10743 (PAT)� �V,o. 10743 P.O.P-O. BOX 1504 ` a
Building$,.QS � � 'r�FTf'r�3e 78-105 CALLE ESTADO f; ;
Address LA QUINTA, CALIFORNIA 92253
Owner {�
143!5, Houston
Mailing BUILDING: TYPE CONST. OCC: GRP.•
Address sa31'rc
A.P. Number
CityLaTel.
a Quinta Zip{2253 Legal Description
Contractor
J. Cesare Construction Project Description Patio Cover
Address
P. O. Box. 13235
City Zip 92255 Tel.:
Pale Desert X843215 773-1915
State Lic. City
& Classif. B 176606 Lic. # 2351 Sq. Ft. 172 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel.
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirms that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 ofthe Business.and Professions Code; and my license is in full force and
effect. ✓ / r1 i _. J' iL /" /Y
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city' or county which requires a
permit to construct, after, improve, demofish,. or repair any structure, prior to Its issuance also
requires the applicant for such permit to file a signed statement that hes licensed pursuant to
the provisions of the Contractors 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 of - Section 7031.5.. by 'any applicant for a permit
subjects the applicant to a cwg penalty of not more than rive hundred dollars .($500).
O 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, Busness 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 or through his own employees,
provided that'such improvements are not intended or offered for sale. ft, however, the buildingor improvement is sold within one year of completion, the owner -builder wig have the burden
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-
struct -the projecL,(Sec. 7044, Business and Professions Code: The Contractor's.1-kense 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.)
❑ 1 am exempt under Sec -B. 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.)
Poli.y No. Company
O`Copy is filed with the city. . 0 Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars (5100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
i NOTICE TO APPLICANT: It, after making this Certificate of Exemption you should become
subject to' the workers' Compensation . provisions of the - Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.' - -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the pertornance of the
work far 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' 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
stimated Valuation
2253.20
PERMIT
AMOUNT
Plan Chk- Dep.
Plan Chk. Bal.
35.10
Const.
54,00
Mech.
Electrical
15. U0
Plumbing
S.M.I.
.30
Grading
Driveway Enc.
Infrastructure
TOTAL
IU4.40
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
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
SLAB GRADE
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
WALL SQ. FT.
DRINKING FOUNTAIN.
SQ FT ®
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
GRADING
cu. yd.
$ plus x$
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL , FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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.
SO. FT. ® c
BATH TUB
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1% c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.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
G/
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
INSULATIONISOUND
FINISH GRADING
/
K/JINAL INSPECTIO -�S
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE&INITIALS
GARDEN WALL FINAL