Loading...
12371 (PAT)ra •_ P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 44`355 Lae Vistas Drive LA QUINTA, CALIFORNIA 92253 Owner Century HGtlit©8 '' a Mailing BUILDING: TYPE CONST. Address 1535 South OD" Street A.P. Number City Zip It Tel. San Bernardino 92408 f 9091381-6007 Legal Description ContractorProject Description Patio c' �, Address ity lZip State Lic..- B •314473 2120 & Classif. (City Lic. # Arch., Engr., Join gLtvada Associates Designer , Add es « Prospect Ave. T17141730-6161. Cit "xstn� Zip 92680 State Lic. # LICENSED CONTRACTOR'S DECLARATION ,,I -hereby affirm thatfam licensed undei provisions of Chap 770,00) (commencing with Section of ivisign 3 of the Business a 'Professions ode, my license is in full force and effect: �J%� Electrical 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,' alter, improve, demolish, or repair any structure, !prior to its issuance also requires the applicant for such permit to rile 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 rive 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 Coder 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 or 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 or property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner 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 inopy is filed with the city. 0 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.) ' I certify that in the performance of the work for which this permit is issued, I shall not employ any peon in any manner so as to become subject to the Workers' Compensation Laws of Cal ifornirsa. Date Owner NOTICE TO APPLICANT. If, after making this 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 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.) Lender's Name Lender's Address 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 Address City, State, Zip I No. 12371 OCC. GRP._ Sq. Ft. 2899 No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $3r 85.•90 BY: PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 40.95 Const. 63.00 Mech. Electrical + Plumbing Side Setback from Property Line S.M.I. .28 Grading`"` ± tt Driveway Enc. INS Infrastructure Issued by: Date erm , Validated by: T -t q 1QQI TOTAL Validation: REMARKS N�t /{ t ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line + Side Setback from Property Line Y f ± tt FINAL DATE INS Issued by: Date erm , Validated by: T -t q 1QQI Validation: N�t /{ t CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 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 GAR. SQ. FT. @ POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) WALL SQ. FT. DRINKING FOUNTAIN, SQ. FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation 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 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/e c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES J-7FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR GOND. 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 SIGNATURES/INITIALS GARDEN WALL FINAL. • .. ,. ���, �, ' . , • • ooh . CITY OF LA QUINTA IJO rDING & SAFETY DEPARTMENT • ; CONDITIONALLY .;` ACCEPTED FOR CONSTRUCTION. SUBJECT TO INSTALLATION AS PER • • '%-; ' . .: ;;` ;: . • .. DE/ AND ALL APPLICABLE COS —(o? BC - ---_ - - - DATE • -1 '• rJ L V s I - �X6p IW blk. �HINr i+(?7 b�l.TS cFw4tz;l WN —0 x spat I MIAWVA AWM VVT I wrtoer�X s ) I 1 i --- o )� �-oM� G�MKIMUNI i l� 0 : CITY OF LA . QUINTA . . DING & SAFETY DEPARTMENT ' ,'. CONDITIONALLY. ACCEP=TED FOR CONSTRUCTION.. SUBJECT TO INSTALLATION A3.0ER AND ALL APPLICABLE CODES' DATE BY l� X�4K �tWN 2X to Vs r` irt7x — — olaw . to