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12168 (RPL)Building Address 53•-150 Dfag Owner Ted Wendel i0a Ed Leveau Mailing Address c t Quinta, 'CA z192253 Contractor C;rC Fools , Address 43-306 Wild Rose lta did , CA ZIP 92201 State Lic. & Classif. P -53 668916 Arch., Engr., Designer Address T4., 4 �t 9 Q P.O. BOX 1504 N o • 1216 V 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Descriptionao Tel. 342-4268 City City Lic. # 3007 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ 'Alter ❑ Repair ❑ Demolition ❑ Tel. �sat4ss>,nk arl'�ncs!•seseatroir��..1�� a,nri�•rrvf�lll. ty Zip State See attached sub- t. Lic. # LICENSED,C9 TR CTOR'S DECLARATION I hereby affirm that I am licensed �'nder Dr visions of Chapter 9 (commencing with Section )00) of Divigto the{g-u �ess�nd PPrrofe sio`nq_CoAdeaaand�my license is in full force and f�fect. /� l !LJ f l{ 1ti.�Yt I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 1031.5,Business and Professions Code: Any city or county which requires a -, permit to tons uct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ppllcant 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 or 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 builds or improves thereon and who does such work himself orthrough 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.) O 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 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSALIU� INSf1RANCE (This section need not be cornpleted it the pe is or o e hundred dollars ($100) valuation or less.) f I certify that in the performa ce of thp, wojk r whi this permit is issued, I shall not 4,f:mploy any person in any manne o as,o bel me sub ct to the Workers' Compensation ` Laws of California. a j ^ - Date owner 1 NOTICE TO APPLICANT: 1I, aRe ma ng athis Carl , o Exemption you should become subject to the Workers' Compe sation pro`s ns o the abor Code, you must forthwith comply with such provisions dr, his ermit shall b deemed voke . 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 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 1993 stimated Valuation $1t��-0-ti. fl;C b fl I' PERMIT y" ` AMOUNT Plan Chk. Dep. Side Street Setback from Center Line Plan Chk. Bal. Side Setback from Property Line • Const. INSPECTOR 1 •ou Mech. Validated by: Z4. Ou Electrical Validation: 45.00 Plumbing L!.00 .S. M. 1. Grading Driveway Enc. Infrastructure TOTAL r:.d 0 9• REMARKS 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 FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. 80. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING Y ARD SPKLR SYSTEM 2ND FL. $0. FT. p FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. 80. FT. GROUT WATER HEATER SERVICE WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM FINAL INSP. Z FINAL INSP 3 URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation ROOFING 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 LAUNDRYTRAY 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 ® 114 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER 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 PLUMBINGrB,7>UNDERGROUND 27—g 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.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. Z FINAL INSP 3 GRADING cu. yd. $ plus x$ =$ LUMBER GR. FRAMING ROOFING 1 L 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 tA- C Z T//Y�� OF LA QU I N"PA J� Contractor (�� Od[-� ... l Address Owner/1�1 /(��(�. L l/ Job Address��— This form shall be.posted on the job with the Building Inspection Card at all times in a conspicuous place. It is the responsibility of the General Contractor or the owner/Builder to monitor the sub -contractors that are on this list are the same persons performing the work. Any changes of this list must be approved by the City of La Quinta Department of Building and Safety prior to work being performed by a changed sub -contractor. Failure to comply will result in a stoppage of.work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LIC)ENSCE� NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS LICENSSEE NO. GRADE/ EXCAVATE PIPELINES C MEDTT ONS FOUNDATIONS .4\4f� ! X?, CEMENT/WALKS & DRIVES ASP -A �T'�" FRAMING WL r STEEL/ STRUCTURAL MASONRY PLUMBING LATHING DRYWALL PLASTERING HVAC v ELECTRICAL ROOFING SHEET METAL FLOORS GLASS/ GLAZING INSULATION SEWAGE DISP PAINTING/ DECORATING TILE CABINETS/ INSTALLATION ORNAMENTAL METAL FENCES/ BLOCK WALLS LANDSCAPING iL OTHERS `