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11086 (RC)T4tyl 4:F�Q�tw Building Address 78-039 Calf Estado Owner Bill Howard P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 42_135 Cobalt Way City Zip Tel. P.p. 1 92260 1 Contractor ress City State Lic. City & Classif. Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE 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, alter, 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 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 basis for the alleged exemption. Any violation or Section 7031.5 by 'any applicant for a permit Is the applicant to a civil penalty of not more than rive hundred dollars (8500). I has owner of the property, or my employees with wages as their sole compensation, will o he work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness 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. If, however, the building or improvement is sold within one year of completion, the owner -builder will 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 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 such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. ! B: & P.C. for this reason Dated 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.) Policy No. Company ❑ 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 ($100) valuation or less.) ,' I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to; the Workeis' Compensation Laws of California. t! /A} Date - �OWnerV / AAI. NOTICE 1T APPLICANTyB,' alter making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or 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 performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when property 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 taws 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 BUILDING: TYPE CONST A.P. Number No. 11085 Ilk,/_ 4 yew' OCC: GRP. .Legal Description Project Description Tenant Improvement at El Ranchito Rest. Sq. Ft. Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 2,600 PERMIT AMOUNT Plan Chk..Dep. Plan Chk. Bal. Const. 54.00 Mech. Electrical Plumbing S.M.I. .30 Grading Driveway Enc. Infrastructure 1 TOTAL 54.30 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 IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. F7. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. GAS (ROUGH) jA_METER DRAINAGE PIPING WALL SQ. FT. OTHER APP./EQUIP. DRINKING FOUNTAIN. SO FT ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not io be used as property tax valuation FINAL INSP. FLOOR DRAIN - MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM. FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE ' DRYER FRAMING 9')AA GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED C LAUNDRY TRAY AIR HANDLING UNIT CFM REMARKS: 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1+1a c SEWAGE DISPOSAL SO.FT.GAR ® ?6c HOUSE SEWER LO 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 '0R SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE- FOUND: REINF. GAS (ROUGH) jA_METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP.2�vv_fx GRADING Cu. yd. $ plus x$ _$ LUMBER GR. FRAMING 9')AA FINAL INSP. s ROOFING C REMARKS: VENTILATION i FIRE ZONE.ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING LO INSULATIONISOUND L FINISH GRADING FINAL INSPECTION �� ((( CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL Bin:City of La Quints Building Safety 8i Safe Division P.O. Box 1504 P'trii #'> <<>>><>' g:.:.:,.::.::.;.;.;:.;:;.;:.;:.;:.::.; 78-495 Calle Tampico p La Quinta, CA 92253 Building P rmit Application and Tracking Sheet Project Address 7K- 639 CaJb C 17 263 e Owner's Name: Dec U l 77t A u A. P. Number: Address 19-0,3q cWQ 0 Legal Description: o City,ST, Zip: ,[,t, Cvk 9 2 2 5 3 a [ [ ,Ovl c Telephone: Jr Address: ')I.. (POp Project Description: d.' )C61% City.ST, Zip:•{ Telephone: 3 State Lic. # : City Lic. #: Arch., Engr.. Designer: Address: City.,ST; Zip: TeleP hone: Construction Type: Occu anc : YP Occupancy: Lic. #: Project �Pa circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: a Telephone # of Contact Person: OO Estimated Value of Project: /. (�v AP:RLIC T € 0 FIST TE aEL1p1Af <Ti E[.S I I..N..E CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. °LUMBING FEES 'ST Fl- SO =T E UNITS SLAB GRADE ROUGH PLUMB. BONOING YARD SPKLR SYSTEM 2ND FL. SO. FT. •$� FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOSILEHOME SVC. BAR SINK POR SO FT .g GAS (ROUGH) METER LOOP GAR SO FT. -e POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P j0 FT Z GROUT WATER HEATER WALL SO FT ?y FINAL INSP. DRINKING FOUNTAIN . SO cT ;a WATER SYSTEM URINAL ES-PMA'ED CONSTRUCTION VALUATION S =$ WATER PIPING NOTE. Net to :.e :,seo as prooercy !as +atuanon FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVARCOOL FOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT 'WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING KITCHEN SINK ABSORPTION SYSTEM B.T U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE. TEWPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO FT. 4, c BATH TUB LATHING SO. FT. 'a c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SU. FT. RESID rd 114 c SEWAGE DISPOSAL SO.FT.GAR L.c HOUSE SEWER • GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE OBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING A AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE ROUGH PLUMB. BONOING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu, yd, = Pluf x= =$ LUMBER GR. FINAL INSP. FRAMING FINAL (NSP. ROOFING REMARKS VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONSOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IN*PEGTVRb> UPIAIYNtWINIIIAL* GARDEN WALL FINAL KERMIT LARBY A I C & SHEET METAL 77 - r000 MT. VIEW PALM DESERT, CA 92211 al 0 - 00 = 0510 PIC- P,4 d 47-0"0 .. / Y Do .1 1 J I KERMIT LARRY A / C & SHEET METAL 77 - 600 MT. VIEW PALM DESERT, CA 92211 610 - 345 z 5519 EXISTING FRONT ELEVATION FILL FRAME EXISTING OPENING W/ 2x6 9 16" O.C. r 3 1 rm- A i • i:ini • i fr NEW 3068 DOOR TO MATCH EXISTING NEW 1060 SIDELIGHT TO MATCH DOOR STYLE PROPOSED FRONT ELEVATION REVISION I BY Drafting services by: Greg Butler, Draftsman P.O. Box 6 La Quinta, CA 92253 (619) 564-0518 p J 1!! W U U! Z Uj lu O D V LL W �UU� 2O av �o ►iWr- -j W IL DATE: 3/14/96 SCALE: 1/8" = I'-0" DRAU,N BY: GMB JOB: 9608 SHEET ,