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001889 (SATT)Building � Address 54—M Owner Mailing Address 'S—WS 0=try Club City Zip Tel. TPS Desert 92260 1 Contractor I P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 568-2823 Legal Description Project Description M VLM PIM X Address Sam ZONE: BY: Minimum Setback Distances: City - Zip - >awe Tela" Rear Setback from Rear Prop. Line State Lic. & Classif. City Lic. # 3U Sq. Ft)= Size � 424 No. No. Dw. Stories s Units ' Arch'., Engr., ._ Designer AltMeXS AS=, New Add ❑ ... Alter ❑ Repair ❑ Demolition ❑ Address Tel. 291. Red Ate.. (714) 540-527 A3193 11 13 X437,17 Z City IHM Zip State Cbsta Yaw 92626 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.licceenss'e'is in full force ander fact SIGNATURE / -A' DATE OWNER -BUILDER DECLARATION I hereby affirm that I am,exempt from the Contractor's License Law for the following,Estimated reason: (Sec. 7031.5,Business and Professions Code: Any city or_ county which requires a. perinit'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 penaltyof not more than five hundred dollars ($500). ❑ 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 otsale.) ❑ 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.) ❑ I am exempt under Sec..B. B. 8 P.C. for this reason Valuation Q `� S •9• .623.00 PERMIT AMOUNT . Plan Chk. Dep. - Plan Chk. B21. g y 3`.,i' �sV(�fiag Const. + 427.00 e00 Mech. �q t�if 3�,rSia7 Electrical pyy 65,44 Plumbing g C�ipt� •,� f Y,y S.M.I. �+ - - 6.83 - Grading Driveway Enc. I f t t I &&A lr% Date Owner 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 ❑ 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 ($100) valuation or less.) I certify that in the performance of the 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 stale 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 inspection purposes. Signature of applicant *7 r f'• f Dated/J%�7 Mailing Address i City, State, Zip HARD COPY n ras ruc ure i TOTAL 4jR37e17 REMARKS pg��y� ,,��qq ��yy��^^�� yy�y _ i"iA�iYsf i'11•W 43X' LY4/8y riY�tY W yll a b FEW=. e 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 11""55 Permit Validated by: Validation: A3193 11 13 X437,17 Z CONSTRUCTION ESTIMATE NO. ELECTRICAL FEE' NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. DRINKING FOUNTAIN SQ. FT. ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRYTRAY 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FIREPLACE SQ.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR 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 ,0OUND PLUMBING % 6 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK 'L %_ tf OR S �i /lj 4-) EWER OR 117 A f'I kUGH WIRING Y/7/91( !/ DUCT WORK ROCK STORAGE FOUND. REINF. i GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL �'iAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ _ $ LUMBER GR. FINAL INSP.S 'tT` .—/ �t/FRAMING / ®6 II FINAL INSP. .1/ ROOFING / & REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL �j f ( i1 LATHING14 /17 1,01V MESH SULATION/SOUND 11 v FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL