11208 (PAT)Building
Address 49-100 Serenata
Owner
Charle aiousewright
Mailing
Address same .
City La Qiainta Zip 92253
Contractor
.Owner/Builder
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
No. 11208
11LDING: TYPE -CONST: OCC: GRP."
P. Number
Tel.
564-1941 Legal Description
Project Description
Patio Corer
City '
Zip
Tel.:
State Lic.
City
& Classif.
Lic. #
Sq. Ft.
Size 200
No. No. Dw.
Stories Units
Arch., Engr.;
Designer
New ❑ Add ❑.
Alter ❑ Repair . Demolition ❑
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 Professions Code, and my license is in full force and
.effect.
SIGNATURE DATE
OWNER -BUILDER DECLARATION
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
permit to construct, atter, improve, demolish, or repair any structure,. prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions o/ the Contractor's License law, Chapter 9 (commencing with Section 7000) o/
Division 3 of the Business and Professions Code, or that. he Is exempt therefrom, and the basis
tot the alleged exemption. Any violation o/ Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).
'nr 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 not apply to an owner of property who
Estimated Valuation
� �
PERMIT
,
AMOUNT '
Plan Chk. Dep.
'
Plan Chk. Bal.
,
35.10
Const.
SY Qg
Mech.
+
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
Electrical
-
or improvement is sold within one year o/ completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.) -
Plumbing
_
O 1, as owner of.the property, am exclusively contracting with licensed contractors to cor.
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner o/ property -who builds or improves thereon, and who contracts /or
'such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec.. g, g P.C. or this reason
f V
S.M.I.
-
Grading
Driveway Enc.
Date Own
Infrastructure
r
WORKERS' COMPENSATION DECLARATION
i
I hereby affirm that l have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certifiedcopy thereof. (Sec.. 3800, Labor Code.)
Policy No. .Company
❑ Copy is filed with the.city. ❑ Certified copy is hereby furnished.
(� FJ`(•t.NF1 't C #'"3:
f gl ; :;1 ' �. A,[ � WA
TOTAL
89.40
CERTIFICATE OF EXEMPTION FROM,
WORKERS' COMPENSATION INSURANCE
REMARKS
orhes .section need not be completed I/ the permit is for one undred dollars ($100) valuation
or less.) - >
I certify that in the performance of thp7work fora �whicMthis permit is issued,.1 shall not
employ any person in a/ny1manner so as to become subject to the Workers' Compensation
Laws of California j
{
Date -_
ate Owner i
NOTICE TO APPLICANTLry,,'?aRer making�•thhs COWMcao/ Exemption you should become
subject to the Workers' Compensation provisiothe Labor Code, you must forthwith.
comply with such provisions or this permit shall be deemed revoked. '
ZONE:- BY: -'
Minimum Setback Distances:
A
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.)
Side Street Setback from Center -Line
Side Setback from Property Line
Lender's Name
FINAL DATE
INSPECTOR
Lender's 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 is correct.
1 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:
t•
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
2ND FL. S0. FT.
YARD SPKLR SYSTEM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. � S0. FT.
DUCT WORK
DRAINAGE PIPING
WALL S0. FT.
DRINKING FOUNTAIN.
SO FT ®
HEATING (FINAL)
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GRADING
cu. yd.
$ plus x$
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIREPLACE
SO.FT.GAR ® 3hc
HOUSE SEWER
SPARK ARRESTOR
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
s1 FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EOUIP.
• 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 / C
C
FINAL INSP.
ROOFING
OV
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTIONIL2,
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES1141TIALS
-
GARDEN WALL FINAL
• PARC LA' QUINTA . HOMEOWNERS : ASSOCIATION
ARCHITECTURAL -COMMITTEE
May 15, 1992
MR. & MRS. CHARLES HOUSEWRIGHT
49-100 Serenata Court .
L a Q -u i n t a-, C -.A 9 22-5�3.
ARCHITECTURAL COMMITTEE APPROVAL
SUBJECT:, PATIO COVER
Your request for construction of a patio addition -per the
application and drawing submitted May 5, 1992 has been reviewed
and approved by the Architectural Committee.
It is unders..tood that th.e patio will be 20 feet in length and 10
feet wide and will be painted'Navajo White to match the existing
wood and stucco paint/color of your home.
This approval does not relieve the.homeowner of -securing the
proper permits and necessary documents to execute the performance
of the work involved.
Pleas retain.this approval for future reference should any
question arise.' Thank you for your cooperation in -this matter.
Sincerely,yours,
ALAN B. DAVIDSON, Chairman
ARCHITECTURAL C014MITTEE
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