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06520 (SFD)414 Qum& � P.O. BOX 1504 No. 065203� Building 54-37.0 Riviera 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 Owner Mailing BUILDING: TYPE CONST. OCC: GRP. Address 42-600 Coat St., #200 A.P..Number PGA West —'bract 24317—I City Zip Tel. Pasta Desert 92269 568-'2828 Legal Description Contractor Project Description 1Ats 1r7 f! i Ax1� M,t't OFr Address City Zip TeL State Lic. City & Classif. 288130 Lic. # 328 Sq..Ft. 3401 , No. No. Dw. Arch., Engr., Size Stories Units Designer New ❑ 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. w' �GNATURE DATE OWNEWBUILDER DECLARATION Estimated Valuation I hereby affirm that 1 am exempt from the Contractors License Law for the following $243,430 reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a permit to construct, after, inprove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to Fite a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a cn d penalty of not more than five hundred dollars ($500)926.58 a s O 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 6, 8 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COfISt1 . i�. Professions. Code. The Contractor's License Law does not apply to an owner of property who . ! 00 builds or reproves thereon and who does such work himself or through his own employees, 81.50 Provided that such Ewrovements are not intended or offered for sale. If, however, the building Mech.' or improvement is sold within one year of cortpletion, the owner -budder will have .he burden Electrical 183.92 of proving that he did not build or inprove for the purpose of safe.) '•' O I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing $d.,� struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law _ -30 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I, 17.01 such projects with a cordrador(s) licensed pursuant to the Contractor's License Law.) Grading O I am exempt under Sec- w- & P.C. for this reason Driveway Enc. Date Owner Infrastructure $S,'•e'5k..68 2,727.34 tress Credit 2.727.34 8 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No Company O Copy is filed with the city. O Certified copy is hereby fumished. TOTAL $5,256.85 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS COMPENSATION INSURANCE (this section need not be completed ff the permit is for one handled dollars (E 100) valuation or less.) I 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 "NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become ZONE: BY. subject to the IAbdrers' Compensation provisions of the Labor Code, you must forthwith awmpy with such provisions or this permit shall be deemed revoked. 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, ChdCode.) Side Setback from Property Line Lenders Name Lenders Aderess FINAL DATE INSPECTOR '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. 10/13189 1 certity that I have read this application and state that the 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-. mentioned property for inspection purposes Validated by: Signature of applicant Date Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA 2ND FL: SO. FT. YARD SPKLR SYSTEM BONDING MOBILEHOME SVC. BAR SINK POR. SO. Fr. ® EWER OR SEPC�,j GAR. SO. FT. ® POWER OUTLET ROOF DRAINS REINF. DRAINAGE PIPING CARR SO. FT. HEATING (FINAL) OTHER APPJEOUIP. WALL SO. FT. DRINKING FOUNTAIN. SO. Fr. ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP.-1 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OOFING —!( LAUNDRYTRAY AIR HANDLING UNIT CFM /) /,��� QU O` � �-N�--- 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. Fr. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.0 SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL GAR. FIREWALL SO.FT.GAR ® 3/ac HOUSE SEWER THING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTA_ FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SIVBACK UND PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA B GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS EWER OR SEPC�,j ROUGH WIRING. DUCT WORK ROCK STORAGE REINF. (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. EINF. STE % GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP.-1 ERAMING `(� O FINAL INSP. OOFING —!( Q Ole, 7d ��2� /) /,��� QU O` � �-N�--- 4t REMARKS: VENTILATION�('rv' FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH SULATIO / FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS ' GARDEN WALL FINAL