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001851 (SATT)Building Address Owner vunr; se Company 4 P.O. BOX 1504 N o . 001851 78-105 CALLE ESTADO LA QUINTA,,CALIFORNIA 92253 40 Mailin Address 7 "'005 gouukry Club Drive City Pa lim Desert zlp92260 Contractor Hi t'i Ljmd Puad. Martn!App BUILDING: TYPE CONST. OCC. GRP.- A.P. Number Legal Description Project Description `F PLAN 4QR same City e Zip tette Tel: site State Lic. City DWG 1918 & Classif. Lic. # 328 Sq. Ft. JAR424 Size -• No. No. Dw.Arch.1 Stories 'Units g Designer Robert .�I t�ersEsso::. New ❑ Add El - Alter ❑ Repair El Demolition ❑ • Address 2915 Red Hill Ave. Tel. (714) 540--51.1 City Zip State -COME: hexa - . 32626 Lic. # 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. F SIGNATURE f DATE OWNER•BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031. S,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 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). (3I, as owner of the property, or my employees with wages as their sole compensation,.will Estimated Valuation 120",398.00 PERMIT.- .. AMOUNT . Plan..Chk. Dep. - - Plan Chk. "Bal. Const. 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 workhimself 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.) - .. Mech. -elf Electrical 74 'G Ca Plumbing _ R7 = 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 • such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. . B. & P.C. for this reason S. M. 1. —• Grading Driveway Enc. Date Owner Infrastructure 4 -ROS. Q? WORKERS' COMPENSATION DECLARATION 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. (Seca 3800, Labor Code.) - - Policy No. Company Q Copy is filed with the city. ❑ 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 ($100) valuation REMARKS yet - FOM t1Y�•ax ��nv��•� t r�P� �iT'?�P PT.7.7 :.9. A F&� ��iai"�.i: 5:x,�' MMS �1.�' "'1-iL •L Pi or less.) • - I certify that in the performance of thg work for which this permit is issued, I shall not employ any personAn-any manner so as to become'subject to the Workers" Compensation ' Laws of California. �1�. Date 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 r '� CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line, hereby affirm that there is a construction lending agency for the performance of.the work for which this permit is issued. (Sec. 3097, CivilCode.) - Side Setback from Property Line 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,l have read this application and state that the -above information is"correcL ' 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. FINAL DATE Issued by: ,Validated by: INSPECTOR Date I f •+1 �--PPermit. Signature of applicant Date - ' .Mailing Address Validation: A3219 11 13 2891.56 _Ck City, State, Zip ;HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL F NO. PLUMBING FEES IST FL. SO. FT. ® 2ND FL. SO. FT. POR. SO. FT. ® GAR. SO, FT. ® CARP. 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 SLAB GRADE FLOOR DRAIN MECHANICAL FEES BONDING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED DUCT WORK LAUNDRY TRAY AIR HANDLING UNIT CFM GAS (ROUGH) 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 WATER HEATER SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+/a c SEWAGE DISPOSAL BOND BEAM SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSP. 51 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 ROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING � /7!� [RC1 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) n { �N �/ TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. 51 GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FRAMING �� ®6 �� FINAL INSP. ROOFING Y, ®C �� /J REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL