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002503 (RPL)Building 54-145 Oak. U Address Owner Sunrim Mailing' Address 75.005 Cramtry 1 City Zip ... ia: Contractor %X=4 - r3 Address Tel 44 P.O. BOX 1504 No. 002-503 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number Legal Description Project Description- WM WMr 1 5 Sam City Zip Tel.' .. _ subject'to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. State Lic. City & Classif. Lic. # Sq. Ft. No. No. DIN. Side Street Setback from Center Line 'Ala Size a Stories • Units Arch.,-Engr., _ Designer New Og Add ❑ Alter ❑ a Repair ❑ '" -Demolition ❑ Address Tel. expiration if work thereunder is suspended for 180 days. I .certify that I have read this application and slate that. the above information is correct. Issued by: Date 7-24—PA Permit VIA mwom r'wv)l City Zip State mentioned property for inspection purposes. Lic. # - Signature of applicant / ! Date - ' LICENSED CONTRACTOR'S DECLARATION: -. Mailing Address '-' _ _ �'" ' 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 City, State, Zip effect. SIGNATURE a,�..� f �.....r-'" "' . w - _. 'DATE .. - .. ... OWNER -BUILDER DECLARATION Estimated Valuation, I hereby affirm that I am exempt from the Contractor's' License Law for the following . reason: (Sec. 703 1. 5, Business and Professions Code: Any city or. county which requires a. permit to construct, alter, Improve, demolish, or repair ariy structure, prior to 4h; issuance •also requires the applicant for such permit to file a signed statement that he•is..licensed pursuant to ...gym ~PERMIT - AMOUNT the provisions of the Contractor's License Law,. Chapter. 9. with Section 7000), of ' Division 3 of the Business and Professions' Code, or that. he' is exempt therefrom, and the basis Any Section 7031.5 any. for ._ Chk: Dep. - . for the alleged exemption. violation of by applicant a permit ' subjects the applicant to a civil penalty of not more than five hundreddollars ($500). .Plan Plan Chk. Bal. ❑ 1, 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; &risness and ' COr1St:. m Professions Code: The Contractor's License Law does not apply, to. an owner. or property who ' builds or improves thereon and who does such work himself or: through his own employees," Mech. 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 of 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- Plumbing -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 S.M.I. such projects with a contractors) licensed pursuant to the Contractor's License taw.) Grading ❑ I am exempt under Sec. B. & P.C. for .this, reason Driveway Enc. Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's CompensationInsurance, 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 (E 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. Infrastructure TOTAL 7.2 _ 1;0 REMARKS 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 Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. 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'perforriance 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 .certify that I have read this application and slate that. the above information is correct. Issued by: Date 7-24—PA 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 inspection purposes. Validated by: Signature of applicant / ! Date - Mailing Address '-' _ _ �'" ' Validation: City, State, Zip A6066 7 29. 225(i CK. HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SO. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. 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 BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ec HOUSE SEWER REMARKS: 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 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL I bl`M,1VK" A WUNN 1 UN rWIN I I IALJ. GARDEN WALL FINAL