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002599 (SATT)Building Address -54-125 0& HM Owner Qv9 r:.xa Mailing Address 75-005 ®awfty Clab Drive City Zip Tel. Pot 92264 e Contractor 4 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 No. 002599 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Descriptionplt;li,ma pm�m 12 P1 4 OR. City Sam Zip - Tel. I certify that in the performance of the work for which this permit is issued, I shall not State Lia & Classif. 2W130Size City Lic. # �� Sq. Ft. .`> .1918 5W 424. No. No. Dw. Stories Units Arch., Engr:, Designer New X Add ❑ Alter ❑ Repair ❑ Demolition. ❑ Address Tel. NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become ZONE: BY: - City Zip State Lic. # Front.Setback from.Center Line LICENSED CONTRACTOR'S DECLARATION, ,. �. hereby affirm that I a'm licensed under provisions of Chapter 9 (commencing with,Section 7000) of Division13 of the Business and Professions Code, and my license is,ircfull,force%and` effect. _. CONSTRUCTION LENDING AGENCY I SIGNATURE -- -� - `"" - ✓ DATE ' rOWNEpR"BUILDER DECLARATION f I herebyaffirm that I am exem Yfrom 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 statementcthat 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 orloffered 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 of proving that he did not build or improve 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 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. 8. 8 P.C. for this reason Estimated Valuation �tJJ8 f17'.3 PERMIT ' - AMOUNT Plan Chk. Dep. . Plan Chk.. Bal.��•© rr ' Const. �J s, Mech. A ^lS 3`k cto® Electrical 74..69 Plumbing �q - - - 8 .50 S.M.I.-�_ 91 Grading Date Driveway Enc. Date Owner Infrastructure 1.805.97 mentioned property for inspe tion,burposes. F � WORKERS' COMPENSATION DECLARATION 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 if the permit is for one hundred dollars ($100) valuation Signature of applicant /f � ��`'% F _-'Date Mailing Address i � TOTAL 2.9111.56 REMARKS - or less.) - I 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, after making this Certificate of Exemption you should become ZONE: BY: - subject to the' Workers' Compensation provisions of the Labor Code, you must forthwith- comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: ' Front.Setback from.Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE INSPECTOR 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 that I have �' -86 Permit certify read this application and state that the above information is correct: r 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 inspe tion,burposes. F � Validated by: Signature of applicant /f � ��`'% F _-'Date Mailing Address i � Validation: City, State, Zip A6425 9 30 X891..56 CK HARD COPY CONSTRUCTION ESTIMATE 'i NO. ELECTRICAL FEJrf NO. PLUMBING FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. S0. FT. WALL SO. 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 2�/��B.GRADE/() —dl /r FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DOUGH WIRING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM A AS (ROUGH) 1 /� 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 WATER HEATER SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1114 c SEWAGE DISPOSAL BOND BEAM SQ.FT.GAR ® 3/ac HOUSE SEWER $ 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 SETBACKex—ROUND PLUM BING/O UNDERGROUND A.C. UNIT COLL. AREA 2�/��B.GRADE/() —dl /r OUGH PLUMB. 1 BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTI T V DOUGH WIRING �/� /�G u DUCT WORK ROCK STORAGE g/�OUND. REINF. /v �6 �� A AS (ROUGH) 1 /� METER LOOP HEATING (FINAL) OTHER APP.IEQUIP. I(,i/�REINF. STEEL ��_a(,/— O GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE IYA.IFINAL INSP. 6�� BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. . INAL INSP. a % v� �� "" �, FRAMING Q4 Z INAL INSP. `1O / —0 1 qoj` ROOFING i'(�GIL JJ GSC *v LJtzA De y WAV- tiAl (� � � 57- REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE FIREPLACE SPARK ARRESTOR GAR. FIREWALL �/ ' ,/ 4THING MESH eWNSULATIONISOUND IQ a.+ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL