Loading...
14802 (BLCK)P.O. BOX 1504 NO. 14802 Building 50«240 Fox Run78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 Owner i. i)eter minist--el i BUILDING: TYPE CONST. OCC. GRP. ' Mailing Address 5©-4a.5 Mountain Shadows A.P. Number Zip 92253 Legal Description 91tya Quinta r CAI Contractor 150 1.4.* ib • high Project Description garden wall Address Sate City Zip Tel.: State Lic- City & Classif. $ 693899 Lic. # Sq. Ft. No. No. Dw. Arch., EngrSize Stories- Units ' :, � ' Designer BBG Architects .. New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip rig State Lic. # ti LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section y7000) of Division.3 of the Businesaand;P.rofessions Code,•and my license is in full force and seffect. 3p✓w` r " SIGNATURE DATE OWNER -BUILDER DECLARATION Estimated ValUatlOn3 ��� I hereby affirm that I am exempt from the Contractor's License Law for the following I reason: (Sec. 7031.5,&wness and Professions Code: Any.ctty or county which requires a permit to construct, atter, 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 the Business and Professions Cade, 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 five hundred dollars ($500). - . ❑ I, as.owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal - do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. 63 • 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. safe. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or knprove for the purpose of sale.) ❑ 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),Pcensed pursuant to the Contractor's License Law.) i O 1 am exempt under Sec. - B. & P.C. for this reason Grading i, Driveway Enc. Date owner Infrastructure l WORKERS' COMPENSATION DECLARATION I 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.) POIl%Nd'r Company 0 Copy is filed with the city. ❑ Certified copy is hereby furnished. ' i TOTAL f '63. 00 CERTIFICATE OF EXEMPTION FROM REMARKS i I 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, I shall not I employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California ' Date Owner NOTICE TO APPLICANT. fi, after'making this Certificate of Exemption you should become ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith• Setback Distances: comply with such provisions or this permit shall be deemed revoked. - Minimum Front Setback from Center Line Rear Setback from, Rear Pro e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND - Side. Side Street Setback from r L 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 Setback from Pro Ine DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' DATE_ IN TOW This is a buildingFINAL permit when property filled out, signed and validated,'and is subject to expiration if work thereunder is suspended for 180 days. " nn v I certify that I have read this application and state that the. above information is correct.. Issued by. Date Perm I agree to comply with all city and county ordinances and state laws relating to building. All construction, and hereby authorize representatives --of this . city to enter the above-. 1V0 mentioned property for inspection purposes. Validated by: V Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SQ. FT. @ $ UNITS YARD SPKLR SYSTEM 2ND FL. S0. FT. @ SETBACK GROUND PLUMBING UNDERGROUND MOBILEHOME'SVC. BAR SINK POR. SO. FT. @ ROUGH PLUMB. BONDING GAR. SO. FT. @ POWER OUTLET ROOF DRAINS SEWER OR SEPTIC TANK ROUGH WIRING DRAINAGE PIPING CAR P. I SQ. FT. @ FOUND. REINF. GAS (ROUGH) WALL SQ. FT. HEATING (FINAL) DRINKING FOUNTAIN SO. FT. @ GAS (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SERVICE FLOOR DRAIN MECHANICAL FEES BOND BEAM 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ I,/. c SEWAGE DISPOSAL SQ.FT.GAR @ V4c HOUSE SEWER LATHING 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 APP./EOUIP. 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 SIONATURESIINITIALS GARDEN WALL FINAL