The URL can be used to link to this page

10730 (PLBG)Building 77--923 IChi'r_uahua T a 4ht 4 Q u&rw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Agent/Karl Heinz Reimann Mailin Address City Tel. Contractor Stever Franz Piu 4irg Bax 1302 City Zip Tel.: LaQuinta 92253 341--5549 State Lic. City & Classif. 594290 Lic. # 2000 Arch., Engr., Designer Address Tel. City Zip State , � Lic. # ' LICENSED CONTRACTOR'S,DECLARATION I hereby aff.irm.that I..am.'licensed under provisions of Chapter 9 (commencing with Section 7�00)t Division 3 of'the Business and Profe Code _a my license is in full force and `SIGNATURE DATE ° OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor.s License Law for the following ' 0* reason: (Sec. 7031.5,Buslness 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 rile 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). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure -ii not intended or offered for sate. (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 himself or through his own employees, provided that such improvements are not Intended or offered for sale. It, 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.) O 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION t I have a certificate of consent to self•insure, or a certificate of I hereby affirm,.tha Worker's Compensation Insurance,or a certified copy thereof. (Sec. 3800, Labor Code.) PNo. Company Copy is filed with the city. .O Certified copy is hereby famished. 7 .r 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 lhp 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 Owner NOTICE TO APPLICANT: It, 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 No. 10730 V BUILDING: TYPE CONST. OCC: GRP. A.P. Number 774--0.54. OOIL Legal Description Lets 23 & 24 Block 205 Project Description Sewer -Hook Up Sq. Ft. No. No. Dwf Size Stories - Units New ❑ Add ❑ Alter ❑ Repair ❑ -Demolition ❑ Wmated Valuation 2000. 00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing • ti%� S.M.I. Grading Driveway Enc. Infrastructure TOTAL ail. 00 REMARKS '4,rz�,6a:t'idslaYar'rvrt�'1Nk5..':v1....4'7 7K ta:ill 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 Issued by:' Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. @ FORMS SEWER O OUGH WIRING MOBILEHOME SVC. BAR SINK POR. SO. FT. ® GAS (ROUGH) METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER WALL SO. FT. FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SO FT ® _$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FRAMING WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES REMARKS: 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,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINISH GRADING 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 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER O OUGH 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL Received From: "- (-ti c • -� / I I` % • t `'_ r — ` 1 "Ick VIInc - ` l I ` -1'. - •' ate---' Address: S V 1 C` u� C. y� V, L eY T Account No. .t Tract S C Service Address 11 - Q �� 1 vl t a !a �n �. ' G.A. Code ❑ Meter(s) S ❑ Service(s) ❑ Backflow(s) ❑ House Lateral(s) ❑ Detector Check(s) ❑ Meter Surcharge ,P,4anitatlon Capacity Charge �� 7 -R S, V j ❑ W.S.B.F.C. ❑ Temporary Construction Meter ^� ❑ Turn on Charge ❑ Uncollected Account - Name ❑ Inspection Fee - Tract - Fee - ❑ Plan Check Fees Water I Sewer - I Tract - ❑ Bond Payment - A.D. - Bond Assmtr, ❑ Customer Deposit ; ❑ Other ( i ' TOTAL $ Q• U Remarks: .n~C �' a -.❑Copy to: e Cash * Check(p a Money Order `i Water Service Cas ler '; CVWD-438,(11189)