The URL can be used to link to this page

04226 (GRES)P.O. BOX 1504 Building'-: 78-309 Terra Ceuta C; � LA QUINTA CALIFORNIA92253 _ Address - .Owner sine Tatra Development Mailing ; Address 777 S. Main t.. Suite 106 City' Zip Tel. - Orange 92676 714--5,47-:Q036 Contractor fir _ Address, M -x State Lic. �� (City & Classif. Lic. # Arch., Engr., Designer Address Tel. City( Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 701)0) of Division 3 of the Business and Professions Code, and my license is in full force and:, effect.../"�• SIGNATURE y' +'+" ° '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 file a signed statement that he is licensed pursuant to the provisions or 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 subjects the applicant to a civil penalty or not more than five hundred dollars (E500). O 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 _thaf 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- 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 such projects .with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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.) Policy No. company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thiscsection need not be completed if the permit is for one hundred dollars (E 100) valuation or less.) I certify that in the performance of the work for which this permit is issued, I shall not =any pparson in any manner so as to become subject to the Workers' Compensation Laws of Callfornia. Date Owner NOTICE TO APPLICANT. 11, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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.) ` 04226 BUILDING: TYPE CONST. OCC. GRP. A.P. Number 613-790-001 Legal Description Project• Description BUilding 8 r Plan 3 Sq. Ft. 163 Size No. . No. Dw. Stories Units f New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ . Garage included FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and Is subject to I y! expiration It work thereunder is suspended for 180 days. t _ I certify that I have read this application and state that the above Information Is correct. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Validation: Const.( . QQ Mech. 33.00 Electrical 41.78 Plumbing 63,00 S.M.I. 3.96 Grading Driveway Enc. Infrastructure lo,279 .9Q Fringe Food 11sa :d TOTAL REMARKS 5 1444M V tgf;h *'5 " t1 c. r,7 lu 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 Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and Is subject to I y! expiration It work thereunder is suspended for 180 days. t _ I certify that I have read this application and state that the above Information Is correct. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip L ` WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT !p $ UNITS SLAB GRADE --[ ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. gr FORMS''// SEWER OR SEPTIC TANK ROUGH WIRING • MOBILEHOME SVC. BAR SINK POR SO FT. a GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR SO. FT. iL TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO FT. FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP y, OL - FINAL INSP. r DRINKING FOUNTAIN WALL SO. FT. /a LUMBER GR. MING OOFINGr';_� -' a—'6 w- VENTILATION FIRE ZONE ROOFING URINAL SO. FT. (& GAR. FIREWALL THING 2— ESTIMATED CONSTRUCTION VALUATION $ INSULATIONISOUNDZ WATER PIPING NOTE: Not to be used as property tax valuation CERT. OCC. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID ( I V. c SEWAGE DISPOSAL SO.FT.GAR q ji c 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 <�2� ELECTRICAL HEATING 8 AIR GOND. SOLAR SETBACK ROUND PLUMBIN r 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. -1:6 (! vv 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 FINAL INSP y, OL - FINAL INSP. r GRADING cu. yd. $ —plus—x$—=$— REMARKS: LUMBER GR. MING OOFINGr';_� -' a—'6 w- VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR, GAR. FIREWALL THING 2— /MESH INSULATIONISOUNDZ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL 71 city of LaQuinta 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA (760) 777-7012 [FAX] (760) 777-7011 INSPECTION RECORD Permit # 9.808-002 STRUCTURAL RETROFIT OF UNIT ADDRESS DATE INSPECTION [YES/NO] - D FRAMING/HARDWARE PLAN TYPE: 1 / - 9- %8 INSULATION Contractor: WERMERS MULTI -FAMILY CORP. SHEAR NAILING DRYWALL OK � - /0 - 98 JOB FINAL m� COMMENTS/NOTES: MAILING ADDRESS — P.O. BOX 1504 - IA QUINTA, CALLIFORNIA 92253