The URL can be used to link to this page

04175 (GRES)P.O. BOX 1504 Building -78-105 CALLE ESTADO Address TrEtCtLA , QUINTA, CALIFORNIA 92253 • - Owner • . - Bmlovard Development v ✓ ' BUILDING: TYPE CONST. OCC. GRP. Mailing Address 777 S. Main St. a , Suite: 106 _ _ A.P. Number- - 613-790-001 : City Orange ZiP92686C Tel714_! 7.40 t 4 .`� _.. ,Legal. Description Contractor Project Description Building 9' Plan 2 S mo Address City Zip Tel. State Lic. City & Classif. 462814 Lic. # , „ Sq. Ft., 9 12 No. �• No. Dw. .Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. clakra a included CityI Zip I State Lic. # . LICENSED CONTRACTOR'S DECLARATION 1 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. ?,r+ SIGNATURE'- .• -r+ v" •' ci DATE is t "s OWNER -BUILDER DECLARATION I hereby affirmthatI 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, - alter, 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 (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 of not more than five hundred dollars ($500). ❑ 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 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 L I hereby affirm that I have a certificate of consent to self -insure,' bi a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy NO. Company O Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ,(This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of the work for which this permit is Issued, I shall not employ any parson in any manner so as to become subject to 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. " r 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.) y Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, a6d is subject to expiration it work thereunder is suspended for 180 days. ' I certify that l 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. Signature of applicant Date Mailing Address City, State, Zip - r' WHITE - FINANCE PINK - APPLICANT, GREEN BUILDING, GOLOENfipD,- REMARKS �'.%'l3.#1"1 �f�,{? �Ay.i')'s,.:n°1,: .Se+. {._i'e.Y.--. d9�"z.;«.•` -.. .d 71 A v - .. . t.P-PN-u � :t.. •..,y'L! 3 P4y.,; Y-.._ i:: 1. i,K �:.g �: ` �3PP Y • BY Minimum Setback Distances: ' Estimated Valuation �3 ; PERMIT AMOUNT Plan Chk. Dep. Side Setback from Property Line FINAL DATE Plan Chk. Bal. Issued by: `. 4, ' Const. A. a V*J Mech. -Validation: 3 0 . 0.0 Electrical rli 44 e 10 Plumbing OsVU ° S.M.I. 44 . �v Grading Driveway Enc. _ Infrastructure >~_ • J _ TOTAL REMARKS �'.%'l3.#1"1 �f�,{? �Ay.i')'s,.:n°1,: .Se+. {._i'e.Y.--. d9�"z.;«.•` -.. .d 71 A v - .. . t.P-PN-u � :t.. •..,y'L! 3 P4y.,; Y-.._ i:: 1. i,K �:.g �: ` �3PP 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 FINAL DATE INSP CTOR b,/+ 708 Issued by: ) Date Permit Validated by: -Validation: OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES $ UNITS A.C. UNIT IST FL SO FT 42 AGRADE 4! �� _� v ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. a STORAGE TANK FORMS SEWER OR SEPTIC TANK MOBILEHOME SVC. BAR SINK POR SO FT. Cr ROCK STORAGE D. REINF.% rZ /� (7—' TN GG GAS (ROUGH) POWER OUTLET ROOF DRAINS GAR SO. FT. Or HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO FT. a TEMP. POLE GROUT DRINKING FOUNTAIN WALL SO. FT. rd SERVICE FINAL INSP. URINAL SO. FT. rd ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. b plus x$ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES &16FING _ _ � � WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 LATHING — — -- SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID (a t V. c SEWAGE DISPOSAL SO.FT.GAR (& 3/:c HOUSE SEWER GAS PIPING PERMIT FEE I PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE IAECH.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 AGRADE 4! �� _� v ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE D. REINF.% rZ /� (7—' TN GG GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 40 3 GRADING cu. yd. b plus x$ =$ LUMBER GR. ,ggRAMING1 —15 FINAL INSP. &16FING _ _ � � A .�_ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - E ALL Z LATHING — — -- MESH TIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS - GARDEN WALL FINAL City of LaQ'u'inta 78495 'CALLE TAMPICO LA QUINTA, CALIFORNIA (760) 777-7012 [FAX] (760) 777-7011 INSPECTION RECORD Permit # 9808-002 STRUCTURAL RETROFIT OF UNIT ADDRESS DATE INSPECTION [YES/NO] FRAMING/HARDWARE PIAN TYPE: /f - 9B INSULATION CR J14 Contractor: WERMER5MULTI-FAMILY CORP. SHEAR NAILING /jam JQ-9Pj DRYWALL 945 JOB FINAL /, 'J, �• COMMENTS/NOTES: MAILING ADDRESS — P.O. BOX 1504. LA QUINTA, CALLIFORNIA 92253