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002601 (SATT)Building 54109 CIE�k HM Address" Owner P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002601 Mailing Address nq 7 iso elaa BUILDING:- TYPE CONST. A.P. Number Legal Description Project Description OCC: GRP. PM M9 MORE 12 a PMd 4CR City V -%It 'I _ Zip Tel. .,q.,I '3 Contractor Address. Setback Distances: ' " City Zip Tel. Front Setback from Center Line State Lia & Classif.� City Lic. # Sq. Ft, UM- 1932 Size AU -Stories No. No. Dw. Units Arch.; Engr., Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. work for which this permit is issued. (Sec. 3097, Civil Code.)- Side Setback from Property Line Lender's Name City Zip State Lic. # FINAL DATE INSPECTOR LICENSED CONTRACTOR'S DECLARATION hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section 70 00) of Division 3 of the Business and Professions.Code, and my license is in full force and effect... r_ ` _ •.. - ., _ _ „, SIGNATURE -- -` -DATE OWNER:BUILDER DECLARATION I hereby affirm that 1 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 fcensed-pursuant to the provisions of the Contractor's License Law, Chapter 9 .(commencing with Section 7000) of. Division 3 of the Business and Prolessions Code, or that. he Is : exempt - theiefiom; and The basis for the alleged exemption. Any violation of Section 7031:5 by. 'any applicant for a permit subjects thwapplicant 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 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 his own 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 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.) ❑.l am exempt under Sec. � . . B. & P.C. for this reason - Estimated Valuation n��_ - PERMIT _ AMOUNT , Plan .Chk..Dep. construction, and hereby authorize representatives of this city to enter the above- Plan Chk.. Bal. 335.60' Const. - �rj McCh.�� Signature of applicant Date Electrical 74.69of Plumbing g+� 87.50 "' S.M.I. 8.30 Grading Driveway Enc. A 6 4 [ 9 Date owner Infrastructure LOOM WORKERS' COMPENSATION DECLARATION I hereby affirm that l 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. .. 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 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. TOTAL 2.891.56 `REMARKS Date Owner NOTICE TO APPLICANT. If, alter making this Certificate of Exemption you should become ZONE: BY: subject to the 'Woikers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: ' comply with such provisions or this permit shall be deemed revoked. Minimum ' Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY. Side Street Setback from Center Line 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.)- Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR This is's building permit when properly filled out, signed and validated, and'is subject to expiration it work thereunder is suspended for 180 days. I 9-"3€-Mermit certify that I have read this application and state thatthe above information is correct. Issued by: Date 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. Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip A 6 4 [ 9 9 3 U 8 5, 15 6 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEESW NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SO. FT. WALL SO. FT. ® SO. 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 (,(JOUGH PLUMB.BONDING FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED �{c�iAS (ROUGH) LAUNDRY TRAY 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. d G� GAS PIPING PERMIT FEE 014 TO w►u,.a� �aC+ )�� p Ip n n n( tiTtr� e I 0'` PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE IPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK l� — 8- . G`OUND PLUM 5 UNDERGROUND A.C. UNIT COLL. AREA 04'�-L"AB GRADE /Q�� `� -h (,(JOUGH PLUMB.BONDING HEATING (ROUGH) STORAGE TANK �&&ORMS 16EWER Oy#13IC K OUGH WIRING 1 l S DUCT WORK ROCK STORAGE &/_FOUND. REINF. /v —�� {c�iAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. PJ-VREINF. STEEL /Q -�� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICEFINAL INSP..2j/l / v BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR.INALINSP.� (� FINAL INSP. d G� peG1,11FRAMING_CA/ 0%ROOFING. �7C`C4 N 014 TO w►u,.a� �aC+ )�� p Ip n n n( tiTtr� e I 0'` i REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH &16NSULATIONISOUND _d 4d,W FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL, mares � vn a aiunH i vn�anm i mw, GARDEN WALL FINAL