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002592 (SATT)Building 54-101 RM Owner Mailing Address ..�� 46 P.O. BOX 1504 No., 002592 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City Zip � Tel. _ Ltn. 92260 I 568-'2$n I Contractor Address . SWIM City Zip !csxlfs"a State Lic. & Classif.. 2.8913() A h Tel: City Lic. # 328 BUILDING: -TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description PM wwr PFAM 12 A plan 1A Mr. =0 Sq. Ft.c;hR�� No. No. Dw. Size Stories Units - rcEngr., Designer New [ft. Add ❑ Alter ❑ Repair ❑ ' Demolition ❑ Address Tel. Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line City Zip State . . I Date 9—M-86 Permit Lic. # . _ LICENSED CONTRACTOR'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 9 30 i i %9.42 ft effect. ; SIGNATURE " - DATE - - OWNERBUILDER DECLARATION Estimated Valuation. I hereby affirm that 1 am exempt from the Contractor's License Law for the following�� 00 reason: (Sec. 7031.5,Business and Professions Code: -Any, city . or, county which requires a `to " permit construct, alter, improve, demolish, or repair anystructure, prior to its issuance also requires the applicant for such permit to file a signed statement that he islicensed pursuant to, - PERMIT •_r - AMOUNT ' 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 Plan ' for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Chk: Dep.. 'subjects the applicant to a civil penalty of"not more than five hundred dollars ($500). Plan Chk. Bal. + 94 D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, arid the structure. is not intended or offered for sale. (Sec. 7044, Buisness and CDn§t.�1�'�:. . Professions Code: The Contractor's License Law does not 'apply to an owner of property .who 'own builds or improves thereon and who does such work himself' or through his employees, Mech. !A provided that such improvements are not .intended or offered for sale. If, however, the building sllli 3b ilii _ or improvement is sold within one year of completion, the owner -builder will have the burden Electrical- �9s of proving that he did not build or improve for the purpose of sale.) D I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 87.50 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 g,M,1. _ •' 5499 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading D 1 am exempt under Sec. B. & P.C. for.this reason Driveway Enc. Date owner Infrastructure $rw 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 D Copy is filed with the city. D Certified copy is hereby. furnished. TOTAL 2.179.42 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'.)' - - - certify that in the performance of the 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.- If, alter 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 per 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. Sigriature.of applicant Date— Mailing ate Mailing Address City, State, Zip HARD COPY REMARKS 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 9—M-86 Permit Validated by: Validation: A6431 9 30 i i %9.42 ft CONSTRUCTION ESTIMATE NO. ELECTRICAL FEEJW NO. PLUMBING FEES IST FL. SO. FT. @ $ 2ND FL. SQ. FT. POR.SQ. FT. ® GAR. SQ, FT. @ _ CAR P. I SQ. FT. @ WALL SQ. FT. @ 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. 2 FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED AS (ROUGH). r7 �avv�r% 1 / LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 1+/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER NAL INSP. 9 )J a�w/ t 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 [L(GSETBACK 1 ROUND PLUMBING .- r UNDERGROUND A.C. UNIT COLL. AREA 16SLAB GRADE & OUGH PLUMB. 2 BONDING HEATING (ROUGH) STORAGE TANK IL(./— FORMS /�. �� S (Q EWER OR TIIT j(„ (ROUGH WIRING �� G /_ V DUCT WORK ROCK STORAGE 7/ !/FOUND. R(EINF./,&_4 v G/_R. AS (ROUGH). r7 �avv�r% 1 / METER LOOP HEATING (FINAL) OTHER APPJEQUIP. �(ZAEINF. STEEL wV GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE 2LgPlINAL INSP.,// G O BOND BEAM WATER SYSTEM $ GRADING cu. yd. —Plus—x$—=$ LUMBER GR. INAL INSP.' & & 1 t(��FRAMING i� ' f1 / •L ,1,21[ NAL INSP. 9 )J a�w/ t i/ .C�pOOFING �1 � /�/( YiY�� r VENTILATION n �� 7 0 '✓ � Q �� ,� 12/ / �O ��il� 4111 2 )4� REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH uC INSULATION/SOUND' 2 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL