14520 (SIGN)44
P.O. BOX 1504
Building78-495 CALLE TAMPICO
Address 50-8S5 Washington #D
LA QUINTA, CALIFORNIA 92253
Maggia's Hair Deoigns
Mailing
Address samie
.City
Zip 9 ' 3 fel.
aQuinta,, CA 225 321-6776*
Contractor
'Signs a servicos",
Address
10980 Boatman Ave.
S1yantan, CA' ziTel
Zip 906 ,20 ' _ 2
(71076i 8 00
State Lic. City -
& ClassiL .- C;-45
&CIassiL.-0;-45 439828 Lic. # 3543
Arch., Engr.,
' "Designer•
Address Tel.
No. 14520
BUILDING: TYPE CONST.. OCC'. GRP.
A.P. Number
(Legal Description
.
Project Description (1) Cabinet Sign
Maggie `•s,Hair. DaaignS_
Sq. Ft. No. No. Dw.
Size.. Stories Units
New 0 Add 0 Alter. 0
Repair 0 JDemob uon u
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S-6ii6IXRATION
by affirm that I am licenseg,urider;orovisid!!�prf-phapter 9 (commencing with Section ,
f7 -of DivisI 3-oPtK
sio e ' crProfessioni, 06derand thy license. is in full force
,Bus' and
DATE
OWNER -BUILDER DECLARATION
I hereby I from
ValLiatJon $1 i500000
affirm that am exempt the Contractor's License Law for the followingEstirriated
reason: (Sec. 7031.5.8usIdess and Professions Code: Any city or county which requires a
permit to construct, site, Improve, demolish, or repair any structure; prior,to its -issuance also..
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
Division 3 of fhe Business and Professions Code, or that he is exempt therefrom, and the basis
for the Any Section. 7031.5 by for
Plan Chk bep.
alleged exemption. violation of any. applicant a permit,
subjectsthe applicant to a civil penalty of not more than five.huhdred dollars ($500). ` : - - -.
Plan Chk. BaL
0 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, BuIsndss and
Const." 35.0 0
Professions Code: The Contractor's Ucense.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,
Mech.
provided that such improvements .'are not Intended or offered . for sale. : If, however, the building
of improvement is sold within one year of completion, the -owner-builder will have the burden
'Electrical
of proving that he did not build or improve for.the purpose of sale.)
b-1, as. owner of the property, am exclusively contracting- with licensed contractors to con-
Plumbing
struct the project. (Seca 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
S. M. 1.
"such projects with a contractors) (fcensed pursuant to the. Contractor's License Law.)
Grading
0 1 am exempt under Sec. B. & P.C.,for this reason
Driveway Eric.
Date Owner
Infrastructure
WORKERS! COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of.
Workefs Compensation Insurance, or a certified copy thereof. (Sec. 3800. Labor Code.)
Poli No: ' .Company
Copy Is filed with the city.. 0 Certified copy is hereby furnished..
TOTAL 35.00
CERTIFICATE OF EXEMPTION'FROM'-
REMARKS -
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one -hundred dollars (S100) valuation
.or less.) ,. ' 01
I certify that in the performance of thp work for which this permit is issued, I,shall not
any person in any manner so as to become subject to,the Workers' Compensation'
= California.
Date Owner
NOTICE TO APPLICANT: ff. after making this Certificate of Exemption you should become
*
ZONE: BY,:
iubje6t to the Workers' Corvensathin 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' -
L'
Setback from RearopN Jne
Rear P
.WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, -AND -
—Rear
Side Street Setback,from,Center Line
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
.HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,' -
Side Set back, from,Property Line—
DAMAGES AS PROVIDED FOR IN SECTION -3706 OF THE LABOR CODE; .INTEREST, AND
ATTORNEYS FEES.
✓
ft�is'is a building kermit when properly filled ou(.6ignedend Validated, and is subject'to
iIN
FINAL DATE SPECT61
expiration It work thereunder is suspended for. 180 days. . . r . .. z 1,
I certify that'.1 have read this application and state that the above information is,correct..
Issued by: M I
Date t
I agree to comply with all city and county ordinances and state laws relating to building
construction, and h authorize representatives of 'this. city - to enter the*. above-: - .
mentioned property finspection purposes.
Validated by:
Signature ofapplicant Date.
t
Mailing Address
Validation:
City, State, ZIP
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBIW FEES
1ST FL. SO. FT. ® $
2ND FL. SO. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT.
SO. 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
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
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 ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
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 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'
REMARKS:
VENTILATION
FIRE ZONE ROOFING '
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL