Loading...
001414 (SFD)1 Building Address Owner Mailing Address City P.O. BOX 1504 No. .0014.4 "-41 z. sandom CX'Wt Dr. LA OUINTACCALIFORNIA 92253 . Zip 7E;eau, HW .9683.3 Contractor. _ .Address City.. Zip vest w 92053 State Lic. & Classif. 442e22' -•-Arch " Engr• BUILDING: TYPE CONST. Vh OCC:,GRP:- 770£3 A.P. Number .JS,7..tS0(4 Legal Description Project Description rel. _340-5521 City Lic. # 237 sq. Ft. DM 3247 Size No. No. Dw. Stories Units Designer .7 Newm Add ❑' Alter ❑ Repair ❑ Demolition ❑- Tel. Address++��QQpp �1 Farrell ppyyo� 323-7M- 2!.►�7MCity City Zip State �7>aatniaxe 4'�2 Lic. # . ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I -am licensed under provisions of Chaptei 9 (commencingrwilh Section 7000) of Division of the±Business and Professions Code, and'my license is in'full force and- effect I 1 ! /- !I :is i'e. l / } W f " SIGNATURE I i C - DATE - .. ..� .. .. _ .. ., .. .. OWNER -BUILDER DECLARATION E$tlmated I hereby' affirm that I am exempt from the Contractors License Law for the: following • Any .VdlUatlOn �w %i •*A9k ' reason: (Sec, 7031.5, Business and Professions Code: city or county which requires. a` t e.' permlt' to construct, alter, improve, demolish, or repair any structure,- prior. to Its issuance also NPERMIT ,requires. the applicant• for such permit to file a signed statement that he is licensed pursuant -to -• 'AMOUNT -. the provisions of the Contractor's rLicense law, Chapter.' 9' (commencing with Section 7000) o/ '. r• ' Division' 3 of the Business and Pfdlbssions Code, or thabhe is'exempt therefrom, and the'basis for. the Any Section 7031.5 by 'any .. i-. . • ' - Plan.Chk: Dep..105;07. 22 • alleged exemption. violation of applicant'for a' permit �• subjects the applicant'to a "civil penalty of not more than live hundred dollars (8500). Plan Ctik. Bal. 24 '. • OI, as owner of the property, or my. employees with wages as their sole compensation, will . •, d,the work; and the structure is not intended or offered for sale. (Sec. 7044, Buisness and* 'not .. e Cionst.. 3 00 67! - Professions_ Code: The Contractor's. License Law does_ apply'to;an owner of property who - builds or Improves thereon and who does such work :himself or through his own employees, -offered s Mech: �� �, . ,provided that such Improvements are not.intended or for.sale. If, however„ building or improvement is. sold within one year of completion,• the owner -builder will have the burden -the . Electrical` .I 60.” ' of proving that he did not build or improve for thepurpose of sale.) .. - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 0.00 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. Is •such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) Grading - . ❑ I am exempt under Sec.. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure asawx =011IMMt vilh ©mmmi- Dim ,1. Aiiraeb AY _ WORKERS' COMPENSATION DECLARATION I'hereby affirm that) 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. TOTAL 1 862.60 1 756.88 _ CERTIFICATE OF EXEMPTION FROM REMARKS. WORKERS' COMPENSATION INSURANCE (This, section need not be completed if the permit is for one hundred 'dollars (8100) valuation • or less.) ........ .. _.. ... .. • I certify.that in the performance of tha work for which this permit is -issued, I shall not - employ any person in any manner sous to become subject to the Workers' Compensation - Laws of California. Date_L.' Owner NOTICE TO 'APPLICANT: If, after making this Certificate ofExemption you should become ZONE: - BY:, ' " "subject tb .thb 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 coNsraucTloN LENDIfvc AGENCY • - •-' Side Street Setback from Center Line _ 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.) 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 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. -Issued by:'" Date Permit •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 insp�oti/on%/purposes. f Validated by: Signature of applicant 1lf� t{ 'r 71 Datef-'J-���i� Mailing Address t i 7 Validation: City, State, Zip r HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES , IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO, FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) DRAINAGE PIPING WALL SO. FT. OTHER APP./EQUIP. DRINKING FOUNTAIN SO FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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 ® 1+/. c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3/<c HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE Ii6ECH.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 APP./EQUIP. 