14523 (SIGN)4
P.O. BOX 1504 No. 14523
Building T 78-495 CALLE TAMPICO .
Address 5a--855 �.ashi.ngton #E1. LA QUINTA, CALIFORNIA 92253
Owner
C atarina," s Yogurt Candy BUILDING: TYPE CONST. OCC: GRP. -
Mailing
Address $am(a
A.P. Number
CityZip Tel.
La..Quinta a CAA,. 92253 320-4429... Legal Description
Contractor ( 1 ). Cabinet Sign . •
Siqng & SerViC�Fi . Project Description .
...... Catarina! ,s_ Yogurt Candy.
Address.
14980 Boatman. Ave.
Saynton, ' CA �yp0680 ( 4) 761-8200
State Lic. City "
& ClassifC .45 4.39828 Lic..# 3543 Sq. Ft. No. No. Dw.
Arch.,'Engr Size .. Stories _...... Units
Designer. New ❑ Add ❑ Alter ❑. Repair ❑ Demolition ❑
Address Tel.
City Zip State
' Lic. #
LICENSED CONTRACTOR'S DECLARATION "
rov)_
I hereby affirm that I am licensed urft
r pslons of Chapter 9 (commencing with Section "
7000) of Division.3 oor'the. Business and/Prof✓essiolis Code, and my license is in full force and
effect.
SIGNATURE f. DATE
O*NER=BUILDER DECLARATION.' Estimated Valuation$1,,500.,00
gg AAAA nn
I hereby affirm.that I am exempt from the Contractor's License Law for the following $1 , 5 V V e- V 0
reason:, (Sec.. 7031.5,Business and Professions: Code: Any city or, county, which requires a
permft to construct, after, Improve, demolish, or .repair any structure, prior tq its issuance also I• =to Construct.
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 '
Divtsfon 3 o/ 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 - Plan Chk. Dep..
subjects the applicant to a civil penalty of not more than live hundred dollars'($500)... ' : • . . Plan Chk. Bal.
p. 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, Bulsness and Const. 35.00
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, ' Mech.
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. Electrical
o/ 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 4o con-. Plumbing
strucl 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 S.M.I.
such projects with'a contractors) licensed pursuant to the Contractor'sLicense -Law.) -
O I am exempt under Sec B. 8 P.C. for this reason Grading
Driveway Enc.
Date Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that'l 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,. p 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 .($100) valuation •-
or less.)'
I certify that in the performance of the work for which this permit is issued,.l shall not
employ'any person in any manner so as to become subject to -the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: &, after making this Certificate of Exemption you should • become ZONE: ' - BY.:
subject to the Workers' Compensation provisions of -the Labor Code, you must forthwith
comply with such provisions or this Penn& shall be deemed revoked. Minimum Setback Distances: -
Front Setback from Center Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
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,.
DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND.
ATTORNEY'S FEES. - -
Tt4 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 Certifythat I have read this application and state that,.the above information is correct.,.
1'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
Rear Setback from Rear Prop ,!bne
Side'Street Setback from Center Line -
Side Setback.fromPrPropefty'Line
FINAL DATE INSPECT
Issued by: Date '�` Pea t,
Validated by:
Validation: \\ S A/,'�
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBINU FEES
1ST FL. SO. FT. @ $
2N0 FL. S0. 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
WASH ER(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
INSPIV/10,
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 1+/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
VENTILATION
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
ROCKSTORAGE
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
14
GRADING
cu. yd.
,$ plus x$
,
=$
LUMBER GR.FINAL
INSPIV/10,
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