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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