14468 (BLCK)-
v 620 P.O. BOX 1504 No. 14468
Building 5$•-300 Ave. Velasco 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner LeC)8 6rd ?y1.eieE = ...
Mailing BUILDING,% TYPE CONST: . OCC: GRP.
Address ?'7(3129 lroglAois br if
A.P. Number
City Izip Tet,_
Indian • Wahl . A A. 92.210, 345-7/ 266 Legal Description
Contractor r 4001 of. A'' high garden wall-- .
e. Project Description
Sam
Address 1
rs
-City Zip . Tel.:
State Lic. $ 6��(� city 2964-
&
-4 .
& Classif.. Lic. # Sq. Ft. No. No. Dw:
Size Stories Units
Arch., Engr.,
~Designer New O Add ❑ Alter Repair ❑ . 'Demolition ❑�
Address Tel.
City Zip State
Lic. #
LICENSED.CONTRACTOR'S DECLARATION
I hereby aftf pn that I am licensed under provisions of Chapter 9 (commencing with Section
))))))7000) of Divi' ion 3 of the Business,and Professlons.Code, and my license is.inJull.force and
SIGNATURE DATE
OWNER•BUILDERDECLARATION Estimated valuationx%46
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, after, Improve, demollsh, 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, .• 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 Js. exempt therefrom, and the basis -
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a • permit Plan Chk. Dep.
subjects the applicant to a afvfl penalty of not more than rove hundred dollars ($500). --
.p I, as owner of the property, or, my employees with wages as their sole compensation, will Plan Chk., Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044; Buisness and Const- 2.7 �}�
,. Professions Code:. The Contractor's License Law does not apply to an owner- of, property who d
builds or improves thereon, and who does such work himself or through his • own employees, Mech. • -
provided.that such, improvements are not Intended.or offered for sale. If,-however, the building
- .or Improvementis sold within one year of completion, the owner-builder will have the burden Electrical
- • '
of proving that he did not bulk( or improve for the purpose of sale.) ' ' - -
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing
strucl the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves. thereon, and who contracts for S.W.
such projects with a contractors) licensed pursuant to the Contractor's License Law.) - -
O I am exempt under Sec. B. 8 P.C. for this reason Grading
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to Self-insure, or a certificate of _ . Worker's Coglpensation Insurance, or a certified copy thereof. (Sec. 38,00, Labor Code.)
Policy I Company `
Copy is filed with the city, .. ❑ Certified copy is hereby furnished.
TOTAL .25.00
CERTIFICATE OF EXEMPTION FROM REMARK$ -
WORKERS' COMPENSATION INSURANCE
(This section need 'not be completed ff 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, l shall •not -
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California
j
NOTICE TO APPLICANT It, h, alter making. this Certificate of •Exemption ' you should become ZONE:— BY:
subject to the Workers' Compensation provisions of the. Labor. Code, you, must" forthwith Minimum Distances:
-
comply with such provisions or this permit shall be deemed revoked.' - '
Front Setback from r r.'L'ce
Rear Setback fro r Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,,AND• ,Side Street. Se ckfrom .erLine
SHALL SUBJECT AN EMPLOYER TO CRIMINAL- PENALTIES AND CIVIL FINES UP TO ONE ,
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, Side Setbae from Pf glerty Li
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND .
ATTORNEY'S FEES. - y- '`
This is a'building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECT
expiration it work thereunder. is suspended for 160 days. .
I certify that I have read this application and state that, the above information is correct - Issued by: Date
I agree to comply with all* city and county ordinances and state laws ;relating to building.-
A
construction, and hereby authorize representatives -of this city. to .enter the above-.
mentioned property for Inspection purposes. Validated by:
Signature of applicant— Date
9
Mailln .Address Validation:
City, State, Zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
MOBILEHOME SVC.
BAR SINK
FOR. SO. FT. ®
ROUGH WIRING
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
FOUND. REINF.
GAS (ROUGH)
DRAINAGE PIPING
CAR P. SO. FT. ®
HEATING (FINAL)
WALL SO. FT.
REINF. STEEL
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
SERVICE
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.GOOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
$
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LUMBER GR.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FRAMING
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
FIRE ZONE ROOFING
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 114 c
SEWAGE DISPOSAL
SO.FT.GAR ® V4c
HOUSE SEWER
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 PLUMBINC
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCKSTORAGE
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
FINAL INSP.
ROOFING
^/v // Q/,
%j
( / 2// 7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL