10670 (RR)Building
Address 51-930 VILLA
Owner
FRED & Q
Mailing .
Address SAME
City
LA QUINTA
Contractor
OWNER BUIL;
Zip
'92253
414a
P.O. BOX 1504 No. 10670
78-105 CALLE ESTADO L`
LA QUINTA, CALIFORNIA 92253
iEZ BUILDING: TYPE CONST. OCC: GRP.
A.P. Number
Tel.
564-0355 Legal Description
Project Description REROOF.
City Zip Tel.:
State Lica City
& Classif.. Lic. # Sq. Ft. No. No. Dw.
Arch.; Engr.,' • - '•
Size • Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑- Demolition ❑
Address I Tel.
WORKERS' COMPENSATION INSURANCE' REMARKS
(This section need not be completed if the permit. is for. one- hundred dollars IS 100) valuation
or less.) t,:1•-Y�,� u•y(r-�t�w_..1� �. A:-4� ,
I certify that in the performance of the work for which this permit'is issued, l shall not 't�wj� d1 a i1_ ii 13'
employ any person in any manner so as to- become subject to the Workers' Compensation
Laws of California.
Date ' Owner
NOTICE TO - APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: '
'subject to the Worke'rs' 'Compensation provisions of the Labor Code, you must forthwith -
complywithsuchprovisionsorthispermitshallbedeemedrevoked. Minimum Setback Distances,
Front Setback from Center L'In '
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 informationis 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 enterthe above•:
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
e
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:
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
• .effect. ..
SIGNATURE - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from.the Contractor's License Law for the following
Estimated Valuation
reason: (Sec: .703 1.5, Business and Professions 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 applicant for such permit to rite a signed statement that he is licensed pursuant to
PERMIT
the provisions,of the Contractor's License Law;Chapter 9 (commencing with Section 7000) of
'Division'3 of the Business and Professions Code, of 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 five hundred dollars.(5500). - '
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
. Professions Code., The Contractor's License Law does not apply to an owner of property who*
-
Plan Chk. BSI.
Const.
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 .
Mech. .
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.)
Electrical '
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
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
S.M.I.
• such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
• O 1 am exePupt under sec. B. & .C. for this reason
Grading
Avfl_ �- f/ D
V
Driveway Enc.
Infrastructure
Y Date {' hOwner
p+ v ✓
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
❑ Copy.is filed with the city. ❑ Certified copy: is hereby furnished:
CERTIFICATE OF EXEMPTION --
TOTAL
WORKERS' COMPENSATION INSURANCE' REMARKS
(This section need not be completed if the permit. is for. one- hundred dollars IS 100) valuation
or less.) t,:1•-Y�,� u•y(r-�t�w_..1� �. A:-4� ,
I certify that in the performance of the work for which this permit'is issued, l shall not 't�wj� d1 a i1_ ii 13'
employ any person in any manner so as to- become subject to the Workers' Compensation
Laws of California.
Date ' Owner
NOTICE TO - APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: '
'subject to the Worke'rs' 'Compensation provisions of the Labor Code, you must forthwith -
complywithsuchprovisionsorthispermitshallbedeemedrevoked. Minimum Setback Distances,
Front Setback from Center L'In '
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 informationis 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 enterthe above•:
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
e
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. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ 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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/4 c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEEELECT. 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 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 /
n
/ /
^w�
REMARKS:
VENTILATION
FIRE ZONE ROOFING:
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION-
✓
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIAIS
GARDEN WALL FINAL
c
BUILDING AND SAFETY DEPARTMENT
GARAGE, PATIO, YARD SALE PERMIT
Lucu ' Mortno 5PAM
Applicant's Name Sale Address
It is unlawful for any person to conduct, or participate in the conduct of sales of personal property to the general public by
means of a "garage" sale, "yard" sale, or other sale primarily conducted on any residentially zoned premises, except as "
permitted by Chapter 11.88 of the La Quinta Municipal Code.
Any person (herein the applicant) intending to conduct a "garage" sale, "patio" sale, "yard" sale, or similar sale of per-
sonal property to the general public on residentially zoned property shall file an application with the Community Safety
Office. The applicant does hereby declare under penalty of perjury, or'by affidavit, that all items to be sold are lawfully
possessed, owned, utilized and maintained by such applicant in connection with the use of the premises and have not be
acquired, possessed or consigned for the sale. Each sale must have a new permit.
Two sales may be conducted at a particular place in any twelve month period. No sale `shall continue more than
seventy-two hours. Sales shall be conducted between the hours of seven a.m. and seven p.m. only. Merchandise
offered for sale shall not be displayed or stored in public rights-of-way.
Signs advertising the sale are subject to the following provisions:
(1) Three signs are permitted (they are provided); one at the residence, one at the nearest intersection, and one at a
major cross street.
(2) The on site sign must be located on property where sale is being conducted.
(3) Top of sign shall not exceed four (4) feet from ground level.
(4) Signs shall be on private property with owner's permission. O
(5) Your copy of this permit must be posted and visible from the street during the sale.+j
C•}t�,� 1 � 'L�f�S
(6) Signs are not permitted in rights-of-way or on any utility poles or traffic control sign po s.
Pi"f1i OF LA QUINTA
(7) Sign shall be displayed only on permitted days of sale. CE DEPT.
(8) All signs shall be removed by applicant at the conclusion of the sale. FAILURE TO REMOVE YOUR SIGNS WILL
RESULT IN A CITATION BEING ISSUED TO YOU.
yl �°
Any person, firm or corporation violating any of the provisions of this Chapter, is guilty of an infraction punishable under
the law.
DATE OF THE SALE 3� �'OS HOURS OF SALE
have read an erstand he above stated provisions regulating garage, patio, and yard sales. I also understand that I
may be cit or failure t llow any of these provisions.
Applicant Signatu Date
5� :
I.D. TYPE: 1. D. #: VERI ED BY:
'SI EXPIRATION, DATE: