15787 (PAT)4
P.O. BOX 1504 No. 15787
Building 44-710 N. Harland Dr. 78-495 CALLE TAMPICO
Address LA QUINTA, CALIFORNIA 92253
Owner
dame s D. Leonard
MrI Ing BUILDING: TYPE CONST. OCC: GRP.
,A ress 44--710 A3 . ` garland Dr. A.P. Number
City Zip Tel.
La Quinta 92253 Legal Description
Contractor Elite Builders Project Description Open Lattice Pa Ao Cover
78-875 Sanita Dr.
City Zip Tel.'
. La Quanta 1 92253 360-2810
&,Classif. 591025 I Lic #
Address I Tel.
State.
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter g (commencing with Section
7001n of Division.3-of the Business ProfessionaCod6 ,a my license is in full I arm
��dd fps
effect: f. '�'I� J�e=�
SIGNATURE DATE
OWNEWBUILDER DECLARATION
I hereby affirm that 1 am exempt from theContractor's License Law for .the following
.reason: (Sec. 7031.5,Busness and Profesalma Code: Any city or county which requires a
permit to construct, after, &W—, demolish, or repair any structure, prior to its issuance also
requires the applicant for such panni to Me a, signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, .Chapter 8 (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 exemp8on. Any vkkWbn of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a cfvU penally of not more than Ore hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as.thalr sole compensation, will
do the work, and the structure is not,intended or offered for sale. (Sec. 7041, Bulsness and
Professions Code: The Contractors 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,
providedthat such Improvements are not Intended or offered for sale. O, however,. the bullding
-or Improvement is sold within one year of completion, the owner-bwlder will have the burden
of 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 to con-
struct the, project (Sec. 7044, Business and Professions Code: The Contractor's License Law .
does not appy w
to an. owner of property who builds or hron
iproves there, and who contracts for
such. projectswith a contractors) licensed pursuant to -the Contractor's License Law.)
O 1 am exempt under Sec. a, a,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
Workers Compensation Insurance, or a certified copy thereof. (_Sec. 3800, Labor Code.)
Policy No. .Company
0 Copy is filed with the city.. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS` COMPENSATION INSURANCE
(This section need not be completed O thepermit Is for one hundred do= ($100) valuation
"orless.) . -
I certify that In the performance of the work for which this permit Is issued, 1 shall -not
employ any Parson In any manne�sracom
s to bewsubject to the Workers'_:Cotnpensation
Laws of,.CallWmj ,
Date !. •7
.bwner ff
.10710E TO APPLICA: 7; after mabig this Certificate of Exemption you should become
subject to tNT
he Workers' Compensation provisions of the Labor Code,you must forthwith
comply with such provisions or Oda Permit shall be deemed revoked -
Minimum. Setback Distances:
Front Setback from Center Line—
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Center 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 Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND
ArroANErs FEES.
FINAL DATE INSPECTOR_
This Is abuilding permit when properly filled out; signed and validated, and ie subject to -
expiration if work thereunder Is, suspended for 180 days.
I certify that'I have read this application and state that the above information is correct:
Sq. Ft. 318
Size
No.
Stories
No., Dw.
Units
New ❑ Add ❑
Alter ❑
Repair ❑ Demolition ❑
mentiohed'property for Inspection purposes.
Validated by:
Signature of applicant Dater
_ Malling.Addresa
Validation:
City, state, zip
Estimated Valuation
$4,229.00
PERMIT
AMOUNT
Plan Chk. Dep. .
Plan Chk. Bal.
6.
Const.
$7Z.00
Mech.
Electrical
Plumbing
S.M.I.
$ 050
Grading
Driveway Enc.
Infrastructure
TOTAL
. 0
REMARKS
_ZONE:
BY:
Minimum. Setback Distances:
Front Setback from Center Line—
Rear Setback from Rear Prop. Line
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND Side Street Setback from Center 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 Property Line
DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND
ArroANErs FEES.
FINAL DATE INSPECTOR_
This Is abuilding permit when properly filled out; signed and validated, and ie subject to -
expiration if work thereunder Is, suspended for 180 days.
I certify that'I have read this application and state that the above information is correct:
!Issued by: Date ---F
I agree to comply with all city`and'oounty ordlnances-and state'laws relating to building
construction, and hereby authorize representatives -of this city to enter the above•-
i
mentiohed'property for Inspection purposes.
Validated by:
Signature of applicant Dater
_ Malling.Addresa
Validation:
City, state, zip
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM.
2ND FL." SO.. FT.
FORMS
SEWER OR SEPTIC TANK'
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS p
HEATING (FINAL)
OTHER APP/EOUIP.
DRAINAGE PIPING
CAR P. SO. FT.
TEMP. POLE
' WALL SO: FT. ®"
GROUT
DRINKING FOUNTAIN.
SO FT ®
FINAL INSP.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax _valuation
=S
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
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
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® t'A c
SEWAGE ,DISPOSAL
SO.FT.GAR ® lic
HOUSE SEWER
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 xi
=S
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARK&
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
Site Vsolisl Mote valor
Rafter Site 1 Spacing. tpecift lot(lea.9 Shoothlae at. qeo Lattice
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Size out 6sgle Strap
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(feet 6 laches)
2x1 I16'
O.C.
24' r
11-2
9-6
10-6
S -S
7-11
6-S
6-3
6•-9
6-4
5-2'
2x5
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11-10
11-5
3-0
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16'
16-1
11'r-1
1-2
11-9
H
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24'
13-3
12-4
9-2
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7-1
14
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10-10
9-11
7-4,7.4
1,600
ly'
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19-10
14-30
D-4
11-6
24' •
17-6
16-3'12-1
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14-3
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a- tbad stakes 6/12 pitch (3/121 spin. pitch id h 301
telt wdeclayl Class A
'b. Wxd. Cts6,o6 tier. s`_-irles 0/12 pitch 13/12 Mi -l+ -
p trh w-th. 15/ telt s Law -18 . Class A
C. ballt t* rolled mo: supe to drai..
d- rack rw 3/12 ux:%n, patch.
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