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003186 (SATT)P.O. BOX 1504 No. 003336 Building 78-105 CALLE ESTADO Address 55-093 ftk Hill LA QUINTA, CALIFORNIA 92253 Owner '"4" ezanr Mailing BUILDING: TYPE CONST. OCC: GRP. Address 33—M ,Comtry l 'DrIve A.P. Number PcAlwest City Zip Tel. Pte' fi)emrt 92260 568-2828 Legal Description Contractor Project Description Phase 30-A, PLitm 2XHD National Noirteage & Land S�ifr� BY: Minimum Setback Distances: ' City Zip. Tel. Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE State Lic. & City Lic. # Date Permit Classif: 288130 3281633 Sq. Ft. No. No. Dw. Size- G&R 424- Stories Units Arch., Engr.; _. Designer New ❑ Add ❑ Alter ❑ - Repair ❑ Demolition ❑ Address Tel. City Zip State - Lic. # LICENSED CONTRACTOR'S, DECLARATION, I hereby affirm that I am licensedunderprovisions of Chapter 9 (commencing with Section Q 7000) of Division 3 of the Business:and Professions Code, and my license is in full force -and effect.. SIGNATURE DATE - - OWNER -BUILDER DECLARATION EStlmated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following �Aa 727..411 . 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 Pa requires the.,appikant for such permit to rile a signed statement that.he is.licensed'pursuant to PERMIT . •• AMOUNT ' the provisions or the Contractor's License Law, Chapter 9 (commencing with Section 7000). of ' Division 3"0l the Business and Professions Code, or that. he is exempt therefrom, and the basis- for the Any Section 7031.5 -any for PlanChk. Dep. - . alleged exemption. violation of by applicant a permit subjects the applicant to a civil penalty of not more than rive hundred'dollars ($500).- Plan Chk. Bal. �}r� � 3t3t,�•4ap '�/ .._ ❑ I, as owner. of the,property,.or my employees with wages as their sole compensation, will do ttie work, and the structure is not intended or offered for -sale. (Sec. 7044, Buisness and. ' Const. 00 Professions Code: The Contractor's License Law does *not apply. to an owner or property .who y�,� • buflds or improves thereon and who does such work himself or through his own employees, Me,ch. 00 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 - 67.41of proving, that he did not build or improve for the purpose of sale.) ' O 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'sLicense Law does not apply to an owner of property who builds or improves thereon, and who contracts for • S.M.I. 7.95 • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - - Grading ❑ 1 am exempt under Sec. B. & P.C. for this reason Driveway Enc. Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 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 i1 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: ff. alter 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 of this city to enter the above-. mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip HARD COPY TOTAL 52.731.21 REMARKS . 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 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. 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 ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GAS (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, TEM/PERM 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 ® 1Va c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. 'r/ (/ ROOFING q 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 PLUMB N UNDERGROUND A.C.*UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER ORS PTIC TAN� r ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. D GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. 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. / / �A� FRAMING FINAL INSP. 'r/ (/ ROOFING q O� REMARKS: VENTILATION! FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING I� e2- MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL. INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL