Loading...
001694 (PAT)• Ov P.O. BOX 1504 No. 001694 Building 78.105 CALLE ESTADO Address 7705 Avenida Ya LA QUINTA, CALIFORNIA 92253 Owner TIMV Pavirm BUILDING: TYPE CONST. 'N OCC: GRP. R3 Mailing " Address A.P. Number 76050-143-00 City Zip Tel. La �ta . Legal Description Fft 148 rt Conracto .. - Project Description ftti0 ixVer WValwim . OD. - Address SUb & Rx*Aw is > B. 77- 00 Mmultain V^ (SEE CM ,PMW FM SIM &F7GJ City Zip -. Tel.' . Palm Deseft 92200 345-59000 State Lic. City & Classif: -375x9 Lic: # Sq. Ft. ��� No. No. Dw. Arch., Engr., Size• Stories Units Designer New ❑ Add Cil Alter E� Repair ❑ Demolition ❑ 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) f Dwision 3 of the Business and Professions Code, and my license is in full force and effect r. ,. . SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following r►q reason: (Sec. 7031,5,Business and Professions Code: Any city or county which requires a- 2052.0 permit to construct, alter, improve, demolish, or repair any structure, prior- to its issuance also z.c• requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of t 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 five hundred dollars ($500). Plan Chk. Bal. -�•� ❑ 1, 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 Const. Professions Code: The Contractor's License Law does not apply to an owner of property who w. buildsor improves thereon and who does such work himself or through his own employees, Mech. 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 Electrical 00 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- Plumbing struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law .7iJ does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. s 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 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 r ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. f4A-� .t1 1. TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS 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 person 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 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 CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.). Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is a building permit wherrproperly filled out; signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify.that I have this a2 5 8-26-85 read application and state that the above information is correct. I'agree Issued by: Date Permit to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives sof this city to -enter the above• mentioned property for inspection purposes. r Validated by: Signature of applicant.. " 'f i/ Date Mailing. Address Validation: _ City, State, Zip A2418 8 27 7GG2 S1 HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. @ $ 2ND FL. SO. FT. @ POR. SQ. FT. ®. GAR. SQ. FT. @ CAR P. Q. FT. ®' WALL SO. 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 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL. HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT. WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 114 c' SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR @ 3/ac HOUSE SEWER FRAMING FINAL INSP. 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 INSPECTIONS/ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL