Loading...
9414 (RER)44a P.O. BOX 1504 N o . 9 414 Building 78-105 CALLE ESTADO Address 48-221 Calle F'lari.stas LA QUINTA, CALIFORNIA 92253 Owner A%-J.Lu Mailing BUILDING: TYPE CONST. - OCC: GRP. Address same A.P. Number Legal Description Lot 11 Phase 2 , Project Description Adding windows toS�.Ce of dwelling City La Qly].nta. Zip 92253 Tel. 564-0955 Contractor owner/Builder Address with . bloc s City Zip Tel.: ' State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr., Designer New ❑ Add'❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. DO NOT INSPECT Mr-PiL PROPERTY OWNER FURNISHES OFFICE WITH HO1RS£OTi<JNEAS City Zip State Lic. # APPROVAL LETTER LICENSED CONTRACTOR'S DECLARATION Thereby 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 rile a signed statement thathe is licensed pursuant to the provisions or 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 of Section 7031.5 by 'any applicant for a permit subjects the applicant to a *civil penalty or not more than rive hundred dollars ($500). Cg,I, as owner of the property, or my employees with wages as their sole compensation; will Estimated Valuation '©� �� ) - PERMIT AMOUNT . Plan Chk. Dep. Plan Chk. Bal. Const. 25.00 " do the 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 said within one year of completion, the owner-bulider will have the burden of proving that he did not build or Improve for the purpose of sale.) Mech. Electrical Plumbing ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to corn struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds'vrtimproves thereon, and who contracts for t�y�'-f S.M.I. .07 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) &-P:C for this.reason t ❑ 1 am exempt under Sec. BL_11 - / __ ",f` f _ j' Grading Driveway Enc. Date ownerx '%.., `� "-y''�""' 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.) Policy No. .Company ❑ Copy is filed with the city. O Certified copy is hereby furnished. TOTAL 25.07 OF EXEMPTION FROM (This section need not be completed if -the �permit-is for one hundred dollars ($100) v`aluatfon or less.) ..tr, . 1 certify that in the performance oUttig.work for which this permit is issued, I shall not employ any person in any manner so as -to become subject11to the -Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: lV dIter making this certificate of Exemption you should become subject to the workers' Compensation provisions of the Labor Code you must lorthwfth comply with such provisions or this permit shall be deemed revoked. -,/r ,,s 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 properly filled out, signed and validated, and is 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. I 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. Signature of applicant Date Mailing Address City, State, Zip REMARKS G It '-'. ,`1A,gLY�i 14RAfi"." ,2`4w:� tt7 10 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 1ST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL. SO. FT. ROUGH PLUMB. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER OR SEPTIC TANK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) OTHER APPJEOUIP. WALL SO. FT. GAS (FINAL) DRINKING FOUNTAIN. SD FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER HEATER WATER PIPING NOTE: Not to be used as property lax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM. FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSP. 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/. c SEWAGE DISPOSAL SO.FT.GAR ® Wec HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.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 APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ -Plus-x$-=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING �� Q / �v REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING NSPECTION FINAL INSPECTION- CERT. OCC. CERT. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL