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002284 (SATT)P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 54-565 Oak, Wag LA QUINTA, CALIFORNIA 92253 Mailing ��y,, Address '� Ql� � I�•Ub DftVe CityZip Tel. . Ft 221 5S ?M Contractor bati. mordqacp and Land Address No. . 002284 BUILDING: TYPE CONST. OCC. GRP. A.P. Number Legal Description Project Description FrIm 2 Ci Pham 4 City . BY: Minimum Setback Distances: Front Setback from Center Line Zip Tela Side Street Setback from Center Line State Lic. & Classif. 28833€ City Lic. # 328 Dt 2548 Sq. Ft. iM 424 Size- - No. I No. Dw. 1 Stories Units Arch., Engr:, Designer New ❑X Add ❑ Alter ❑. Repair ❑ Demolition ❑ Address Tel Validation: City Zip State Lic. # .. LICENSED CONTRACTOR'S. DECLARATION. 1 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 effect.. f, - SIGNATURE r " DATE J OWNER -BUILDER DECLARATIONEStlmated I hereby affirm that I 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 permlt,io file a signed statement thathe 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. Aby�wiolation 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)" ❑ 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, 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.) .. _ ❑ 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.)' O 1 am exempt under Sec. B. & P.C. for this reason Valuation ,g_�,- 00 PERMIT - AMOUNT Plan Chk. Dep.. _ Plan Chk. BBI. 3.SiPp�dY 352.05 Const. Y 42.7.00 Mech. 34.00 'Electrical - kR -j�cA: Plumbing 87.50 _ S.M.I. 6.83 Grading Driveway Enc. Date Owner Infrastructure it` C 1,464.35 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 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 TOTAL 2,437.17 REMARKS ' - NOTICE TO APPLICANT., If, after 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 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 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 sof this city to enter the above-: mentioned property for inspection(ttPurposes. Signature of applicant Date Mailing Address e ' o u� P.. 7 City, State, Zip s f 4� HARD COPY 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 4-10 Wermit Validated by: Validation: A.5156 4 10 14:57,17 CK CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES' '" NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SQ. 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 WASHER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP.IEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/ 4SEWAGE DISPOSAL SQ.FT.GAR ® 3/HOUSE SEWER REMARKS: GAS PIPING PERMIT FEE PERMIT FEEPERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FE PLUMB. FEE SMI FEE��[ I 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.IEQUIP. 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 norc� � vn a awnH i vnc��m i iNw, GARDEN WALL FINAL