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001865 (SATT)Building Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 76-005 Cotvft7 Ckh Drive i City I Zip ITel. Palm DqeS� 92269 56S-2828 Contractor Yea l Laze and M.=tqwe Address City Zip ITel. State Lie. I City & Classif. Lie. # 328 Arch., Engr., Designer Rdbeft- AlteVIEWS A,-,-*--. Address I Tel. CityZip State costa ..92626 Lie. # LICENSED CONTRACTOR'S DECLARATION I hereby affirmthat' I am licensed under provisions of Chapter 9 (commencin( 7000) of Division 3 of the Business and Professions Code, and my license.is in effect:r'- r' 'OWNER -BUILDER DECLARATION ' I 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 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 (8500). ❑ I, 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 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. 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.) 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 builds or'improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - ❑ Lam exempt under Sea B. & P.C. for this reason Date Owner a`sV, WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate (if 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars (8100) 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: 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. 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 insppeecttiion'purposes. /,,� Signature of applicant �Y .{ r / Date �///I? �-K,j Mailing Address— City, ddress City, State, Zip HARD COPY LDING: TYPE CONST. w OCC: GRP. P. Number Legal Description Project. Description PM TOP MN 3 CR Fla )9= VMW 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 11p13-85 Permit Validated by: Validation: A_3.2_/0- 11 13 2 5 5 a 1 6 CK Sq. -Ft. mn 1627 Size 424 No. No. Dw. Stories 3 Units Newer Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 103#665.61D PERMIT AMOUNT Plan Chk. Dep. ` Plan Chk. Bal. 364.19 Const. '" 442,50 Mech. 24-00 Electrical 67.41 Plumbing 87,50 S.M.I. 7.18 Grading Driveway Enc. Infrastructure 3.x554..98 TOTAL 2,558.76 REMARKS FrM AM SPA WX MU I& MiWr Fla )9= VMW 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 11p13-85 Permit Validated by: Validation: A_3.2_/0- 11 13 2 5 5 a 1 6 CK CONSTRUCTION ESTIMATE IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. ® SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ NO. ELECTRICAL F UNITS ` MOBILEHOME SVC. POWER OUTLET NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation A.C. UNIT FLOOR DRAIN MECHANICAL FEES ROUGH PLUMB. WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER i SEWER OR SEPTI A K v 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL JI SQ.FT.GAR ® 3/ac HOUSE SEWER LUMBER GR. FINAL INSP. .�f q FRAMING l.�G !/ l% 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 oo .ROUND PLUMBING % / �W UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS i SEWER OR SEPTI A K v I OUGH WIRING �v DUCT WORK ROCK STORAGE FOUND. REINF. �?/ �� GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEELTTT/// LI AS (FINAL) LI ?jf,jj r TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM JI GRADING cu. yd. $ -Plus-X$-=$ LUMBER GR. FINAL INSP. .�f q FRAMING l.�G !/ l% FINAL INSP. ROOFING /,-3 VENTILATION REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 'I LATHING qlq MESH t INSULATION/SOUND ✓� 6 FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL