HomeMy WebLinkAbout05949 (SFD)TW t 4 4 Q"
Building
Address 78-720 tiarac!}
Ct.
Owner
Mailing
Address 58-713 Perez Rd. # i
Cityp Tel
T-92234
Cat City i
Contractor
s8E 8
Address
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
State Lic. City
9 Classif. 327077 Lic. # 1219
Arch., Engr.,
Designer
Address Tel.
City Zip State
Lic. #
LI 3MSED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section
70001 of Division 3,pf 0Business
.land Professions Code, and my license is in full force and
effect E.. =. If 11 a KTI
SIGNATURE _ + N DATE
OWNER -BUILDER DECLARATION
I hereby affiiTn that 1 an exempt from the Contractor's License Law for the following
reason: (Sec. 7031-5,Brshess and Professions Code: Any city or county which requires a
Pemn/t to constructt, alter, iryxove, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to fie a signed statement that he is licensed pursuant to
the provisions of the C mbactorls License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Cade, 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 apprrcant to a crW penalty of rpt 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, 0uisness and
Professions Code: The C vat acWs 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 irprovoments are not untended or offered for sale. If, however, the building
or improvement is said w7hin one year of completion, the owner -builder will have the burden
of proving that he did not build or irpmve 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 taw
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec w, & P.C. for this reason
Date owner
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.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ff 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 owner
NOTICE TO APPLICANT. I, after making this Certificate of Exemption you should become
subject to the Workers' Corrpernsation provisions of the Labor Code, you must forthwith
comply with such provisory or flus pem* shalt 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, Ciw7 Code.)
Lenders Name
Lenders Address
This is a building permit when property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 100 days.
1 certity 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 purpose&
Signature of applicant Date
Mailing Address
City, state, zip
LDING: TYPE CONST
P. Number
No. 05940
OCC: GRP.
al Description PbMM Iii Lot S
Plan 2004 Parc La Quixttta
Project Description
Sq.rFt. 2004 No. No. Dw.
Size Stories Units
Newlb Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation 102,026.00
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
•
Const.
0.1310•
Mech.
13.
Electrical
113.30
Plumbing
138.50
S.M.I.
7.21
Grading
Driveway Enc.
Infrastructure
•S
TOTAL
• ' : J J ,_
REMARKS
f+sn 43rd..>.;#;147:f{tyr1kl.t^::—t#Y}% Ait,
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 6-16-89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
F
2ND FL SQ. FT.
STORAGE TANK
YARD SPKLR SYSTEM
SEWER OR SEPTIC TANK ROUGH WIRING.
MOBILEHOME SVC.
BAR SINK
POR. Sp. FT. ®
GAS (ROUGH)/ ! ! -7METER LOOP
HEATING (FINAL)
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. SQ. FT.
FINAL INSP.
WALL Sp. FT.
WATER SYSTEM
DRINKING FOUNTAIN,
SQ FT ®
LUMBER GR.
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INS . ✓✓✓
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(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, TEMIPERM
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.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ic
HOUSE SEWER
FINAL INSPECTION
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
SET CK
GROUND PLUMlfff UNDERGROUND
A.C. UNIT
COLL AREA
RADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
VVYIFO MS
SEWER OR SEPTIC TANK ROUGH WIRING.
DUCT WORK
ROCK STORAGE
UND. REINF.
GAS (ROUGH)/ ! ! -7METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
Cu. yd.
$ -Plus-X$-=$
LUMBER GR.
NAL INV
FRAMING P 17
/
FINAL INS . ✓✓✓
ROOFING P '
A/ 01/-e/9
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
14 ING /
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
'
GARDEN WALL FINAL