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001993 (RPL)44 P.O. BOX 1504 No. 001993 Building 54-092 C& 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mailing- ailingAddress 75-005 CowftrV Club DAVe Address BUILDING: TYPE CONST.- OCC:.GRP. A.P. Number Legal Description Project Description City Mt Palm Des,=t Zip 92260569_2g29- Tel. Contractor WAt• r4mrbartap- And T. -WA .Address. BY: ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith :. City... - .. Sam Zip Sam Tela SEM Minimum State Lic. & Classif: City Lic. # Sq. Ft. No. No. Dw. Size Stories Units Arch.; Engr.,' Designer Newer Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. 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.) City .. Zip _ _Lic. State # ._. . WV 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 , • - INSPECTOR . • _ - , SIGNATURE 9 - DATE OWNER -BUILDER DECLARATION 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 requiresa�"" -permit to construct, alter, improve, demolish, or repair anystructure,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. 'Division 3 of the Business and Professions Code;"or that. he is exempt therefrom, . and the. basis for the alleged exemption. Any violation 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): _ O I, as owner of the properly, 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. mIf,.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".) ❑ 1, asowner 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.) - ❑ I am exempt under Sec..B. 8. 8 P.C. for this reason EStlma ed Valuation•I - " - PERMIT AMOUNT .. - - - .Plait-Chk. Dep.. - I agree to comply with all city and county ordinances and state laws -relating to building Plan Chk. Bal. . Co,.f1Str Mech. - mentioned property for inspection purposes. Electrical 35.00 Plumbing _ S.M.I. Mailing Address Grading Driveway Enc. Date Owner Infrastructure A3i85 1 9 3500 CK HARD COPY WORKERS' COMPENSATION DECLARATION r hereby affirm that I have a certificate of consent to self -insure, or a certificate or 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'.COMPEN SATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) .. _ 1 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 - = TOTAL REMARKS Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate or Exemption you should become -ZONE: BY: ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Setback Distances: comply with such provisions or this permit shall be deemed revoked. Minimum 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 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 it work thereunder is suspended for 180 days: g_gtr� I certify that I have read this application and state that the above information is correct. Issued by: Date Permit 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 purposes. Validated_ by: nom' Signal ura of applicant "' - ,' Date✓.= Mailing Address Validation: City, State, Zip A3i85 1 9 3500 CK HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS SLAB GRADE 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. Ff. GAS (ROUGH) DRAINAGE PIPING WALL SQ. Ff. OTHER APPJEQUIP. DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ GROUT WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SYSTEM WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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. SQ. FT. RESID ® 11/a c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER LATHING GAS PIPING PERMIT FEE PERMIT FEE EEEI 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 APPJEQUIP. 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 INSULATIONISOUND FINISH GRADING .FINAL INSPECTION CERT. OCC. FENCE FINAL inare� � vn a awnH � vnc�mi � Www_ GARDEN WALL FINAL