The URL can be used to link to this page

04002 (BLDG)-------- Ti'4t 4 P.O. BOX 1504 �✓ Addrress 43-499 Sisenho"r LA QUINTACCALIFORNIA 92253 Owner Crico Hotel Association ofP.S. Mailin Address 11200 Rockville Pike ty Zip Tel. 90kville, hG52'-300,, Ci34.5--2888 Contractor L=ftark Land COMPAny Address P. 0. Box 1000 City Zip Tel. La Quints 922S3 345-2888 State Lic. City & Classif. I Lic. # Designer Address I Tel. City M (Zip (State I Lic. # ,/ E LICENSED CONTRACTOR'S DECLARATION I her@4 affirm that I am licensed under proyiseons of Chapter 9 (commencing with Section 7000).of Division 3;of the Business and Professions Code, and my license is in full forrce and eff,f _,r• r4-- t-"r a�.l + a SIGNATURE r t;.,_I-y I,,. C'IV<1* 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 file 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 thathe 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 (E500). 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. Bussness and Professions Code: The Contractor's License Law does not apply to an owner or 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 sold within one year of completion, the owner -builder will have the burden 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- 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 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) I certify that in the performance of thg 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 I Owner NOTICE TO APPLICANT: 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 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 11LDING: TYPE CONST. OCC. GRP. P. Number ' • La Quint* Hotel Legal Description Project Description Engineering Building Sq. Ft.No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ stimated Valuation $42 424 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal.:%+Z 1 Const. Z, Z)U Mech. za muU Electrical _I .7 J Plumbing 4Z . (U S.M.I. Grading Driveway Enc. Infrastructure TOTAL +yJ ti 2. + 54 REMARKS fit •-C111111► t Un At r� r14 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 I.N PEC�T�OR Issued by: Date -Permit Permit Validated by: Validation: WHITE -.FINANCE, PINK APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT fp 2ND FL SO FT. a POR SO FT * GAR SO. FT. 0 CAR P. SO FT. WALL SO. FT. @ SO. FT. fB ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTOYDISH) 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. rg c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT, RESID 1'A c SEWAGE DISPOSAL SO.FT.GAR gr 3/,c 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 PLUMBINk � UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE - ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 00, DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE ��++++++��.��. FINAL INSPc— '70 -S BOND BEAM WATER SYSTEM GRADING . cu. yd. $ plus x$ _ $ LUMBER GR. FINAL INSP. FRAMING - IV - $ 6 //��Q FINAL INSPy" [ ROOFING .-/ - c 7 w REMARKS: m cJ VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR, . FIREWALL�-�� LATHING —f MESH INSULATIONISOUND / FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIIHITIALS GARDEN WALL FINAL