14685 (PAT)r`' 1
• Building
Owner
- i
P.O. BOX 1504
78-74!5 'ZY'ifin Circle. 78-495 CALLE TAMPICO
LA OUINTA, CALIFORNIA 92253
Bill Seals
Mailing Same
Address
City Zip
La Qu nta,. CA I .. 32253
A] collcs 'Constrttctio'n
A`ddVs. Box 977-
I;aCity •�t�inta, CA zip92253
State Lic.
& Classif. 8 69680
..Arch., Engr.,
!
Designer
Address
City " Zip
I herebyy affirm that I am
000)•of Dlvision.3 of the I
Tel.
r
Tel.:
771.3145
No. 14585 . -
JILDING: TYPE CONST. OCC. GRP.
P. Number
egal Description_
roject Description
Lattice Patio Cover
City
Lic. #2.3 Sq. Ft. No. No. Dw.
Size - 360 Stories Units
Tel.
I State
Lic. #
4TRACTOIPS DECLARATION.
,r provisions of Chapter.9 (commencing with Section
Professions Code; and my licenseis in full. force and
'A-AlSw.s,.�Y"� N• " D a Ci s?
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑:
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 703,1.5,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 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
Estimated Valuation
PERMIT ,
- Plan Chk. Dep.
-
Plan Chk. Bal.
Const.
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.)
Mach.
Electrical '
Plumbing
❑ 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
S.M.I.
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.)
❑ I am exempt under Sec. B. 8 P.C. for this reason
_
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker'sompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
PolicyIbiCompany
O'Copy is filed with the. city, ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
' (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 thg work for which this permit is issued, I shall not • .
employ any pparson in any manner so as to become subject to the Workers' Compensation
Laws of Cahf0 nia.
Dt •
5,004.00
a e Owner y
_ NOTICE TO APPLICANT:- N, 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:
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 if work thereunderis suspended for 180 days.
I car lly 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 Address
\ City, State, Zip
AMOUNT
46.00
72.0
.1405
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center tine>,
Side Setback from Property Lined
FINAL DATE INSPECT�Ov/
Issued by: Date-
15/1
Perm
.� �
'
Validated by: -
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SQ. FT. @ $
2ND FL. SQ. FT.
POR. SO. FT. @
GAR. SO. FT. @
'CAR P. SQ. FT. @
WALL SQ. FT. @ '
SQ. FT. @
ESTIMATED CONSTRUCTION VALUATION $
'UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN,
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN -
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM ' FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRY TRAY I
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES -SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
SQA FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B:T.U.
SQ. FT. RESID @ 11/4 C
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
REMARKS:
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 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 APPJEQUIP.
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
C
.
Matter Site 6 ipeciy
goof titch
Continuous {edger
Waller �_C lel w� %'—
Size
see Mnotfag Mote %slew
- speclf� 11aetl"A b Sheathing of even Lattice
oaf ter spiv �Q?'_� --� , 2--�- MA�:` !, I
Y sad Angle strap
6"26-al"al/M" witb
4-16 d malls w Molt
pest spacing _
OverallI L
r
tIlls. 6"aC posts
9f1R, P�. SIDE
LJ
2000 >,.s.i. t�,attte J :J
k n. .L alt"
Gl
i/11":S" lag sere.s sate stats at lt" sotim= 12"
•.e. •else Grade
-Caotfauoua
Ledger
S 0 -strap K
Angle
Ascher
Provide 1" �l sea-ger*«fao.' belts
learanc
o ' rost
Pl,te
To '. i' 6" ,�
concrete I1 1 �)'w
E�
t
i
t
You •after to slatting
ML CQm--VL= � 4 - 16 d mails or bolt ��
S%V MI.MPW 70
T'_T UNVVKt K=DC limbed Ascbrs 7" is emc.
4
SPAN 7718; —
�• `.
46
J
mu -M SPAN 0
ar4di.-q ltulss
PS 20-:0 .Q '► �R �R •+
(feet 6 laches)
S
FS• �b.S .�yb �� ��
2x4
16' C.c.
24' -
11-2
9-0
10-8
1-8
7-li
6-5
6-3
6-9
6-4
5-2
2x6
u" c. c.
11-10
17-5
3-0
13-7
10-0
16'
16-3
15-1
1-3
11-'1
H
24'
13-3
12-4
9-2
97
7-1
32' •
10-10
9-11
7-0
7-6
S-4
2x8
16' C.C.
21-5
19-10IID-0
14-10
15.4
11-0
24•
17-6
16-312-1
12-11
94
32' .
14-5
U-0
10-2
1-6
I�e`y 4.4 QutHfw
F0250 is 3 4F !2,87,
1 I ` �1 `• lilt
. ''lu � � Crate "'v . • SII % i
T �
INEAUM
aim ow S17s • s1Al•1
6x4------- S• at* 4►'-
7.
L..20' 4 '
•_'
18' 4110 I'1
14=firiq sec*
•- bnd shakes 6122 pitch (3/12 stir. piU:h w-th 301
felt tr+d*:layl Mass A
D. bad. M;miticr. s`_ules 4.112 pitch 13/12 mi:—
Pitch v.tA 151 felt uldcLy) . Class A
C. &-lt up ==led roof sloe to dra_..
d • bck rwf 3/12 enx zn pitch.
TRIM PAMO C>Q7ER
`1 - ` GRy