10324 (PAT)Building
Address
Owner
Watts
P.O. BOX 1504
70 105 CALLS ESTADO
No. 10324
45-480 Desert Eagle LA QUINTA, CALIFORNIA 92253 / (
]BUILDING: TYPE CONST. OCC: GRP.
Address sa`iTi►e
A.P. Number
City
Zip
Tel.
LaQuinta
92253
Legal Description
Project Description
PATIO COVER
Contractor
Sunair Pools
Address
P. 0. Box 835
City
Zip
Tel.:
P.D.
92260
568--4014
State Lic.
City
& Classif. C53 $x 397252
Lic. # 529
Sq. Ft. 469
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
City
�.' 4/
Zip
/11
State
Lic. #
y LICEMSED CONTRACTOR'S DECLARATION
4herebyy TrinAhat 1 am,licens Al under provisions of Chapter 9(commencing with Section
�70p11) oflDNision 3 of/U�e/BusiResi's and Professions Code, and my license is in fulltE�orc9 and
1.effect_dR,,.,f / ill I
SIGNATURE
OWNEWBUILDER DECLARATION
1 hereby affirm that 1 am exempt/fro `the Contractor's License Law for the following
reason: (Sec. 7031.5,Busness and Prof ions 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 applcant 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 or Ore 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 aPp{rcant to a avril penally of not more than rove hundred dollars (s500).Plan
O 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
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves therocn and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. lf, however, the building
or krprovemend is said within one year of completion, the owner -builder will have the burden
of proving that he Bid not build or krprove for the purpose of sale.)
Estimated Valuation
6143.90 • ��
PERMIT
AMOUNT
Plan Chk. Dep.
Chk. Bal.
rJ g = U
Const.
9 0 . L/ O
Mech.
Electrical
Plumbing
p 1, 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 contacts for
such projects with a coeara torts) licensed pursuant to the Contractor's License Law.)
0 I am exempt under Sec. B. & P.C. for this reason
S. M.1.
ti
• 7v
Grading
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
dopy is filed with the city. ❑ Certified copy is hereby furnished.
/
TOTAL
149 1 2U
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
orf II certify that in the performance of thg 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
05 t 4 m rltR �}�qt 1 - l y`
Date Owner
NOTICE TO APPLICANT: H, after malmmg 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.
ZONE: BY:
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
FINAL DATE
INSPECTOR
Lenders 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 certity 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.
Issued by:
Validated by:
Date Permit
Signature of applicant— Date
Mailing Addrn_cs
Validation:
City, State, Tip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
2ND FL SO. FT.
COLL. AREA
YARD SPKLR SYSTEM
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
HEATING (ROUGH)
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
SEWER OR SEPTIC TANK
DRAINAGE PIPING
CAR P. I SO. FT.
DUCT WORK
ROCK STORAGE
WALL SO. FT.
OV,
DRINKING FOUNTAIN.
SO FT ®
METER LOOP
URINAL
ESTIMATED CONSTRUCTION VALUATION $
OTHER APPJEOUIP.
WATER PIPING
NOTE: Not to be used as property tax valuation
GAS (FINAL)
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
FINAL INSP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11% c
SEWAGE DISPOSAL
VENTILATION
SO.FT.GAR ® $Lc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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. Itl
OV,
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
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
L
/
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
0-1GAR.
FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION -
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL