15180 (RPL)44Q
hA
P.O. BOX 1504 N o . 15180 ^./
Building 78-495 CALLE TAMPICO Z,
Address e.78-785 -Spy Glass Hill LA QUINTA, CALIFORNIA 92253 „
Owner
Steve W. Schechter
Mailing BUILDING: TYPECONST. _ OCC: GRP:
Address 78-785 Spy.Glass HIM A.P. Number
City Zip Tel.
' L Quinta 32253 345--0871 Legal Description
Contractor Project Description 1i4t
20
1.Spa, Relocate A/C.
C3wner gut lder
Address
City Zip Tel.'_
x"St'ate Lic. City ,r
& Classif.: Lic. # Sq. Ft. No. No. Dw.-.
t' e • Stories Units
Arch.; Engr., Size ' • f
Designer New ❑ Add;❑ Alter ❑ Repair ❑ -Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S.OECLARATION
I 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.
SIGNATURE DATE "
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors License Law for the following 410,300.00
reason: (Sec. 7031.5,Business 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 1 -
requires the applicant for such permit to file a signed statement that he is licensedpursuant 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 -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 rive hundred dollars ($500).
❑ 1, as owner of the property, or my employees with,wages as their sole compensation, will Plan Chk. Bal. : Vx+ 151 .
90
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. �1�f3 •-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,
provided that such improvements are not intended or offered for sale. If, however, the building Mech:
or improvement is sold within one year of completion, the owner -builder will have the burden Electrical - R •'V
. of proving.that-he did not bulkf.or improve for the purpose of sale.) • .t4 -
O'1, 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 - '•••'z',
does not apply to an owner of property who builds or improves thereon, and.. who contracts for S,M•1• ,,r� :•
such projects with a contractors) (lcensed pursuant to the Contractor's License Law.) . ; v'z•
- Grading .. '
❑ 1 am exempt under Sec B. & P.C. for this reason
Driveway Enc.
Date /7",1757 owner J.- yr IInfrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 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.. O Certified copy is hereby furnished.
TOTAL *3 U.1.+ `3
CERTIFICATE OF EXEMPTION FROM REMARKS,
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation '
o ess.)
I certify that in the performance of thg work for which this permit is issued, I shall not
ploy any pperson in any manner so as to become subject to the Workers' Compensation
Lawslifornia Owner Z/
Dates P' 1 �f
NOTICE TO APPLICANT: g, after making this Certificate of Exemption you should - become
ZONE:
BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND.
-
Side Street Setback from Center Line
-
SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
-
,
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
Side Setback from Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND .
ATTORNEY'S FEES.
FINAL DATE
INSPECTOR
This is a building permit when properly filled.out, signed and.validated, and is subject to.
expiration it work thereunder is suspended for 180 days.
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
`f
Mailing AddressValidation:
I i
-T-1
City, State, Zip
n
AY 1
'.'
By
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW%3 FEES
'�, FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SO. FT.
FORMS
SEWER OR SEPTIC —ANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT.
GROUT
WATER HEATER
WALL SD. FT.
FINAL INSP.
DRINKING FOUNTAIN.
SO. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
_$
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
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 ® 11/. c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
NIECH.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 —ANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEGUIP.
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
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
NAL INSPECTION 6
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL