15283 (BLCK)t '
Building
53--548 Ave. ValleJo
Carolyn lull
Address
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
No. 15283
BUILDING: TYPE CONST. OCC: GRP.
P. Number
City ZIp Tel.
Legal Description
Contractor Project Description Zia $ of 6 6 Idgh wo LreTsCC' '
-Address
City Zip Tel.'
State Lia City
& Classif.. Lic. #
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
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
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, 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 or the Contractor's License Law, Chapter 9 (commencing with Section 7000) 'of
Division 3 or 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 applicantfor a permit
subjecfs,the applicant to a civil penalty -of not more than rive hundred dollars ($500).
�1� owner of the property, or my employees with wages as their sole compensation, will
ij3 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.)
❑ 1, 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) ffcensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
1]ate 4/0,. Owner
WORKERS'
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
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
1 certify that in the performance of thg work for which this permit, is: issued, I shall not
employ any Person in -any mea-n-n'e�3r^s_^,o,,",as t� become subject toahe Wofrkers' Compensation
Laws ttoriJ /✓ t/U �A �'
ate !Jy Owner td �ti. ir-++
NOTICE TOAPPLICANT: ff, aker making Nis Certificate o! Exemption"you should become
• subject to the Workers' Compensation provisions of the' Labor Code, you must forthwith
comply with such provisions or this permit shalt be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE' LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
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.
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
ateMailing Address
City, State, Zip
ZONE: BY: -
Minimum Setback Distances:
71% ear Setback
IN �-/�St a Stjreet S(
�u Side Setback
JULIr 1.0 1995
FINAL.D„ ATE
1
Issued by y
Validated by: fix!
Validation:
I Center Line
Rear Prop. Line
k from Center Line
Property Line
it
,e NA,
Sq. Ft.
Size
'No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑
Demolition ❑
Estimated Valuation
$1,471A0
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
45.00
Mech. .
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL`
45.0-0,
REMARKS
ZONE: BY: -
Minimum Setback Distances:
71% ear Setback
IN �-/�St a Stjreet S(
�u Side Setback
JULIr 1.0 1995
FINAL.D„ ATE
1
Issued by y
Validated by: fix!
Validation:
I Center Line
Rear Prop. Line
k from Center Line
Property Line
it
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING. FEES
1ST FL. SO. FT. ® $
UNITS
' COLL. AREA
SLAB GRADE.'
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SQ. FT. @
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR SQ FT ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
.HEATING (FINAL)
I DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
WALL SO. FT.
DRINKING FOUNTAIN.
SO. FT. ®
WATER HEATER
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
WATER SYSTEM
FLOOR DRAIN
MECHANICAL FEES
:GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ioog 'V' o5
-
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.
SQ. FT. ® c
BATH TUB
SPARK ARRESTOR
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
LATHING
SQ.FT.GAR @ 3/<c
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
INSULATIONISOUND
MIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE EPL.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 APP.IEQUIP.
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///%/
ioog 'V' o5
-
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SiGNATURESIINITIALS
GARDEN WALL FINAL
.. -.:.:
. r
. .. �-
� � _
y,
. ........ .
;:
. ;.
......
. �... .
,,
._ G�-
. -y7/� .� /// �
:. 1. _.
MINA MINDD9� ®FLA QUINIT BUILD
`-�
f " i• 1 1. , I ` ,. 4 ' i , ,. ,� T. � 91'i 1 , "' ENT LY
lie
1 1
• ._ L � I ! A i. l• t I '' f i , � t Q91 i TT-- 1'I't�.ti � < � �r��t q �6 ��1��
' �s i� ►, e
r- y- r,F•Li9, 1
SuLATIf�ti I._. ��^pI I F��1 MMM!
VIC
AGATE
00
9',WIDE DOUBLE GATE
i �
..Co
rr
_ P ; 1 - i i I ; , i I. ' , • ! ! ;• ._1_; .f � fl�:.l � iJ I ; '. I � _ 1'x'1 �� (-�
t- C15
I Qi I W,
t .. ! � j z ;. .i ! 1 ._: � ! _. ;. , � ,. 1 ! : 1 '.,i -L•I .L.. t :_ . j _. 1 ., - `�-
' I .e t ... i : I 1 i ' ' !•i i t ' I ! �.i ,. :'i � t ! i I .1 �1 i.s.. I' i .. I ��
" I 7 r.. !. i , i I t t I , i' 1.. j t 1 , � .•� } ; , j � j i..j ! ,_ .. ! ... ,
t t-. d � .!. I 1 .t , i_• i , i +.1 ! } ! 1 j t ' , ' I ( I � 1 I , I I r i , t � I , !._.l_! , ., , ., r
.i 1 .... I _. _.J __. ._ i.._.. .. . �.. _! t., ,. , J ..l _.t. _. • e. _ _ i __t... t .__{nl...._, f. -. f .. _ .w4'�.a._ .. .. .. .. _.._ _ •__
.I t .. .
_
1- 1 t.. t I 1 l !' t .!� i l _� r.•,.. -!.••,. ri:.1. I i, i I t • i+ 1. 1 ' I (_ ! I !. l �- , 1 ...
' I r
PROPOSED 6' HI�H WOOD FENC
_t.. I-1..1_ .�_ ..�..� ,_ .J,..,� •} --• i 1•-1.1-1 I—�_:_ !"!' ` _Lil_i__ --'{ - - ,
-- -- -----------y----------------=--�---. ��
i
i , ! I ( •i. . I`E ( ! I
41
.I �.,: {. :I uj i , i .I, . ! ._. I ! I. j I. ".I ! j I -j , ! I' , J' i. :-'1.,! , .i ,•,. 1 j._.i , :Ii , i._I j `, .i
' ! •1. •i.,., i 1 I.'L_ ' � ,.•I'_ I.i I•i. .1, 1.} I I i,l )_L .i: -� t' i 1 1 ,r. i.. �1. , 1. ' i .1.,.• 1 1_I I t ..I i.J i. .J-, " I ti,tt •!
, 1 .., _I` -i I i ! '' ' I •i. •� " i 1 jam, I , - � 1 i ! �•� ; �, I I I •, I , ( (� �.J i II ' �+:�r'4.' �•
..!• � L i., .l I.I^. ��'' ,.1.•- '1 _i ' j ,_I•_I.j ;.! ,..;..I.. ••.i•t.l-I.i. j. I -i. l i ..f. _I,.i_ ..r.. t
I
_I•L. :1.•f_. I i .-,. _.t, z.}, � i �_t. 1 � !. �•i )., i _t .i,.,. .I. .j� _ ' !! .i _I• _!' i�a� -1 ..,...
! I.l- J � i .i' 1 .» i. •t l ! .I 1 E,' t I � I t 1 t I.I •- ! ,. r I 1 .1 ' I.1_I,,' �..j i ) , { , .t- I I <,I ! I jr� t I_I�i
n
i .I I i I• � I I ; i_,. 1 1_ ..I � J t.a, � +.:�
k I.,la... L. .1.: i_ I_ ! 1_i..J_.6• _�.� _ -3 .�:L.1 .�
' ' } Jt i, i. .l. , t. 1. i i _i.I , , j.,. j'_ ' i-• i. i {•! .,. .I_,I. t'.I f..1 - 1 I I_( t I ,._;.j. I I•'.L.y I �. 1.�,a:.l {...a.
I i_, T :. �. , , 1 ! t i. ; I:, ' i , i. ,.j. '.I. _`I ,�•.1�:< _t. 1 _!..i ..�_. •_;. :( „J�
.{ I, i, i 1 �-r• .i.I ' _ ,.�_ i i .i .I .{.,.i ;.i � ,..,.: I j =�- -' t j ire}}?)J qqpp �;;
� ., t ( }•' � ' I � �' •r. i 4 I ,.! � - j �j�. , i ,I. ' I ; i t. .!.:i 1 '`!..� .I,. ,' _e_.i..j:l...;.. t .:�'`' I + t,.l'.M~ :ASF: '��
_ .i._. 1 I. •j J. . ., 1 1 (/i . »! t .r . .., _' � `{ .! :.�. •L. 1 I I 1. � .
1 .i�.i- a. }. i ,. f. ! .'• i-. �'; i.' j -i !., I I .I...' I l I�._i.. .; .'. j :� ' _ { �
�''{,�i ,i .'-, { .4: I• ::4 ; ..•.d_ � ) , , ���\` I I r.I�� C�' � 1 J i, i. IL; ��,