Loading...
07269P.O. BOX 1504 No. 07269 Building �4"�37rJ � del 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mailing Wane Homes BUILDING: TYPE CONST. OCC: GRP. Address 15 Agusta A.P. Number 613-402-004, 009, 010 City Zip Tel. Rancho fir ge X32270 568 -►2828 .. Legal Description Tent. Tr. No. 23,971 Contractor Phase I A Project Description Sim Address Lot -78 City Zip Tel.: State Lic. City & Classif. 609208 Lic. # Sq. Ft. 3360 No. 2 No. Dw. Arch., Engr., Size Stories • , Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address' Tel. City Zip. State Lic. # LICENSED CONTRACTOR'SiDECLARATION I hereb��.d nsed�underorovisions,of Chapter 9 (commencing with Section 7000) ofss end Profession�s/Code, and my license is i{full force and I. SIGNATURE T DATE .. .. P OWNER -BUILDER DECLARATION Estimated Valuation �$171,250I herebyaffirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,8usiness 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 Me a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, 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 Const. x • 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, Mech. iii i. �tf 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 -budder will have the burden Electrical ti •4i 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- Plumbing t -ml. 0 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 S.M.I. >~ t such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) . ❑ I am exempt under Sec B. & P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure 4,853 1 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. ❑ Certified copy is hereby furnished. r, i.• } TOTAL �� �i .>�t `� •�' i /'/ .. !i CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the pemrit is for one hundred dollars ($100) valuation orless.) 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 Workers' Compensation Laws of California Date Owner ' NOTICE TO APPLICANT., d, atter makbrg this Cetificate of Exemption you should become subject to the Workers' Compensation provisions of 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, CIO Code.) Lender's Name Lender's Address This is a building permit when'properli 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 applicationand 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 f.> R ro. gsq.;a ¢x �nw r- �i^ 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 INSPECTORS Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) YARD SPKLR SYSTEM 2ND FL. SQ. FT. SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) 3 6� METER LOOP < HEATING (FINAL) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SD. FT. WATER HEATER SERVICE WALL SQ. FT. DRINKING FOUNTAIN_ SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ LUMBER GR. WATER PIPING NOTE: Not to be used as property tax valuation / FINAL INSP. / 0/G0 Ch CP G[[[ 7? FLOOR DRAIN MECHANICAL FEES Tf% Q ©U / Q L Q �� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER 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 OUND. REINF. w —'/v L GAS (ROUGH) 3 6� 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. $ plus x$ =$ LUMBER GR. FINAL INSP.q 2 Lo `` {� FRAMING a Q(� / FINAL INSP. / 0/G0 Ch CP G[[[ 7? ROOFING' a qd Tf% Q ©U / Q L Q �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL RING O L MESH INSULATION/SOUND Al FINISH GRADING FINAL INSPECTION L CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL l