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002138 (SATT)44 P.O. BOX 1504 No. 002138 Building 78-105 CALLE ESTADO Address ,iT.fi-Ass do. LA QUINTA, CALIFORNIA 92253 Owner avirim La Cointa 0=X= Mailing BUILDING: TYPE CONST. OCC: GRP. Address 75"045 0==y Club D', A.P. _Number City Zip Tel. Pal= 92260 568-r2M. Legal Description Contractor Project Description 1. PGA V=r FM 2 0 mats V=tqage ... and Line Address City' Zip Tel- State Lic. City & Classif. 286130 Lic. # 326 Sq. Ft. No. No. Dw. .-. Size MR 424 Stories 1 Units Arch., Engr., � Designer New f Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRAC_TOR'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 .. $IGNATDRE k' r l'� -. t •^ r'v r Lam- - DATE y 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,Proressions Code: Any city or county which requires .a permit to construct, atter, 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 rive hundred dollars (5500). ❑ 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 or sale.) - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- structAhe 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.) O 1 am exempt under .Sec. B. & P.C. for this reason 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 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 it the permit is for one hundred dollars ($100) 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 or 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 inspection purposes. Signature of applicant /� f� `'r r+!a - Date- #- !.r Mailing Address 1i 41'r r City, State, Zip r ` !� HARD COPY REMARKS am M sir PAW W Tins Vk"Wr. ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Estimated Valuation g-7,5t.afl PERMIT r AMOUNT Plan Chk. Dep. INSPECTOR Plan Chk. Bal. Date 3_10_a6 Permit Const. 47.0 Mech. 34;.00 Electrical 65.44 Plumbing 87.50 S.M.I.3 Grading Driveway Enc. Infrastructure 1.464.35 TOTAL 6.437.117 REMARKS am M sir PAW W Tins Vk"Wr. 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 3_10_a6 Permit Validated by: Validation: A 4 6 4 1 .3 .10.* 4_J7.17 Sl v . I z_ ... CONSTRUCTION ESTIMATE NO. ELECTRICAL F NO. PLUMBING FEES 1ST FL. SQ. FT. ® UNITS qw IdSLAB GRADE / OC 2ND FL. SQ. FT. BONDING YARD SPKLR SYSTEM POR. SQ. FT. ® MOBILEHOME SVC. BAR SINK GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. SQ. FT, OTHER APPJEQUIP. REINF. STEEL WALL SQ. FT. TEMP. POLE DRINKING FOUNTAIN SO FT ® GROUT URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES _$ WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER 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, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB SO. FT. ®c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® V4c HOUSE SEWER 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 PLUMBIC UNDERGROUND A.C. UNIT COLL. AREA IdSLAB GRADE / OC ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS �i/ /� 5EWER OR SBb�lt;,� v� �L UGH WIRINC�� 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. �4<FRAMING FINAL INSP. 47C— ROOFING %'✓ �L6L� VENTILATION REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL �JCLATHING MESH INSULATIONISOUND (.. SCJ FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS_ GARDEN WALL FINAL