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003237 (SATT)Building Address Owner . Mailing Address City ...P Contractor NATIONAL MORTGAGE MD'LAUD 55-819 OAK Hl"r SWRISE COMPANY Address Zip T4*ht 4 4 Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINT-A,,,CALIFORNIA 92253 Tel. .. 568-2828.- No... 003237 BUILDING: -TYPE CONST: OCC'. GRP. A.P. Number Legal -Description Project Description VGA WEST RM - PLAN 2 XM 7`1UPLE X 1-10DEL BLDG City.]Zip Tel. State Lic. & Classif.' 288130 City Lic. # 328 Sq. Ft. M;G .1673 No. No. Dw. Size. GAR -.4-214 Stories.. Units Arch. Engr-., Designer New- 0 Add 0 Alter El, Repair 0 Demolition 0 Address Tel. City Zip State Lic. # 7 LICENSED CONTRACTOR'S DECLARATION 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 effect. ct . _. t, . 1 I , .. I - - ffe ) `4 1 P _/'i- - Zt_l- SIGNATURE'-- 'DATE OWNEWBUILDER DECLARATION • 'I -her6by 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 after, 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 the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of DivWon 3 of theBusiness and Professions Code, or'that. he is exempt th6refrom,''and the basis - for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects theapplicant to a civil penalty of not more than. five'hundred dollars ($500).• 0, 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'andConst. 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.)' EstirrWed Valuation ..219.025 PERMIT AMOUNT '. PlanChk. bep Plan Chk . Bal. 399.65 '483 . 00 Mech., 42.00 Electrical 83*19 Plumbing 92.00 O 1, 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 S.M.I. 98.37 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 1 am.exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Date -Owner Infrastructure 1#785.38 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 pany .0 Copy is filed with thecity. . 0 Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - (This section need not be completed if the permit is for one hundred dollars (S 100) valuation REMARKS T or less.) I certify that in the performance of thp 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. DateL_:"Owner 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. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY 'lending Side Street Setback from Center Line I Keieby affirm that there is a construction agency for the performance of the work for which this permit is, issued. (,Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Nam FINAL DATE INSPECTOR Issued by: Date 7/1-6/-915'ermit Validated by: Lender's Address This is a buildingpermit when properly filled out, signed'and validated, and is subject to expiration it work thereunder is suspended for 180 days. • I certify that I have read this application and state that the above information iscorrect. 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 Validation: City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES,' 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. S0. 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 ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER FRAMING FINAL INSP. GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.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./EOUIP. 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 V X'S blUNAI UML51INI I IAL5. GARDEN WALL FINAL OWENS-CORNING Fiberglas f Building Insulation The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, California Administrative Code, Title 24, State of California, in the building located at: 55-819 Oak Hill La Quinta 20717-1 Address City Tract Number Exterior Walls Owens-Corning Fiberglas Type -BA --TTS Insulation 3," R-11 Thickness R -Value Ceilings BATTS R-30 9 .1 Owens- orning Fiberglas Type Insulation Thickness R -Value Floors AIR INFILTRATION: AS PER TITLE -24., Owens-Corning Fiberglas Type Insulation Foundation Walls Manufacturer Thickness R -Value Type Thickness R -Value General Contractor NATIONAL MORTGAGE & LAND License No By Title Date • (signature) Insulation Contr tot OUTHLAND INSULATION, INC. License No. 445-813 By y Title MANAGER Date 9/87 (Signature) Homeowner Copy (White) State Copy (Yellow) Builder Copy (Pink) Pub. No. 16 -BL -6995-B " Litho in U.S.A., Jan., 1982 Copyright® 1982 Owens-Corning Fiberglas Corp. OWENS-CORNING FIBERGLAS CORP. Insulation Operating Division Fiberglas Tower, Toledo, Ohio 43659