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002609 (SATT)Building Address "5 73 03at H U Owner Mailing Address S—M5� , City Zip Tel. Contractor Address. City lZip ITel. P.O. BOX 1504 No, ()0260! 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Q„ Legal Description Project Description WRM_Q' 13 A .. - I .. •a*c1— % swat State Lic. City & Classif. 28$130 Lic. # 328 Arch., Engr.; Designer Address Tel. CityZip State _. Lic. # . LICENSED CONTRAgTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , _SIGNATURE 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 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 their sole compensation, will do the work, and the structure is not intended or offered for sale. (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 hisown 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.) 0 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 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.) ❑.I 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 O Copy is filed with the city. . O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE.. (This section need not be completed it 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: 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 Ihereby 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 sof this city to enter the -above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip HARD COPY Sq. Ft. 1330 No. No. Dw. Size GM 424 Stories Units New ❑x Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation . 1 PERMIT Plan, Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL nCIVIAMMI-D. AMOUNT 324,9# 391.40 34 An 59A9 `79 87750 31:276.00 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: A6437 9 3U i i %9.42 it CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES' NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ, FT, ® CAR P. SQ. Ff. WALL SQ. Ff. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation OUGH PLUMB. 7 7 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED {((GAS (ROUGH) ] 7 b I I �J LAUNDRYTRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. Ff. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR.FINAL SQ.FT.GAR ® 3/ac HOUSE SEWER f(ZFRAMING FINAL INSP.a 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 ROUND PLUMEJU- J2 UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE �(� 3�., 31 OUGH PLUMB. 7 7 BONDING HEATING (ROUGH) STORAGE TANK - FORMS EWER OR SEPT TAN ceOUGH WIRING DUCT WORK ROCK STORAGE Lie FOUND. REINF. d/3— 0 {((GAS (ROUGH) ] 7 b I I �J METER LOOP HEATING (FINAL) OTHER APP./EQUIP. Fe-REINF. STEEL (U aGi� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. le, 0 0 / BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR.FINAL INSP p . f(ZFRAMING FINAL INSP.a 94LROOFING OrG� S� VENTILATION � l! � f n / �7 � f /��' •C J 1� F REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING 3 Y MESH UJ/INSULATIONISOUND i FINISH GRADING �Q FINAL INSPECTION a CERT. OCC. FENCE FINAL rnsrtci un's WUNA I untblmi 11AUk GARDEN WALL FINAL