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002146 (SATT)Building Address 80-619 Oak Tme Owner La Chin P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 7e5-10105 Camtry Club ir$ve City Zip Tel. .. •- A. - ;e�- 92260 -568-r2M Contractor 1 mac'% Address..- No.. ddress. No.. 002146 BUILDING: -TYPE CONST. OCC: GRP. A.P. Number Legal.,Description Project. Description City Zip Tela Pa3m Desaft State Lic. City$S 3i & Classif.� Lic.# Sq. Ft. Size - • - No. No. Dw. Stories Units Arch:, Engr.; .. Designer. New 9 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 in'full force'and effect:. y a .� .. .. .. ... .. .. -. _SIGNATURE i 5 d y. ., "r- `r- ..�•-K,.+� ,,. - DATE f OWNEWBUILUER DECLARATION tl I hereby affirm that I am exempt from the Contractors License Law for the following Estimated Valuation 951088.00 - reason: (Sec. 7031.5,Business and Professions Code: Any, city or, county which requires a e,� PERMIT - - - -AMOUNT - permit to constrict, alter, improve, demolish, or repair any structure, prior to its issuance also requires: the applicant for such per it,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 thathe.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 ($500). I- ❑ I, as owner of the property, or y employees with wages as their -sole compensation, will Plan. Chk. Dep. • - Plan Chk. Bal. 32+ ,,94 , COf1St. .9331e� do the work, and the structure ismnot intended or offered for sale. (Sec. 7044, Buisness and��t .Professions Code: The Contractor's License Law. does not, apply. to. an owner, of property who*. . Mech''��.' a . builds of 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 Electrical L.�� .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.) , , -Plumbing 87.50 •❑ I, as owner of the property, am exclusively contracting with licensedcontractors to con- struct -the project. (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. - - S.99 - such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - . 0 I am exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure 1,27666 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. 0 Certified copy is hereby furnished., TOTAL 179...42 _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE. REMARKS (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 lhg 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. �,' AJ � a W1 emu '" ;►7Y.3i� .c :s;.� 'Date- � - Owner NOTICE TO APPLICANT: If, alter 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: 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 • 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 FINAL DATE Issued by: Validated by: Validation: A46Si INSPECTOR-' Date Permit ' 3 10 9,42 S1 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'cbunty 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 y •f� �•� •X-- _ ' Date- Mailing Address !� ` _=' City, State, Zip—,r ✓ r •. HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FE NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA 2ND FL. SQ. FT. 1?jtROUGH PLUMB. G / YARD SPKLR SYSTEM POR. SQ. FT. ® MOB]LEHOME SVC. BAR SINK GAR. SO. FT, ® POWER OUTLET ROOF DRAINS CAR P. SQ. FT. DUCT WORK DRAINAGE PIPING WALL SQ. FT. GAS (ROUGH) DRINKING FOUNTAIN SQ FT ® HEATING (FINAL) URINAL ESTIMATED CONSTRUCTION VALUATION $ GAS (FINAL) WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER HEATER WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER WATER SYSTEM GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED GRADING cu. yd. $ plus x$ LAUNDRY TRAY AIR HANDLING UNIT CFM FINAL INSP. 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 a 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/4c HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE PERMIT FEE El 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 i 17 GROUND PLUMBING ifte UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE /� �/y 1?jtROUGH PLUMB. G / BONDING HEATING (ROUGH) STORAGE TANK ER OR 6OUGH WIRING �j /� DUCT WORK ROCK STORAGE L �FFORMS /F r 1 OUND. REINF. ! v 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. // /o FRAMING G /7. R4 FINAL INSP. ROOFING S /� VENTILATION V REMARKS: REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINTIALS GARDEN WALL FINAL