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002398 (RPL)Building 80-393 � Address Owner Mailing Address som City Zip 92M- 3 Contractor . G. Ti. tools Address T P.O. BOX 1504 N . 10-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. A.P. Number. Legal Description Project Description 002398 OCC: GRP. .City. Zip Tel." + a est bio; 9223 1 .32$ 2681 " State Lic. City & Classif._ 2%�� Lic. # 69 Sq. Ft. No. No. Dw. Size Stories � • Units Arch., Engr. Designer New Add ❑ Alter ❑ Repair ❑ Demolition- ❑ Address Tel. City Zip State 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 inn full force and effect.. . - ,fes-<X`^'� Fes- ..5 ;�'•,' _ ' SIGNATURE DATE OWNER -BUILDER DECLARATION' I hereby affirm that I'am exempt from the Contractor's License Law for the following{ reason: (Sec. 7031.5,Susiness 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 forrsuch permit to rile 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 live 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 of sale.) - Estimated Valuation 1 �� - PERMIT'. AMOUNT - - - Plan Chk. -Dep. Plan Chk. Bal. bus - Z ` COr1St. r w Mech- . Electrical 20-00 Plumbing 1' .00- ❑ 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 Licensw 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. & P.C. for this reason S.M.I. - A� - Grading - Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that'I have a certificate of consent to 'selfinsure, 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. TOTAL 173.89 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION I NSU RANCE REMARKS . (This section need not be completed if the permit is for one hundred dollars (5100) 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, 'youmustforthwith 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 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, Civil Code.) Side Setback from Property Line Lender's Name FINAL DATE INSPECTOR 4nnc� Issued by: Date 6-10-86Permlt Validated by: Lender's Address 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. 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 inspection,purposes./ Signature of applicant ~� Date ! f Mailing Address Validation: A 5 7 5 8 6 10 173,`49 R City, State, Zip HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST 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. SO: FT. GAS (ROUGH) DRAINAGE PIPING WALL SD. FT. OTHER APPJEQUIP. DRINKING FOUNTAIN SQ. 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.000L 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. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3/ac HOUSE SEWER LATHING 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 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 INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL