002548 (AR)Building 78 14? toile Norte
Address
Owner
Lamblx=k
mailing
Address
M
City
• -'TA Cut
Contractor
TAtylr ;
P.O. BOX 1504 ". NQ. 00215#5#48'
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
1000
Zip Tel.
--
BUILDING: TYPE CONST..: . OCC:.GRP:•
A.P. Number 769-022-072
Legal Description lot 45
Project Description
...City . _.. Zip ..
Tel"'
La Quinta 92253
%4-!-4660
State Lic.
City
& Classif, .. 442118
Lic. # 469. ^ y '
Sq. -Ft. ..
Size
No. No. Dw.
Stories Units - -
..Arch., Engr.,.. .... .. , -.. .
Designer
New UvX _.' Add 0, - Alter ❑ Repair ❑'- • Demolition ❑
Address
Tel.
City
Zip
State
_ ...
_
Lic. #
. LICENSED,CONTRACTOR'S DECLARATION, .
3 '
I hereby affirm that l am licensed under provisions of Chapter.9'(commencing with Section
,. 7000) of Division 3 of the Business and"Professions Code,,,and my license is in -full force' and
effect...
'
SIGNATURE 9% - DATE
"OWNER•BUILDER DECLARATION
' f
• I hereby affirm that 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•
' 'to
Estimated Valuation
I
. :
; •.
•- '
- �.:.::
• -
•- AMOUNT -
permit 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) o/
'Division 3 o/'the Business and Professions'Code, orthat. 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).
❑ I, as owner of the properly,_or my employees with wages as.lheir sole compensation, will
do the work, and the structure is not intended or offered for sales (Sec. 7044, Buisness and
• • —Professions Code: The Contractor's License Law does not apply to an owner o/ property who
-builds or, improves thereon and who does such work himself or through hisown employees,
provided that, such, improvements are not Intended or -offered for sale. If, - however, - the building., -
a '•_
-=Plan Chk. Dep:
-
Plan "Chk. Bal,...
19.17
�-COf1St., .'
Mech. '
Electrical
:c or improvement is sold within one year o/ completion, -the ownerbuilder will have the -burden
of proving that he did not build or improve /or the purpose o/ sale.) : .
Plumbing ' -
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
strust 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, hereon, and .who contracts for
-
S,M:L•
- . .
- • • •5u "
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sea- B. & P.C. for this*reason
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that I have a certificate of consent to'self-insure, ora certificate of.
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) -
- -
r-
' Policy No.. . - Company
_ .. ,•
0 Copy is filed with the city. p.Certified copy is hereby furnished.
TOTAL
�-`�•
tY CERTIFICATE OF EXEMPTION FROM ^
�.. WORKERS'.COMPENSATION INSURANCE
REMARKS_
-
(This section need not be completed if the permit is for -one% hundred 'dollars ($100) valuation
or less.)
Lcertify 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.
r
_
' Date Owner
NOTICE TO APPLICANT: IF after making this Certificate of Exemption you • should become
• subject to the Workers' Compensation provisions o/ the' Labor 'Code, you must 'forthwith
comply with such provisions or this permit shall be deemed revoked..
ZONE: ' �" BY:
.Minimum Setback Distances:. '
Front Setback.f.rom Center Line
_ '. ....
Rear Setback from Rear Prop.. Line
_ CONSTRUCTION LENDING AGENCY
I hereby affirm that tliere is a construction lending agency for the perforniance'of the.,
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side Street Setback from Center Line '
SideSetback from Property Line -
Lender's Name
FINAL DATE
Issued by:,
y' ..
Validated by:
Validation:
Ab2�512
INSPECTOR
q
M2qr•
'- Date - 0 CC__Permit
-
"
8. ..28. ... _. 49,17 CK ,.
.' - •• - '
Lenders 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 incorrect.
' I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of. this city • td'- enter the above-.'
mentioned properly for inspection purposes. �•�.
Signature of applicant � -� / + ,= Date
Mailing Address �� l
City, State, Zip
�. HARDCOPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SO. FT. ®
SO. FT. (off
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLA 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
ORMS
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.
SO. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
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
ORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
JV FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
1 VA J JIV MRI UMCWIMI I IRLa,
GARDEN WALL FINAL
Ae,
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August 27, 1986
City of La Quinta ^`..
P.O. Box 1504
La Quinta, CA 92253 3 r r}� t Y • +i i
Attn: Building Inspector '
This letter..authorizes .you to lssue'as building permit for the
following addresses in La Quintal
78-109 Calle Norte t, r
78-129 Calle Norte
78-133Calle Norte
7 8-147 Calle Norte
We are aware of the constructionaand.cstructural changes taking -
place.
Thank you for.yourhelp.'