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 FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL APPLICANT NAME (L, F. MI) , JL Construction ADDRESS P.O. Box 173 C ITY/COMMUN ITY/STAT E/ZI P Nestor; CA 92053 JOB SITE ADDRESS/SPACE CITY/C'OMMLINITY/STATE/ZIP _ La. Quinta, CA 92253 1N' PAG I PERMIT APPLICATION City of La Ouinta Department of Building and Safety This permit becomes void if work not commenced within 180 days from date of Issuance. OR. If work has been suspended or abandoned for a period of 180 days. SE CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE: This section need not be completed if LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensed under provisions o1 Chapter 9 the permit is for one hundred (5100) o, less. l certify that in the performance of the work for which this permit is (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force issued. Ishall not employ any person in any manner soasto become subject to the Workers'CompensationLaws of and effect. California. License Class Lic. Number Date 'Applicant Date Contractor NOTICE TO APPLICANT: If, after making this Certificate o1 Exemption, you should become subject to the Workers' OWNER -BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors License Law for the -following Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: such permit to file a signed statement that he is licensed pursuant to the provisions of the Contra ctor'sLicense Law 01 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend. will be (Chapter 9(commencing with section 7000) of Division Sof the Business and Professions Code) orthat he is exempt made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or therefrom and the basis for the alleged exemption. Any violation o1 Section 7031.5 by any applicant for a permit demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap 3.2, Grp 2, Art 2. Sec341, Title B. subjects the applicant to a civil penalty of not more than five hundred dollars (5500.): C.A.C.) O 1, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the O As owner -builder, I will not employ anyone to do work which would require a permit from the Division of structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License Industrial Safety, as noted above, unless such person has a permit to do such work from that division. 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 O Division of Industrial Safety Permit No. building or improvemnt is sold within oneyear of completion. the owner -builder will have the burden ofprovingthat Date Applicant he did not build or improve for the purpose of sale.). CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance O I, as owner of the property, am exculsively contracting with licensed contractors to construct the project (Sec. of the work for which this permit is issued (Sec. 3097, Civ. C.). 7004. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Lender's Name builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Lender's Address O I am exempt under Sec. B. 8 P.C. (Attached Certificate). I certify that I have read this application and state that the above information is correct. I agree to comply with all Date Owner 'city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance , or a certified copy thereof (Sec. 3800. Lab. C.). Signature of Applicant or Agent Date Policy No. Company CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify I have read this application and state that O Certified copy is hereby furnished. the information given is correct. I agree to comply with all state laws and county ordinances relating to buidling . O Certified copy is filed with the City Building Inspection Department or City Department. construction, and authorize a'representative of the City of La Ouinta Department of Building and Safety to enter upon the property for which I have applied for this permit for the purpose of making inspections. Date Applicant Signature of Applicant or Agent Date Print Applicant/Agent Name APPLICANT NAME (L, F. MI) , JL Construction ADDRESS P.O. Box 173 C ITY/COMMUN ITY/STAT E/ZI P Nestor; CA 92053 JOB SITE ADDRESS/SPACE CITY/C'OMMLINITY/STATE/ZIP _ La. Quinta, CA 92253 BOK PAG I PRC I C I TNM RNO SE S 19903 LOT �` .Zff Fee 5.46. Moo SB TRACT NAME HORIZON PT IM OWNER NAME (L, F. MI) Gwie1.al Management Corp. ' CONTRACTOR -FIRM NAME J.L. Construction ADDRESS CITYICOWUNITY/STATE/ZIP PHONE 0 LICNC ; ARC/ENCi FIRM NAME Michael Buccino Assoc. ADDRESS 340 S. Farrell Dr. A212 CITY/COMMUNITY/STATE/ZIP PalmSprings. CA 92262. PHONE • LICNC'• 323-7877 1 USE OF PERMIT Single Family Dwelling BL ION, FSB SSB SSB RSB OFC ZONE ORD 9 LOT SZ `END SIDE APPLMRMT 5-2-2=85 S:F.D. Permit to construct 1247 sq. ft. of living area and 433 sq. ft. of garage as per approved plans. mech. Fee 37.00 Plan Check Fee 307.96 Const. Fee 367.00 El ect. Fee 60.18 .Zff Fee 5.46. Plurrbim Fee 85.00 * Tnfrastructure 862.60 105.72 DEP. PAID ...756.88 * aareembnt with ftmirminity t Department TOTAL • 'FEE 862.60 H11L/ LL /5&88 CK FINANCE VALUATION F77,948.00