Loading...
05077 (SFD)P.O. BOX 1504 No. Building 78-105 CALLE ESTADO Address 54-647 Inverness LA QUINTA, CALIFORNIA 92253 Owner 1 t 05077 Mailing Sunrise CorxnanX � BUILDING: TYPE CONST. rOCC,. GRP. Address n _gv 4 t. 9nn A.P. Number Dt°A i. ^Zt vba�n 20A City Zip Tel. Legal Description Co2822 ritractor Project Description �13 I _$ � 11k; Address City Zip ' Tela State Lic. City & Classif. 288130 Lic. # 328 Sq. Ft. 1330 No. No. Dw. Arch., Engr., Size a Stories - Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Address Tel City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 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 SIGNATURE i DATE t OWNER -BUILDER DECLARATION — I hereby affirm that I am exempt from the Contractor's License Law for the following �• reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a t 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 Me provisions of the Contractor's License taw, 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 penally 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 bud7s or improves thereon and who does such work himself or through his own employees, Provided that such 6nprovements are not intended or offered for sale. h however, the building Or srprovement is sold within one year of completion, the owner-bulder will have the burden of proving that he did not build or improve for the purpose of sale.) , ❑ 1, 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 for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ,,�� -• ❑ 1 am exempt under Sec. B. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Phis section need not be completed if the permit is for one hundred dollars ($100) valuation Or less.) 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. t } Datet L ;' :iOwner k NOTICE TO APPUCANP IF, after making' this Certificate 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 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.) Lenders 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. 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 Lstlmateo valuation S-1 22 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. R OD Mech. A D Electrical 4 0 Plumbing $7.50 S.M.I.\ 6.62 Grading\ Driveway Enc. Infrastructure $2.120.49 1.060.25 f%n.4 t3fraf ri TOTAL S2.00 . 9.85 REMARKS ` .* 4 rel, fsre • A �,� .t+`. A '6 'YA !t/] .t fy 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 12/27/88 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS r RO H PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS R OR / C AN ROUGH WIRING MOBI LEHOM E SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET I ROOF DRAINS GAS (FINAL) TE P. POLE DRAINAGE PIPING CARP. SO. FT. ® I WATER HEATER WALL SO. FT. ® FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO FT ® =S LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES I IWATERSOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTOXDISH) 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. SO. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 RO H PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS R OR / C AN ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TE P. POLE GROUT WATER HEATER RVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xi =S LUMBER GR. FINAL INSP. RAMINGFINAL INSP. ROOFING17-� 69 �� �Gj r'v / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GL THING SSI �� MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESlINITIALS GARDEN WALL FINAL