12312 (RR)wrcc "a.�
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 52-945 VelascoLA QUINTA, CALIFORNIA 92253
Owner Vlarcelle Spence
Mailing
Address Same
CiZip
ty Quinta, CAI 92253
Contractor
Apex Roofing Compalty -
A'desbarbison circle
CknCho �_Lge iPCA 9227€3
State Lic.
& Classif. C-39 491381
Arch., Engr:, ! "-
Designer
Tel.
564-2655
- --324-9172
City
Lic. # 1249.
No. 12312
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Legal Description
Project Description Reroof
Sq. Ft. No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
Zip
State
Lic: #
LICENSED CONTRACTOR'S DECLARATION
I hereb�Wirm that I am lic�Ased under provisions oyC�apter 9 (commencing with Section
7000)
ofsipon�3 of the BusuPess nd ProfessioFFs C�o,{d , and'rlmy license is in full force and
��'"
Jct.7!�'. �7�r"
SIGNAFU`RE DATE
'
OWNER•BUILDERDECLARATION
/
Estimated Valuation 3
60Q
hereby affirm that I am exempt from the Contractor's License Law for the -following
.00
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, I prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT f
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 is 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 civil penalty of not more than five hundred dollars ($500).
Plan Chk. Bal.
-
❑ 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
Const.
30.00
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,
Mech.
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
Electrical
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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 improves thereon, and who contracts for
S. M. 1.
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading
❑ 1 am exempt under Sec. B. & P.C. for this reason
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
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Pollicy�o� Company
Cop a filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
30.00
CERTIFICATE OF EXEMPTION FROM
REMARKS
� WORKERS' COMPENSATION INSURANCE
(This 'section need not be cc m leted it the rmit I t h4 d d d 11
p p' s or one un re o ars ( 00) valuahon
or les.)
f certify that in the performan�fthp ork for whic�his permit is issued, I shall not
employ any person in any manneecome subjectto the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: -If,,— after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
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. 3097, Civil Code.)
Lender's Name
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.
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
Mailing Address
City, State, Zip
}
ZONE: BY:
Minimum Setback�Dis'tances:
F }-Front Setback from Center Line
• � Y
Rfop. 'n i
Si4treet k fro Cen jnetback from Property Li e
FINAL DATE Ill
Issued by: Ju
RV
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC, TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. ®
FINAL INSP.
I
WALL SO. FT. ®
WATER SYSTEM
DRINKING FOUNTAIN,
GRADING
cu. yd.
$ plus x$
=$
URINAL
SO FT ®
FINAL INSP.
FRAMING
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
FIRE ZONE ROOFING
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FIREPLACE
LAUNDRYTRAY
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSPECTION toyl-AM
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 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 � L � X13 cb
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION toyl-AM
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
r`
iL•
AA,
78-105.:CALLE ESTADO — LA QUIN,TA, CALIFORNIA. 92253 (619) 564.2246
FAX (619) 564-5617
June 10, 1991.
To Whom It. May Concern:-
The.structure located at 52-945 Avenid.a:,;Velasco will be
located.in a "B" flood zone per the revised F..I..R.M.. (panels
060709-005 A and 0010 A), for La Quinta. This change will be
effective August 13, 1991. The.property is currently
designated as zone AO (depth two (2) feet).
If you have any questions, feel free to contact me.
Sincerely,
BUILDIN AND SAFETY k
7o �-�
Ln.' Hartung
_Director of Building. and afety
TH/lc
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 '