05006 (RPL)Building
P.O. BOX 1504
78.105 CALLE ESTADO
9—tai E# z�C.i�tflFD9T LA QUINTA, CALIFORNIA 92253
Owner
Pi.Taecreet
Mailing
Address Same
City Zip Tel.
n4tinti 92251v
Contractor
77
Address
78-755 "Martinique
Zip
Tel
Tlivevrner 1Aq—Sn7A
State Lic.I #
City
& Classif. _ _ _ - _ Lic.
Designer
Address Tel.
CityI zip I State
Lic. #
LICENSED CONTRACTOIrs' DECLARATION
I hereby affirm that 1 am licensed udder provisions of Chapter 9 (commencing.with Section
70" of Division 3 of the iness and Professions Cgde,.and .ray license is in full'force.ard
s�AnmE- �'" s. DATE
01YNBFIiIiILDER DECLARATION
I hereby affbin Beat 1 am exempt from the Contractors License Law for the following
reason[ fSee. 7031_;5A=ha= and Hdessians Cade: Any cNy or comfy whkiA requires a
permit ro our trud; ager, improve, damsNsh, or repair any structure. prbr to Na issuance a,so
reguies the al>vmar I for sudi pa..* to Be a shred statement that,he Is licensed pursuant to
ties prdvisbna d Me Coubsca" license Law. Chapter 9 (commencing with Section 7000) of
auiefoo 3 d the Busies and Rdeasuhns Code. or teat. he is axwMt therefrom, and the bests
for the alleged exemption- Arty, vbfatfw of Section 7031.5 by "any appocant for a permit
subjects the ap'PNwrmtto a chilpenaily of nat awe 'than .five hundred dors ($500).
❑ 1, 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, Butsness and
Professions Code: The Oonradors License Lew does not apply to an owner of .Property who
bu9fs or inproves thereonand who does such work hbrrself or through his own employees,
provided ON: such improves are oofIntended or offered for sab. d, however, the building
dr improrarnerd 1s sold wNfdn one yaw of coniplefbn. Me owner -builder wm have the burden
of proNhg that he d f not build or improve for the purpose of sate.)
❑ 1, as owner of the property, am exclus.contracting with licensed contractors to'con-
the protect Iso 7044: Business and Frofasslona Cade: The Contractor's License Law
dose not apply m an mania of property who builds or bmproves thereon, and who contracts for
such prajads with a OOn68de/fa) BOansed purmolt to the contractors License Law.) .
❑ 1 am exempt under & P.C. for this reason
Date owner
WORKERS' COMPENSATION DECLARATION
I hereby affimm that 1 have a,cerfificate d consent to sell -insure, or a certificate of
workers Comps satlon Insurance; or a certified copy thereof.ASec. 3800, Labor Code:)
Policy No. Comppny i ,," i' C. f sr
t� Copy Is filed with the city. d Certified copy Is hereby furnished.
j" CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
section need not be cmrpbfed 0 She pemdf is for one hundred doNans ([100) vahoLbn
1 certify that in the performance of the work -for which this permit is Issued, I shall not
employ any person in any ras,to become subject to the Workers' Compensation
laws of Cal-domia.
Data
NOTICE TO APR 1 AMr If.— tar Utla CertiBeate d Exemption you should became
subject la the Wrims' Cmmpermatim provisions of the Labor Code, you must forthwith
comply with such promlakins or thispevmN shall be downed revoked. .
CONSTRUCTION LENDING AGENCY
I hereby affbrrm, that there is a construction lending agency for the performance of the
mark for wdrioh this peed[ is Issued. (Sec.,3097, CNN Code.)
Lenders llarrwL
Lender's Address
This Is abuilding permit when nden property filled out, signed and validated, ais subject to
expiration it wok tlreeunda is suspended for 180 days.
I certify that I hate read this application and state that the above information is correct
1agree to�� oortxply with all city and county ordinances and state laws relating to building'
mentioned Property
purposes.tathres -of this city to enter the above.,
Sigrad re of applirrret Date
Mailing ndmesa
city. stag zln
No. 0506
WING: TYPE -CONST. , OCC: GRP.
P. Number
Legal Description
Project Description pant It t;FQ
Sq. Ft. No. No. Dw.
Size. Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ 'Demolition ❑
Estimated Valuation $12,000
PERMIT AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
Const. S99 S
Mech.
Electrical
Plumbing
S.M.I. AR
Grading
Driveway Enc.
Infrastructure
TOTAL
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
i2/I4/a
Issued by: Date $ermit
Validated rby:
Validation: c
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® S
UNITS
SLAB GRADE
ROUGH PLUMB.'
BONDINGG�L $�
YARD SPKLR SYSTEM •
2ND FL SO. FT. @
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOMESVC.
BAR SINK
POR SQ Fr ®
OUGH)
METER LOOP
GAR. SO. FT_ ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. SO. FT. ®
GROUT
WATER HEATER
WALL SO. Fr. ®
FINAL INSP.
DRINKING FOUNTAIN.
BOND BEAM
WATER SYSTEM
URINAL
SO FT ®
=$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION S
FRAMING
WATER PIPING
NOTE: Not to be used as property tax valuation
D� L Au
FLOOR DRAIN
MECHANICAL FEES
REMARKS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
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. Fr. ®c
BATH TUB
MESH
SO. Fr. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/+ c
SEWAGE DISPOSAL
FINISH GRADING
SO.FT.GAR ® 114c
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
WA UND PLUMBING
DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.'
BONDINGG�L $�
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
OUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
STEEL,ZrZ/�{�
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus xS
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
D� L Au
7 — �y�
REMARKS
VENTILATION
FIRE ZONE ROOFING,
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIONATURESIINITIALS-
'
GARDEN WALL FINAL
78-106 CALLE ESTADO — 'LA QUINTA, CALIFORNIA 92253 - (61.9) 564-2246
FAX (619) .564-5617
.July 12, 1991
To Whom It May Concern:
Enclosed, please find a copy of the Uniform Building Code,
Section 3207.
This refers to the minimum requirements for roof drainage,.
It is the opinion of this department that the roof at 4.9-080
Eisenhower is in compliance with this section -
Thank you
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Tom Hartung
Director of Building an& Safety
Richard R. Kirkland
Building Inspector I.I
RK/lc
enc.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92,253