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002131 (SATT)Building Address 610-313 Oak TXM Owner subjects the applicant to a civil penalty'of not more than -five hundred. dollars ($500). Plan Chk.Bal. . Smwise La Cuinta Mailing Address 75 -W5 O=fty ClUb rX. City a . .. $s 00 3k4�El Zip Tel ram Dewrt. . . 92260 - Contractor ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing 43 Mortgam valid land _ Address .. Sam - City. Zip State Lic. & Classif. 2883.30 Arch:,-Engr.; ,.Designer P.O. BOX 1504 No,. 78-105 CALLE ESTADO 13 LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP: A.P. Number ,_%9-2S28.Legal. Description Project Description M Wqr PT= A .Cid' '. City Lic. # 32$_. Sq. Ft -EMI 162 No. No. Dw. Size . -*GAR 424 Stories Units .New 9 Add ❑ AlterO, .. Repair ❑ -Demolition ❑ Address Tel. City Zip State Lic. # . _- .... _ LICENSED CONTRACTOR'S DECLARATION ~ hereby affirm that.l am licensed under provisions of Chapter 9L (commencing with Section + 7000) of Division 3 of the Business and Professions Code, and my license is'In full force -and effect... SIGNATURE' ADATE h• ,. k,. • . pa �. _ a _ Y OWNEh-BUILDER DECLARATION' 1 Estimated Valuation heretiy,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' al S.VdI:�'v e;tii• permit io construct, alter, 'improve, demolish; -or repair any' structure; prior to its issuance also .' requires ,the applicant for suchi'permit to file a'signed statement that. he is licensed pursuant to - -PERMIT - AMOUNT - the provisions of the Coniractor's License Law, Chapter 9 (commencing with Section 7000) of Division'JI of the Business and Professions Code, or, that. he is exempt lherefiom,` and'the basis- for the alleged exemption. Any violation of Section 7031.5 by any applicant 'for a permit Plan•Chk. Dep..: - - .. •• subjects the applicant to a civil penalty'of not more than -five hundred. dollars ($500). Plan Chk.Bal. . YY 64♦ �Y • ❑ 1, as owner of the property, or my employees with wages as their sole compensation,.will. - 'do the work,'ana the structure is not intended or offered for sale. (Sec. 7044, Buisness andCont. Professions •d9 - - '50 ' Code: The Contractor's License Law does not apply to, an owner' of property who - builds of improves thereon and who does such work himself or through own employees,' Mech., a . .. $s 00 3k4�El 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 EIBCtrICdl •- 47.41 . of proving that he did not build or improve for the purpose of sale.) . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing ,'�� 50 •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 . S..M.I; '1.. • such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) Grading . O I am exempt under Sec. B. 8 P.P.C.-for this reason Driveway Enc. Date owner Infrastructure a 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. TOTAL CERTIFICATE OF EXEMPTION FROM ..REMARKS* ' WORKERS'.COMPENSATION INSURANCE (This section need not be -completed if the permit is for one. hundred dollars ($100) valuation gy;�� al.iM M �c� q�� Mei. iViW1.:� 'PA O T. PM- orless:) ,-, .._ ... _ ... 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 ZONE: BY: ` ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - Minimum Setback Distances: n Front Setback from Center Line Rear Setback from. Rear PropLiK6�-'" 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 if work thereunder is suspended for 180 days. I certify that I have this 6Permit read application and state that the above information is -correct. '1 "all Issued by: Date agree to comply with 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., -r( .. ' ry Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip A 4 61 ` . 3 01 1.55&7Sl _ .. 15 `" HARD COPY .1 CONSTRUCTION ESTIMATE CAN& NO. ELECTRICAL Q01k NO. PLUMBING FEES IST FL. SQ. FT. ® UNITS SLAB GRADE3/ 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT, ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. GAS (ROUGH) DRAINAGE PIPING WALL SQ. FT. OTHER APP./EQUIP. 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.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED 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. SQ. FT. ®c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1 Va c SEWAGE DISPOSAL GAR. FIREWALL SQ.FT.GAR ® 3/ac HOUSE SEWER �� 99��ZW--EATHING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ?LrGROUND PLUMBINGL/ IUNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE3/ OUG H PLUMB. ' BONDING HEATING (ROUGH) STORAGE TANK FORMS G ) EEWER OR SEPTIVA ,p OUGH WIRING 7 DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP. HEATING (FINAL) OTHER APP./EQUIP. 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. 1 FRAMING 2. FINAL INSP. L4 ROOFING f d c / REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL �� 99��ZW--EATHING MESH .(,r INSULATION/SOUND 6 J FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/IMITIALS. ,l GARDEN WALL FINAL 9AX-- naYwau- `/,(/(S -O