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15841 (BLCK)Building Add?ess 53-315 Ave. Herrera O�-,T,'br ESlain Acosta P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 No. 15841 LDING: TYPE CONST. OCC. GRP. Address Same A.P. Number City Zip Tel. ' La QL;int&s CA 92253 Legal Description Contractor 501 of 6' high arden wall enr H`2r� ��'2 MasMasonry$Qn� Project Description � g A $® of 6 combination ret. /garden wall /'P_ 72 Via Vail 201 of 4' high cc:*ination set. /garden wail CityZip Tel.: Rancho £ylirage# EA 92270 328-2272 State Lic. City & Classif.. 381853 Lic. # 38 Sq. Ft. No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # f LICENSED CONTRACTOR'S DECLARATION 1 hereby of info that I am licensed under provisions of Chapter 9 (commencing with Section 1000) of DivCsion 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE n r rn DATE W BOWNEWBUILDER DECLARATION Estimated Valuation �e G g n n I hereby affirm that I am exempt from the Contractor's License Law for the following 3 2 v 3 s V a reason: (Sec. 7031.5,8useness and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also i requires the applicant for such permit to rile 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 Code, or that. he is exempt therefrom, and the bast for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civilpenalty of not more than rive 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. 3 Professions Code: The Contractor's License Law does not apply to an owner of property who • 00 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 of proving that he did not buil or knprove for the purpose of sale.) O 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 contractors) #tensed pursuant to the Contractor's License Law.) Grading O 1 am exempt under Sec- B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 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.) Po 'c . O Company i Copy Is filed with the city. ❑ Certified copy is hereby furnished. TOTAL _ 63.00 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE � is section need not be completed if the (Th permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thq 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 If NOTICE TO APPLICANT: d, 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 orthis Permit shall bedeemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from.6 PNpp Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Se. 8`S',��m Ce ter 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 Setback from grope , e DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND op ATTORNEY'S FEES. is a buildin _ FINAL DATE INCT -This g permit when properly filled out, signed and validated, and is subject ,to expiration if work the\ reunder is suspended for 160 days: I certify that I have read this application and state that the above information is correct. ISSUed by: Da PefFflJ&' I agree to comply with all city and county ordinances and state laws relating to building V construction, and hereby authorize representatives -of this city to enter the above-. mentioned property for inspection purposes- Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM r 2ND FL. SO. FT. ® FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS 10 GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SD. FT. FINAL INSP. DRINKING FOUNTAIN SO. FT. ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =$ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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 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 FINISH GRADING 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./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM D / J WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING G//jyJd— REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS , GARDEN WALL FINAL I Aq G fV CITY OF LA QUINTA '__ �. BUILDING & SAIFEW DEPARTMENT CONDIT IMN!"d-B!c 0 V", AC-0---r-l"ED FOR CIV' - STAL.j AS PER 131,25JECT701IN ,AND ALL APPLICABLE CODES DATE .4 y r. 6