The URL can be used to link to this page

05085 (SFD)T4"ht 4 4 Q" Building Address 54-635 inv►eanesa Owner x: P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 • _ No. 05085 Mailing BUILDING: TYPE CONST. OCC: GRP. Address 42-400—C A .,, 3. A.P. Number _ . .. _ t . nA tla^t _ TfAggia `50A A�'"' .7.-: _. _ _ O _cCi _r City zip el _ Palm Desert 92260 566-'2828 Legal Description Project Description . Pian in Contractor National Xortgtaye Address a>n City Zip Tela State Lia B Classif. 288130 City Lic. # 328 _ Sq. Ft. 1627 Size No. No..Dw. Stories Units Arch., Engr., New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Designer Address Tel. City Zip State Lic. # ` LICENSED CONTRACTOR'S DECLARATION 1 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.1 SIGNATURE' DATE OWNER -BUILDER DECLARATION 1 hereby affirm that l am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Buskmess and Professions Code: Any city or county which requires a Permit to construct, alter, improve, demofish, or repair any structure, prior to its issuance also requires the applicant for such permit to We 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 of Section 7031.5 by 'any applicant for a permit • - 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 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 h6nself 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 safe.) Estimated Valuation $113,727 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. S 380.44 Const. O YA 468 Q0 Mech. 34.00 Electrical 6 Plumbing 87,51) ❑ 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 forS.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ 1 am exempt under Sec. R, & P.C. for this reason V r 7,95 Grading Driveway Enc. Date Owner Infrastructure 92.558486 1,279.43 WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of Workers 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. _ TOTAL S6. ��'. �iLi •I. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS ;.;"yi�xi�.e.t�.�1 ,Ti t•.j,�.�."�1�.m"i,•=� ;-�3li (This section need not be completed if the permit is for one hundred dollars (8100) valuation or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California - aliforniaDate ) % Owner �. Dat e NOTICE.TO APPLICANT: ff. ager. mak-rig this -Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Comply With such Provisions Orthis per mit shall be deemed revoked. _ ZONE: BY: Minimum Setback Distances: Front.Setback from Center Line Rear Setback from Rear Prop. Line 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, CivBCode.) Lender's Name FINAL DATE Side Street Setback from Center Line Side Setback from Property Line INSPECTOR 1 L, 2 7 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,Validated Issued by: by: l Date Permit Signature of applicant -Date- ateMailing Address Mailing Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE GH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS i SEWER ORS IC TA ROUGH WIRING MOBILEHOME SVC. BAR SINK POR SO FT ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN SO FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ =S WATER PIPING NOTE: Not to be used as property tax valuation RAMING 44"Zr FLOOR DRAIN MECHANICAL FEES / �/ G� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY 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. Fr. RESID ® 1 Vi c SEWAGE DISPOSAL INSULATION/SOUND SO.FT.GAR ® 3/ic HOUSE SEWER FINI H GRADING 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 GH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS i SEWER ORS IC TA ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL (FINAL) TEMP. POLE GROUT WATER HEATER VICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xS =S LUMBER GR. FINAL INSP. RAMING 44"Zr FINAL INSP. IM ROOFING7�F / �/ G� ��C' REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR R. FIREWALL HING MESH INSULATION/SOUND FINI H GRADING AL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL