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06336 (SATT)4 4 P.O. BOX 1504 N Q Building$Et'^�� Riviera 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner $t,IJ?.rise - Address 75-005 Comtry Club Ati®e City Zip Tel. Pala Desert 92260 566-2828 same State Lic. City & Classif. 288130 Lic. # 328 Arch., Engr., Designer Address Tel. CityIZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I here"by affirm that 1 am licensed under Provisions of Chapter 9 (commencing with Section 7000) of bivision 3 of the Business and Professions Code, and my license is in full force and effect L SIGNATURE DATE OWNER -BUILDER DECLARATION r I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,11rsfrress and Professions Code: Any city or county which requires a permit to construct, alter, irprove, demolish, or repair any structure, prior to its issuance also requires the appicad for such permit to fie a signed statement that he is licensed pursuant to the provisions of Me Conbacibrls License taw, Chapter 9 (commencing with Section 7000) of ONision 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exerp6on. Any viabbon of Section 7031.5 by 'any applicant for a permit sutn%ects the applicant to a r]ri penalty 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, St isness and Professions Code. The Contractor's License Law does not apply to an owner of property who builds or wproves thereon and who does such work himself or through his own employees, Provided that such rrpovements are not intended or offered for sale. If, however, the budding or irprovement is sold wife. one year of completion, the owner -budder will have the burden or Proving that he did not buil or improve 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 wRh a con acfWs) licensed Pursuant to the Contractor's License Law.) 11 1 am exempt under Sec R_ & 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 company ❑ Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS'.COMPENSATIONINSURANCE (This section need not be conpleted ff the permit is for one hundred dollars (S100) valuation or less.) 1 certify 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 California Date Owner N077CE TO APALCAN7: f, after mating this Certificate o1 Exemption you should become subject to Me tVbrkers' Conpesatim provisions of the Labor Code, you must forthwith comply with such provisions or Drs 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 Lenders 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 Date Mailing Address City, State, Tip 11LDING: TYPE CONST. OCC: GRP. P. Number PGA Rest, Phase 30B Description Description q- 2- 06336 06336 Tract 24317-1., Plan 200 REMARKS ttI _ . ryry .tt„ ,y }„I ^_ Alt`. i 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 N EJJy R Issued by: Date Permit Validated by: Validation: Sq. Ft. 2596 Size No. Stories No. Dw. Units ` New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuationi7,a8 PERMIT AMOUNT Plan Chk. Dep., Plan Chk. Bal. ib' > ! Const. -919.50 Mech. r'3 Electrical 3 Plumbing ' s.00 S.M.I. 12.60 Grading Driveway Enc. Infrastructure s04 .90 =s022.95 idliss 2,022.9: TOTAL 04,131-06 r'/fc Cl _t\! REMARKS ttI _ . ryry .tt„ ,y }„I ^_ Alt`. i 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 N EJJy R Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL SO. FT. ® $ UNITS SLAB GRADE 1( 2ND FL SO. FT. YARD SPKLR SYSTEM STORAGE TANK MOBILEHOME SVC. BAR SINK POR. SO. FT. ® DUCT WORK ROCK STORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. SO. FT. ® WALL Sl]. FT. GROUT DRINKING FOUNTAIN, SO. FT. ® FINAL INSP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER SYSTEM WATER PIPING NOTE Not to be used as property tax valuation _$ FLOOR DRAIN MECHANICAL FEES �7 FRAMING WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRY TRAY AIR HANDUNG UNIT CFM FIRE ZONE ROOFING 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 // (,I THING SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.TAJ. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR @ 3Vic 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 S BACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE 1( ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EDly/� WER OR SE(j ROUGH WIRING v DUCT WORK ROCK STORAGE FO D. REINF. % AS (ROUGH) r% METER LOOP \! HEATING (FINAL) OTHER APPJEOUIP. STEEL f GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM $ GRADING cu. yd. plus x$ _$ LUMBER GR. FINALINSP. �7 FRAMING FINAL INSP. OOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL // (,I THING MESH NSULATION/SOUND,�, J4� FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL 1