12712 (PAT)P.O. BOX 1504 4 4 N o � 12712
Building 44-295 Las Visas Dr.. 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Owner L. Allen Perkins
R,,,;,; ,, e,sa_ BUILDING: TYPE CONST. OCC: GRP. -
Address
City Zip _5
el.
La Quintao CA 32253 345--40 3
Contractor
Owner/Builder
Address
Zip
State Lic.I City
& Classif. Lic. #
Arcn., Lngr.;
Designer
Address I Tel.
CityI Zip I 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 orcounty which requires a
permit to construct, alter, improve, demolish, or repair any structure, l 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 live 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
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.)
❑ 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
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. g. g P.C. for this reason
pate O nems' ��-.r=i f ir•+'YM fir/ o
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 neednotbe completed if the permit is for onelhundred'dollars ($100) valuation
or less.) 1'-
I certify that in the performance of'thp work'fo fwhich1his permit is issued, I shall not
@mploy any person in any manner s'o` as^to16ecome subject to the Workers' Compensation
CCaws of California.. {
Date fe?f>�O ner'a'�iYe9"j'""u�..�s�'
i/ 'NOTICE) TO APPLICANT., If, after making th`i3-Certificate of Exemption you should become
subject' to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
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.
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
P. Number
,Legal Description
Project Description Patio Cover
Sq. Ft. 525 No.
-Size Stories
No. Dw.
Units
New ❑ Add ❑ Alter.❑
Repair ❑ -Demolition ❑
Estimated Valuation61877, 50
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
0.60
nh
Const.
o V "
Mech.
Electrical
Plumbing
S.M.I.
.69
Grading
Driveway Enc.
Infrastructure
t
TOTAL
149.19
REMARKS
ZONE: BY:
Minimum Setback Distances—
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
V
Side Setback from ProperAy-Line
FINAL DATE INSHECT' R- n
Issued by: Date III f— Permit 11 III
Validated by: F / JN 2 5 1994
Validation: R Bye
"1
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
FOUND. REINF.
POWER OUTLET
ROOF DRAINS
GAR. SQ. FT. ®
HEATING (FINAL)
OTHER APP./EQUIP.
/REINF. STEEL
DRAINAGE PIPING
CARP. SQ. FT. ®
WALL SD. FT.
DRINKING FOUNTAIN.
SQ. FT. ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
CU. yd.
$ plus x$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
ROOFING
VENTILATION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ac
HOUSE SEWER
MESH
GAS PIPING
PERMIT FEE
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./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
VENTILATION
�I
Uu
REMARKS:
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION IT
CERT. OCC.
—FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
BUILDING PERMIT 44 295 LAS VISTAS DR.
BUILDING DEPARTMENT
CITY OF LA QUINTA
GENTLEMEN:
PLEASE FIND ENCLOSED A PLOT PLAN OF OUR PROPERTY SHOWING
THE LOCATION OF OUR PATIO WE ARE BUILDING.
ONE OF YOUR BUILDING INSPECTERS SUGGESTED THAT WE MAY NEED
EITHER CORNER POST BRASES OR ATTACHING THE PATIO COVER
TO THE HOUSE.
WE WISH TO ADVISE YOU THAT WE WILL DO EITHER IF NECESSARY,
HOWEVER WE WISH TO WAIT UNTILL THE PATIO IS FRAMED BEFORE
DECIDING WHETHER TO ADD BRACES TO THE STRUCTURE OR
ATTACHING IT TO HOUSE. WE CAN THEN DECIDE WHICH METHOD
OF SUPPORT WOULD BE MOST ATTRACTIVE.
WE WOULD APPRECIATE YOUR GRANTING OUR BUILDING PERMIT
AS SOON AS POSSIBLE.
THAN 0 RY MUCH
a
i
t
r
--�Y OF LA QUINTA -
E =ti A'C3, & SAFETY DEPARTMENT
CONDITIONALLY
ACCEPTED FOR CONSTRUCTION
SUBJECT TO INSTALLATION AS PER
AND Al I.
DATE _� V
kx
ClY OF LA QUINTA.
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77L6 glt?4 15 Nor 477WZ-,:�1�1,0
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49� A A r- n In. — , J if
CJTV
OF LA QUINTA
P. A SSAFETY DEPARTMENT
j) I T IONALLY
D"IF
A Q,; I- - , � -0
CONSTRUCTION
T NSTALLATION AS PER
ANG -ALL -APPLICABLE CODES
DATE