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14382 (BLCK)44 a4; P.O. BOX 1504 N 0. 143 8 Z Building 53- 5eO Ave. Obregon 78-495 CALLE TAMPICO Address LA QUINTA, CALIFORNIA 92253 owner DeF+1Fe'ayne Little I Mailing Address Satire , City Le Quinta o CA Contractor Address ty State Lic. & Classif. . Arch., Engr., Designer Address Zip 92253 .- ITel-,�4-080 s Zip Tel:: City Lic. # Tel. LDING: TYPE CONST. OCC: GRP. P. Number Description t Description 84' of -41 high block tell Sq. Ft. No. Size . Stories New ❑ Add 0 Alter O': City Zip State Lic. # r , . 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. SIGNATURE DATE OWNEWBUILDER DECLARATION Estin I hereby affirm that I am exempt from the Contractor's License -Law for the following reason: (Sec. 7031.5,6ustness and Professions Code: -Any .city or, county which requires .a permit to construct, after, 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 Piz subjects the applicant to a civil penalty of not more than five hundred dollars (5500) • • - .:PERMIT Chk. Dep. I ,�s.owner of the property, or my employees with wages as their sole compensation, will Plan Chk. 881. , do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and - Const. 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, Mech. provided. that. such improvements are not .Intended. or offered for sale. It, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical .. of proving that he did not build or improve for thepurpose of sale.) . ZONE: BY: O'l, as owner of the property, am exclusively contracting with licensed contractors to col- Plumbing - struct the project. (Sec: 7044, Business and .Professions Code: The Contractor's License Law Minimum Setback does not apply to an owner of property *who builds or Improves thereon, and. who contracts for S.M.I. such projects with -a c6ntra6tor(s)•6censed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec B. & P.C. for this reason Side Street Setback from"Cent(irLine ' , Driveway Enc. Infrastructure + to J P� T Owner �%�'k-/u"7% --e= - WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, ora 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 No. Dw. Units Repair 0 Demolition O ;F1 4U9 Vo AMOUNT CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE (This section need not be completed. If the permit is for one hundred dollars ($100) valuation - ' "or'less:) this permN�:issued, I shall not I certify that in the performa ice of the work for whicY�t -employ any' erson n' any ma er so as to become subjo t�ie� orkeW Compensation Laws Cal o a_ Date �'s Owner��r OT/CE TO APPUCANT:. ff, after malting this, C iflcat o/Exemption you:should become ' ZONE: BY: subject to the Workers'. Compensation 'provision o/ t e Labor Code; you must forthwith - Distances:' comply with such provisions or this permit shall be deemed yoked. Minimum Setback Front Setback from Center. Line Rear Setback from Rear. Prop. Line WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL; AND Side Street Setback from"Cent(irLine ' SHALL SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL -FINES UP TO -ONE .HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO,THE COST OE COMPENSATION, - Side Setback from Property Line. DAMAGES AS PROVIDED FOR. IN SECTION 3706'OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - - FINAL DATE INSPECTOR This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder. is suspended for 160 days. . I certify that I have read this application and state thatAhe•above information is'correct: ' Issued by: Date Permit 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-. . 0 mentioned property for Inspection purposes. Validated by: Signature of applicant- Date Mailing Address Validation: I City, State, Zip � . �. 9 CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBINU FEES 1ST FL. SQ. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE,; ,, YARD SPKLR SYSTEM 2ND FL. SQ. FT. BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROUGH WIRING GAR. SQ• FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CARP. SQ. FT. HEATING (FINAL) WALL SQ. Ff. REINF. STEEL DRINKING FOUNTAIN SO. FT. ® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT. SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER $ GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRY TRAY AIR HANDLING UNIT CFM FRAMING 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 FIRE ZONE ROOFING SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SPARK ARRESTOR SQ.FT.GAR ® 3/ac HOUSE SEWER GAR. FIREWALL GAS PIPING PERMIT FEE LATHING 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 APP./EQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE s' 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 f INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESJINITIALS GARDEN WALL FINAL