14506 (DEMO)*" P.O. Box 1504
Building i 52" 675 Ave,. Velasco � LA QU NTA, CALIFORNIA 9
Adie0
2253
Address
No. 14506
Owner
Mrs. Lynn Kerr, Mr. & Mrs. Bastasini
BUILDING:. TYPE CONST.
A.P. Number
Legal Description
Project Description '
- OCC: GRP.
Damage DemolitionG.L.
Mailing
Address Same
City
La Quinta v CA
Zip
92253
Tel.
ContractorFire
Setil6ns Cohstructioh
Address
Date Owner
.260 Pinyon Crest
C1 y1 il. CentersIp
92561
Tel 49-3327
r.. Minimum Setback Distances:
State Lic.City
& Classif.... A 521353
Lic. # 2484
Sq. Ft.
No. No. Dw.
ckfrom,CenterLineSHALL
Size
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 (commencing with Section
�171006) of Division,}3�6f the Business and Professions Code, and my license.is in full force and
• `effect. t . C tiI'ix f
' SIGNATUREDATES.
' 'OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractors License Law for the following
.reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which .requires a
permit to construct, after, 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 (commencingwithSection 7000) of
Division 3 of the Business and Professions Code, or that. 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 (E500). ..
0 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 ..
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
or improvement is sold within one year of completion, the owner -builder will have the burden.^-
of proving that he did not bulk! or Improve for the purpose of sale.)
Estimated Valuation
-
•.PERMIT
AMOUNT
_
Plan Chk. Dep.
Plan Chk. Bal.
-
Const..
'
45.00*
Mech.'',-
E1eCtfICa1
Plumbing
O I, as owner of the property, am exclusively contracting with licensed.contractors to con•.
structAhe 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
such projects with a contractors) licensed pursuant to the Contractors License Law.) -•
❑ 1 am exempt under Sec a, & P.C. for this reason
-
$•M.1.
.
Grading
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
Workerpensation Insurance, oracertified copy thereof. (Sec. 3800, Labor. Code.)
Policy Company
Copy Is filed with the city, O Certified copy is hereby furnished.
TOTAL
45.00
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed N the permit is for one .hundred dollars ($100) valuation
' or less.)
Issued by -
I certify 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
Date Owner
Validated b
NOTICE TO APPLICANT: N, after making this Certificate of Exemption you .should become -
'the
ZONE:- BY:
subject to Workers' Compensation provisions or the* Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked. -
r.. Minimum Setback Distances:
Front Setback from Center Line
_Rear_8o*acRrrklm Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND'Sideeetff""n
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
ckfrom,CenterLineSHALL
HUNDRED THOUSAND DOLLARS ($100,(X10); IN ADDITION TO THE COST OF COMPENSATION,•
Side Se bacom Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR.CODE, INTEREST, AND �I1 1
ATTORNEY'S FEES.
This Is a building permit when properly filled out, signed and validated, and -is subject to
expiration if work thereunder is suspended for 160 days.. . .
1 certify that'l have read this applicationand state that the above information is correct.,
Issued by -
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 -..--
for Inspection
mentioned property purposes.
Validated b
Signature of applicant Date'
y
Mailing Address Validation:
City, State, Zip
rmit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUmB4W FEES"
A.C. UNIT
COLL. AREA
SLAB GRADE
1ST FL. SO. FT. ® $
_ . UNITS
HEATING (ROUGH)
STORAGE TANK
FORMS
YARD SPKLR SYSTEId1 -
2ND FL. S0. F.T. @
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
OTHER APPJEOUIP.
REINF. STEEL
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GROUT
DRAINAGE PIPING
CARP. SO. FT.
FINAL INSP.
WALL SO. FT. ®
WATER SYSTEM
DRINKING FOUNTAIN
SO. FT. ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
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.
SO. FT. ® c
BATH TUB
SO. FT. ®c
IWATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
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 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-x$-=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
' ROOFING oI� qs
O/Z /i�®///J� •.
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATUPESIINITIALS
GARDEN WALL FINAL