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06544 (SFD)A 4 P.O. BOX 1504 No, 06544 Building3��3VeT.B _ 78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Sunrise COMMY Mailing BUILDING: TYPE CONST. OCC: GRP. Address 42-600 Cook St.. #200 A.P. Number PGA Wast — Tract 24317-2 City Zip Tel. Palm Desert 42260 Legal Description Contractor Project DescriptionFig Pliar[ d Utt id ! �n M �_ cse• Address fA IA City Zip Tel." State Lia City & Classif. 288330 Lic. # 3.28 _ Sq. Ft. 3831 No. No. Dw. Arch., Engr., Size Stones Units" Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing with Section e7000) of Division 3 of the Business and Professions Code, and my license is in full force and SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that 1 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 permit to construct. after, 6prove, demolish. or repair any structure, prior to Its issuance also requires the appfcant for such permit to Me a signed statement that he is licensed pursuant to the provisions of the Contractors 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 exerrptron. Any violation of Section 7031.5 by any applicant for a permit subjects the appivnt to a ani pernally of not more than five 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 Contractors License Law does not apply to an owner of property who builds or hmnproves thereon and who does such work himself or through his own employees, provided that such improvements are not /mended 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 buid or irprove for the purpose of sale.) ❑ 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 License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec- B. & P.C. for this reason Date owner WORKERS' COMPENSATION DECLARATION 1 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 C,gmpany [],Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE irnfs section need not be cmrq%Wed if the permit is for one hundred dollars ($100) valuation or less.) I certity 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 Califomia. Date owner NOTICE TO APPLICANT: B, after making this Certificate of Exemption you should become subject to the Workers' Corrpensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Ihereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civfl Code.) Lenders Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 eertity that I have read this application and state that the above information is correct. 1 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 Mailing Address City, State, Zip IEstimated Valuation $272,603 3 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. 12245.00 Mech. 8T. 50 Electrical 200.45 Plumbing 198.50 S.M.I. 19.11 Grading Driveway Enc. Infrastructure $6,000.,00 3,0010.00 lass Credit 3,000.00 TOTAL $5,754.86 I I-."- i , -�f REMARKS r - ., r „ �r , < r- c> , , c q 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 INSPEEC)TOR • It3/' 16%Fid Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL Sp. FT. FORMS GGSEWER OR SERf4d ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® OAS (ROUGH)< ( —METER LOOP // GAR. SQ. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER SERVICE WALL Sp. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as xoperty tax valuation FRAMING FLOOR DRAIN MECHANICAL FEES O/G ?O //� c(�/` ,v ��...• ✓ ��� (J l�l (� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER VENTILATION GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIRE ZONE ROOFING LAUNDRY TRAY AIR HANDLING UNIT CFM FIREPLACE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.AI. SO. 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 OUND PLUMBING 0 UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS GGSEWER OR SERf4d ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. �/2 OAS (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. j J�&NAL INSF16 /5- FRAMING FINAL INSP. ROOFING O/G ?O //� c(�/` ,v ��...• ✓ ��� (J l�l (� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL FTHING yv[J -ea MESH INSULATION/SOUND(' —5 -- FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL.