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06245 (SATT)vYC Building Address 55-557 Onk Hill Owner Address 42-,600 Cote, St, City Zip Palm Desert 92260 Contractor National, Mortgage & Land Address + J N • P.O. BOX 1504 No. 06£45 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253. , Tel. 568-2928- BUILDING:. TYPE CONST.'-- OCC: GRP. . t A.P. Number ' GA. We Legal Description Project Description' Pial Weli$ 116 -Stale office - City Zip Tel.: I State Lic. City & Classif. Lic. # Sq. Ft. 172;B. No. No. Dw. • , a SizeStories • t ... Units— Arch.-, ;, Engr. Designer New ❑ Add Or Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter.9 (commencing with Section 700�,of Division 3,of the Business and Professions Code, and mylicense is in full force and raj r a y' ✓ ; l.,.i - - _SIGNATURE-!.1'r.!....:r'i,�i"'..". a _r-'-.-.: s ��d:r �'' DATE ` i f' OWNEWBUILDER DECLARATION / r I hereby affirmrthat I am exempt from the�Contractoes License Law for the following reason: (Sec. 7031:5,'Business and RWessions�+code: Any city or county which requires a permff to construct, atter, tinprove, demolish, or repair any structure, prior to its issuance also .' .requires the applicant for such permit to Me a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter * 9 (commencing . with Section 7000) of Division 3 or the Business and Professions Cade, or Mat. he is exempt therefrom, and the basis for the alleged exemption. Any violatiricn of Section 7031.5 by 'any applicant for a permit " subjects the applicant to a civil penalty of not more Man five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will I 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 fnpioves thereon and who.does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. ff, however, the building '_ or fmproverment 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 or sale.) Estimated Valuation �►��gQQE + PERMIT - '`- AMOUNT - Plan Chk. Dep. - Plan Chk. Bal. - $299.0 Const. i, eg wJ s i)` .Mech. - - 46.00�a - Electricalr 68.06 ;Plumbing 61.50 , O 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 Walds or improves thereon, and .who contracts for S.M.I. _ -9_00 ' such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec B- & P.C. for this reason Grading . Driveway Enc. . +' Date owner Infrastructure ' WORKERS, COMPENSATION DECLARATION I 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. ❑ Certified copy is hereby furnished. -- *+ �� •' , TOTAL '' f .CERTIFICATE OFEXEMPTION FROM -REMARKS ' WORKERS' COMPENSATION INSURANCE (Th completed ff the permit is for one hundred dollars S 100 'valuation is section'need not be pe ( ) • or less.) - ` � ir rz • ��ti .? e il" A i{ 4�a s ~ i T s^ L. .i. +, A +•• - I certify that in the performance of the work for which this permit is issued, I shall not '=any person in any manner so as to become subject to the Workers' Compensation Laws of California ' Date Owner - NOTICE TO • APPLICANT: • ff, after malt* this Certificate or Exem;oWn you should become subject to' the Workers' Compensation provisions or the Labor Code, you must forthwith • comply with such provisions or this permit shag be deemed revoked. ZONE:, - - ' BY: -- - 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 forwhich this permit is issued. (Sec: 3097, Civil Code.) Side Setback from Property, Line Lenders Name Lenders Address FINAL DATE I�NtSECTOR . This is a building permit when property 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 incorrect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives orf this city to enter the above-. mentioned property for inspection purposes Issued by: Validated by: Date Permit r, Signature of applicant Date Mailing Address Validation: City, State, Zip _ CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUM'dING FEES 1ST FL. SO. FT. ® $ UNITS COLL AREA SLAB GRADE YARD SPKLR SYSTEM 2ND FL Sp. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. Sp. FT. ® DUCT WORK ROCK STORAGE LIND. REINF. POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL DRAINAGE PIPING CAR P. SO. FT. ® WALL SO. FT. DRINKING FOUNTAIN. E )0�j '" FINAL INSP. URINAL SO FT ® WATER SYSTEM ESTIMATED CONSTRUCTION VALUATION $ GRADING cu. yd. $ plus xS WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES ROOFING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDLING UNIT CFM I 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 Ide ^` O Z MESH SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL SO.FT.GAR ® V4c HOUSE SEWER FINI�GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PLCK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GRO ND PLUMBING UNDERGROUND A.C. UNIT COLL AREA SLAB GRADE O GH- PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE LIND. REINF. S(ROUGH)/6 METER LOOP HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL GAS (FINAL) TEPOLE GROUT WATER HEATER E )0�j '" FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus xS _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL Ide ^` O Z MESH LATIONISOUND FINI�GRADING dL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT OF SCHOOL FACILITY FEES 1 rHISp 9DOCUMENT CAN T TO: City oRQHnLCATEJ)i NOT Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 DATE: -fh This is t16 that developer of 1CFj4 i which is located at within this District, has paid school facility fees imposed pursuant to the autt)o 'fynerato byG vernment Co a SectioTt 53080 in th g, nt o� covering a total of 7 s are feet of ( ) residential or .(L industrial/commercial development and that building permits for this footage in this development may now be issued by your jurisdiction. • for DESERT SA DS UNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer (10)-37