Loading...
09376 (PAT)Building Address 4.4'°"155 Owner Mailing Address City 9. 1cs'.1n4'ai Contractor ress . . TAtyl A 414 P.O. BOX 1504. N o . 78-105 CALLE ESTADO �i eta LA QUINTA, CALIFORNIA 92253 p Tel. p Tela State Lic. City & Classif. - Lic. # ' Arch., Engr., " Designer reby. affirm that I am exeript from the Contractor s License La for the following Estimated Valuation Address Tel.; permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance also City ip - .• - _. AMOUNT State sion 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis Lic. # ' �))// ' LICENSED CON ACTOR'S DECLARATION s' I hereby of rm th$t I: am license�l un er `rovi,9�ons Chapter 9 (commen ng Section ,. ; 7000) of Division e; �iYthe Business and Pr fess with ions`%Code, and my Iicense�i in full force and BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description Patin ' f nvPr 09`76 Sq. Ft. No. No. Dw. Size } Stories Units New ❑ Add ❑ Alter ❑ Repair. ❑ -Demolition ❑ 4� •• !S © A• UH Y i if DATE - :7— OWNEA'•BUILDER DECLARATION reby. affirm that I am exeript from the Contractor s License La for the following Estimated Valuation 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 PERMIT - .• - _. AMOUNT theprovisions of the Contractor's L,cense Law, Chapter 9 (commencing with Section 7000) of sion 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 penaltyof not more than five hundred dollars ($500). Plan Chk. Bal. O I, 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, Buisness and COr1St. Professions, Code: The Contractor's License Law'does .not apply to an owner of property who AC; builds or. improves thereon and who does such work himself or through his own employees, Mech. ' 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 Electrical of proving that he did not build or improve for the purpose of sale.) O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 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. such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) • Grading - - ❑ 1 am exempt.under Sec. B. & P.C. for this reason .Driveway Enc. sDate owner Infrastructure WORKERS COMPENSATION DECLARATION 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 i 4 O Copy is filed with the city. O Certified copy is hereby furnished. s >�tc?r�"'9 TOTAL a 7QQ0 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completd if the permit Is for one hundred dollars ($100) valuation - or less.) - I certify that in the performance of.thp work for which this permit is issued, I shall not employ any person in any mannerso as to become subject to the Workers' Compensation Laws of California. Date Owner ' NOTICE TO APPLICANT., If, 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 a CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line - 1 hereby affirm that there is a.-onstruction lending agency for the performance of the work for which.this permit is issuec..(Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATEINSPECTOR This is a building permit when ixoperly 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 app:ication and state that the above information is correct. Issued by: Date Permit' I agree to comply with all city anccounty ordinances and state laws relating to building construction, and hereby authori2e 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. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. BONDING YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SQ, FT. ® DUCT WORK ROCK STORAGE GAR. SQ, FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CARP. SO. FT. ® TEMP. POLE WALL SO. FT. GROUT DRINKING FOUNTAIN. SO FT ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE: Not to be used as, property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. I TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR I HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 V/i c SEWAGE DISPOSAL MESH SO.FT.GAR ® 3/ac 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 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 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL