Loading...
06292 (SFD)T4hf P.O. BOX 1504 No. 06292 Building Address 48--219 CaUe norUt" LA QUINTA, CALIFORNIA 92253 Owner Abe & TheJAa sirossawn BUILDING: TYPE CONST. OCC. GRP. Mailing Address 9010 Corbin Ave. S-3 A.P. Number 617--652-010 City Zip Tel. Fiorthridgc 91324 Legal Description Contractor 1. t " -I 'A _ Project Description Tract 20052-2. Plan 2It, Lot 10 Address if 0-, /+ .0 City, Zip �` „ Tel. P.- Y� L922�a-34s--54-30 State Lic. City r t & Classif. �135j33-- Lic. # _260— Sq. Ft. 1950 No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip 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 effecL SIGNATURE — DATE OWNER -BUILDER DECLARATION Estimated valuation $100928I 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, 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 PERMIT AMOUNT the provisions o) Ne 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 of Section 7031.5 by any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than rive hundred dollars ($500). ,537 0$ ❑ 1, 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 0© Professions Code: The ContraUors License Law does not appy Const. il3. to an owner of property who 00 builds or improves thereon and who does such work himself or through his own employees, Mech. 60.00provided that such improvements are not intended or offered for sale. If, however, the building orImprovement is sold within one year of completion, the owner -builder will have the burden Electrical 110.83of 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 tort- Plumbing 138.50 struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law I� does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. 7.07 such projects with a contractof(s) licensed pursuant to the contractor's License Law./ Grading ❑ 1 am exempt under Sec B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure 2,270.88 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 Cade.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. �►'+3 TOTAL CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed N the permit is for one hundred dollars ($100) valuation t f t �'� t f: -- I f $ 4r, / -( 1 11 i i . W _ 14 or less.) �, V 1-w Tl 1 f Sr I ITL i ! r v m .. •v I certify that in the perfomtance 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 Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: It, 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 or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil code.) Side Setback from Property Line Lenders Name Lender's Address FINAL DATE —INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 9118/99 1 certify that I have read this application and state that the above information is correct. Issued by: Date Permit 1 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. a $ UNITS A.C. UNIT COLL. AREA SLAB GRADE Y ARD SPKLR SYSTEM 2ND FL. SO. FT. a BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. S0, F7. a EWER OR S ROUGH WIRING GAR. SO. FT, a POWER OUTLET ROOF DRAINS FOUND. REINF. DRAINAGE PIPING CAR P. SO. FT. a HEATING (FINAL) WALL SO. FT. a REINF. STEEL DRINKING FOUNTAIN GAS (FINAL) TEMP. POLE URINAL FT a GROUT ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER 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 WASHER(AUTO)(DISH) APPLIANCE DRYER LUMBER GR. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. LAUNDRY TRAY AIR HANDLING UNIT CFM /� `I . ` 2 ' � 1 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. a c BATH TUB SO. FT. a c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a 11/. c SEWAGE DISPOSAL SO.FT.GAR a 3/ac HOUSE SEWER THING 1.2 -! 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. 6 GROUND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE (� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMSS EWER OR S ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. aAS (ROUGH METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. �FtNAL INSP. j _ RAMING /— / t a ! FINAL INSP. ROOFING /� `I . ` 2 ' � 1 ` / r � REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING 1.2 -! MESH 'SULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL )