Loading...
13372 (SFD).o r Building s±arla1i:d Address Owner Mailing P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 13372 BUILDING: TYPE CONST. `T�,i OCC. GRP. k.3 Address 31 1 �lr=cam �?'a- Plvd 11-310 A.P. Number 604-.31--00 City Zip Tel. -�u.�� -3 `.:;rc ut 326E' 11ha�.,�,R': A_iah im , Chi 0 9 Legal Description Contractor SF D Plan C Project Description a�ir3� Address Accicia �ii'inttis Sq. Ft. 1519 a. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 41' 9 4 y 6 :, G� rir; Zip I Tel. State Lie. ii�19 395j City laa1L:, & Classif. Lie. # Designer Arch., gr., DC `3es igr Te J1,_xvir�u� 7�E 7Z4) Gf 1--1 *q� City Zip State Santa A.-ta Key iaLii, CA 9 V-0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provlsions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my lieens&ls in full Force and affect. - d SIGNATURE _ DATI= OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Following reason: {Sac. 7031.5,Business and Professions Code: Any city or county which requkes a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such peiY * to file a signed statement foal he is licensed pursuant to the provisions of the Contractor's Lkense Law, Chapter 9 (commencing with Saawn 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 lhelr sole compensation, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044, Bufsriess and Professions Code. The Canfraclor's License law does not apply to an owner of prcperty 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 contraclor(s) licensed pursuant to the Contractor's License Law,J ❑ 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. 3B00, Labor Code.) Policy No_ Company Ii.4, appy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (WIS section need not be completed if the permit is for one hundred dollars ($100) valuation 01,165s) I certify that In the performance of thy work for which this permit is issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compen.:ation Laws of California: Date Owner NOTICE TO APPLICANT., ff, 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 stale that the above informalion 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 abova• mentioned property for lnspection purposes. Signature of applicant Date Mailing Address City, State, Zip PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. S 2 1 COnst. Mech. Electrical Plumbing 1 4, :< . iU .. S.M.I, 9.50 Grading 0 0 0 Driveway Enc. n �; Infrastructure ,Z '9. 59 TOTAL r is . is Q REMARKS ZONE: BY: r 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 Issued by: — Validated by: Validation: INSPECTOR rm it CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT @ 2ND FL, SQ. FT @ POR. SQ. FT. @ GAR, SQ. FT. @ CARP SO. FT. @DRAINAGE WALL SO. FT. © SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS YARD SPKLR SYSTEM MOBILEHOME SVC. BAR SINK POWER OUTLET ROOF DRAINS 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 WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DEL 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 / �{ I % NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ROUGH WIRING DUCTWORK ROCK STORAGE FOUND. REINF. /7 GAS (ROUGH) 9C ME R LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) MP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. FRAMING Y FINAL INSP,(' ROOFING ��] j�_ /„V ,, _ `r1 1 / OV`�'^' 1 yZ,�� �j / 1 t3J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPAHK AHHFSIOH GAR. FIREWALL LATH[ MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINlT3AL5 GARDEN WALL FINAL