O! ZAOND BEAM l /Gl �j� � �"' WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING ` o✓G�S �% , /��/ ✓ % �/ J REMARKS: VENTILATION��7 FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH I NSU LATION/SOU N D FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS, GARDEN WALL FINAL