10822 (PAT)Building
erfr♦I.nnc 53-605 Cortez
Tim McCracken
T4t�l u
P.O. BOX 1504
78-105 CALLE ESTADO -
LA QUINTA, CALIFORNIA 92253
Mailing
Address S -Me
CityZip Tel.
La Quinti 92253 .
n masonry
366-3767
& Classif. C 609055 1 Lic. #
Address I Tel.
CityI Zip I State
Lic: #
LICENSED'CONTRACTOR'S DECLARATION
I hereby affirm that am licensed under provisions otChapter 9 (commencing with Section
7000) of
Division 3 of the Business and Professions Code, and my license Isrin full force and
FNAT1R 'DAA,.
OWNER -BUILDER DECLARATION
I hereby-afflrin that I am exempt from the Contractor's License Law for the following
reason: (Sec.. T031.,5.Suginesa.and Professions Code: Any city or county .which requires a
permit to constrict, after, Improve, demolish, or repair any structure, pdor to. Its issuance also
requires the app*AW for such permit to Nle a signed statement that he. Is licensed pursuant to
the provisions or the Contractors License law, Chapter 9 (commencing with Section 7000) o1
OYvisfon 901 the Business and Professions Code, or that. he Is exempt therefrom, and the basis
for -the alleged exemption. Any violation o1 Section 7031.5 by. any applicant for a pemrrt
sub)ects the applicant to a civil penalty of not more then pve hundred dd/as (1500): -
❑ 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, Butanecs and
Professions Code: The Contractor's License Law does not apply to an owner of property who
buids w hmprorea thereon and who does aucA work hcnsell or through, his own err�Aoyees,
provMed Drat such.Improvements are not kdended. or offered for sale. // however, the bulli g
or bnproverrrent L4 sold wfthln one yea of completion, the owner 6ri9der will have the burden
01 pro at he dkl not bulk/ or Nnprove for the purpose.01 safe.) '
O 1, 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 briproves thereon, and who contracts for
such prgfecfs with a contnuxor(a),Ikensed who
to the Contractor's License. Law.)
❑ 1 am exempt under Sec B. & P.C. for this reason
Date Owner
WORKERS COMPENSATIONDECLARATION
I hereby affirm that I have a certificate, of consent to self -Insure, or a certificate of
Worker's Compensation Insurance, or a:0ertifled copy thereof. (Sec: 3800, Labor Code.)
Policy No Company
0 Copyde,flled with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(rids section need not be completed If the pamlt Is for one hundred dollars ($100) vahmilon
or teas.)
I certify that In the performance of the work for which this permit Is Issued, I shall not
employ anyppeerson In any marM(!er so as to become subject to the Workers'Compensation
Lawsotcallfomis.
Date ' ,Owner
NOTICE TO APPLfCAW If, after making this Certificate of Exemption -you should becarre
suWact to the Ulorkers' Compenssuon provfalons of the Labor Code, you must forthwfth
comply with such provisions or this. permit shall be deemed revoked.
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. 3087, Civ# Code.)
Lender's Name
Lenders Address
This Is a building permit when properly filled out, signed and validated, and Is subject to
expiration If wort thereunder is suspended for 180 days.
1 certify that 1 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
Meiling Address
City, State, Zip
o. 10822
�1
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description -
Patio Cover
Sq. Ft.
Size 283
No. No. Dw.
Stories Units
New O Add, D
Altei I]' Repair ❑ -Demolition ❑
Estimated' Valuation
3,772.80
PERMIT
AMOUNT
Plan Chk.. Dep. .
Plan Chk. Bal.
Const.
6,4 fin
Mech.-
Electrical
Plumbing .
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
104.25
REMARKS
V.
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 by: Date Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE,
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL.. SQ. FT. ® $
UNITS
COLL. AREA
2ND FL. SQ. FT.
YARD SPKLR SYSTEM
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
SEWER OR SEPTIC TANK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
DRAINAGE PIPING
CAR P. SO. FT.
HEATING (FINAL)
OTHER APPJEOUIP.
WALL SQ. FT.
DRINKING FOUNTAIN -
SO. FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION S
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
��
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHEkAUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRYTRAY
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
FIREPLACE
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 114c
HOUSE SEWER
GAS PIPING'
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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 APPJEOUIP.
REINF. STEEL -
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
-BOND BEAM
��
WATER SYSTEM
GRADING
cu. yd.
= plus xS
=E
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIREZONE ROOFING
FIREPLACE
SPARK..ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
It
FINAL INSPECTION -4 L
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Cortez PL
Elevation
- 50'
North
6 0
in
,o
o�
co
N
"Slump Coluj
A C
23 8
y ,f� <<E. r<i �A IL,
Framing Plan
B
Montezu
Existin
House
-
-
-)A�
m
Setbacks:
A. 5 Feet
B. 11 Feet 6 Inches
12'
C. 21 Feet
® Existing .House
�a New Pato
2
1`S
x 6 @ 24'.' o.c.
�— 4 x 8 Heavier
901b felt on
4 x 8 x 5/8 CCX
Owner E.m__McCrackenr
Address: 53-605 Avenida Cortez
"Phone: _
Project- Patio Cover