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08434 (SATT),f f Building Addr Address t1s 55-020 R Owner s 4 Mailing Address,,_ City Zip PAIm DESERT ' Contractor Address w ` " �'�A 9T4ht 4 %�l/ P�aASE 37As P.O. BOX 1504 No. 08434 4 78-105 CALLE ESTADO . LA QUINTA, CALIFORNIA 92253 11-UPIMIlltm it BUILDING: TYPE CONST. OCC. GRP. Ter '7TRACT A.P. Number PGA WES2 - A YQ6-5 "`. Tel. 2'' 92260 568-2828 Legal, Description Project Description Pula= 3 A — 1), am 3m State Lic. & Classif. 288130 Arch., Engr., Designer Address City Zip 1 � LICENSED CONTRACTOR I hereby,af irm that I am licensed under provisior 7000) of Divisiop 3 of the Business and Profession: effect Tela City Lic. # Sq. Ft.�, No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Tel. State Lic. # (DECLARATION of Chapter 9 (commencing with Section Code, and my license i mull foro and I hereby affirm ,that'I am exempt from the Contractor's License Law for the following reason: (Sec. 7031 r5,Business and Professions Code.- Any city or county which requires a permit to construct, alter, 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 subjects the applicant to a civil 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, Buisness and 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, provided that such improvements are not intended or offered for sale. If, however, the building orimprovement 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.) ❑ I, 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.) O 1 am exempt under Sec. , B. & P.C. for this reason Date Owner 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 ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (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 thg 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: If, after 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. 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 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 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 stimated Valuation PERMIT AMOUNT Plan Chk. Dep. ` Plan Chk. Bal Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure IMILRE 1,279,43 LESS GREi14T 0279;,43. �1Q fi . PUBLIC TOTAL REMARKS A8:ieY.,` t te4 h17t1. .. "l ...lS,if : L 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 INSPECTOR Issued by: Date Permit Validated by: ,Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ 2ND FL. SO. FT. POR. SO, FT. ® GAR. SO, FT. ® CAR P. SO. FT. WALL SO. FT. ® SO, FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation ROUGH PLUMB. FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED AS (ROUGH))/- 7�.�U [(� ( LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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 BOND BEAM SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, S.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR ® 3/ac HOUSE SEWER l/(/FRAMING ! � �) FINAL INSP. 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 STRUCTUF E PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK 1kOUND PLUMBINV-' "GU UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS�� SEWER OR GEPTIEFAAIK. ROUGH WIRING. DUCT WORK ROCK STORAGE gW—FOUND. REINF.45t /Q G� () /1 AS (ROUGH))/- 7�.�U [(� ( METER LOOP HEATING (FINAL) OTHER APPJEpUIP. 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. / l/(/FRAMING ! � �) FINAL INSP. ROOFING ll _ — q6\V //-/— [[[CCCCJJJJ //1. , �OC/� a 0 - �� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOF GAR. FIREWALL S��; THING y�J MESH KV INSULATION/SOUND!//' � C/ n FINISH GRADING FINAL INSPECTIOLI CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FIVAL