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002597 (SATT)Building 54-141 Address Owner Mailing Address 75-0 City Zip Contractor Flat Address City-. Zip - uur Via. P.O..BOX 1504 No. 002597 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. rive A.P. Number Tel. Legal Description Project Description Pl`i 3 on Tel.. State Lic. City MM 5.627 & Classif.. M130Size Lic. #$ Sq. Ft. No. No. Dw. ' Arch:, Engr., Stories Units ' Designer New (ft Add ❑ Alter ❑. Repair ❑ Demolition ❑ Address Tel. City Zip State _ Lic. # . LICENSED CONTRACTOR'S DECLARATION r I hereby affirm that I am licensed under. provisions-of,Chapter 9 (commencing wlthrSection f 7000) of Division 3 of the Business and P }rofessions Code, and my license is in full force an effect. `�� t...:. SIGNATURE It F' DATE OWN ER -BU ILDERJ DECLARATION Estimated Valuation hereby affirm that I am exempt from the Contractor's License Law for the following 103. 665.50 reason: (Sec. 7031.5,Business and Professions Code:. Any city,orcounty 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 - PERMIT <: AMOUNT - n 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 Any Section' 7031.5 'any for 'permit Chk. Dep. . the alleged exemption. violation of by applicant a subjects'the applicant to a civil penalty of not more than: five hundred dollars ($500): ' ' '� . ,Plan. Plan Chk. Bal.. 'J" . O 1, as owner of the property, or my employees with wages as their sole compensation, will o�A do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.""' 443.50Professions 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, Mech. r� 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 Electrical 1%� 41 or 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- ' Plumbing`'—, 87.50 � struct the project. (Sec. 7044, Business and Professions Coder.The Contractor's License -Law does not apply to an owner or property who builds or improves *thereon, and who contracts for S.M.I: - 7. '�8 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ❑.I am exempt under.Sec. B. 8 P.C. for this reason Driveway Enc. Date Owner Infrastructure 11554,98 WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to selFinsure, 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. TOTAL 2.558076 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATIONINSURANCE (This section need not be completed if 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: 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, Civilcode.). ' . Side Setback from Property Line Lender's Name Lender's AddressFINAL DATE INSPECTOR ' This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. —30-86 . I certify that I have read this application and state. that the above information is correct: Issued by: '• Date Permit 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 inspect ion,purposes. ,-' Validated by: Signature of applicant Date ✓f�'" I}� . Mailing Address ' ' �` Validation: City, State, Zip -- ipA6421 A 6 4 2 1 9 50 2558.%6 U HARD COPY Am CONSTRUCTION ESTIMATE 1ST FL. SQ. FT. @ 2ND FL. SQ. FT. FOR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ. FT. WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NO. ELECTRICAL FE -7, UNITS MOBILEHOME SVC. POWER OUTLET NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation COLL. AREA FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (ROUGH) % G C LAUNDRYTRAY AIR HANDLING UNIT CFM OTHER APP./EQUIP. 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 GRADING cu. yd. $ plus x$ SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID @ 11/4 c SEWAGE DISPOSAL iFINAL INSP. � COK SQ.FT.GAR @ 3/ac HOUSE SEWER Tv u.lr2ra� f; � �� l,.$ G I�IC 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 GROUND PLUMBING/6-/o UNDERGROUND A.C. UNIT COLL. AREA AeSLAB GRADE /G a1—� `P OUGH PLUMB. 2 BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SEPTIC A OUGH WIRING DUCT WORK ROCK STORAGE :FOUND. REINF. jv V(� GAS (ROUGH) % G C METER LOOP HEATING (FINAL) OTHER APP./EQUIP. 9L/GREINF. STEEL ��a�)-�r� GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. 3 b kcis— /a /'� f G FRAMING,90 iFINAL INSP. � COK IZ- ROOFING V1 1` �G /2/'� a / F+ 1' VENTILATION Tv u.lr2ra� f; � �� l,.$ G I�IC REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL f 6 jZLATH I NG MESH 2A INSULATION/SOUNDJF FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL IVN"J WUNA 1 UKLWINI I IAL5. GARDEN WALL FINAL