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08437 (SATT)Building Address Owner Mailing Address City PAL. Contractor Address State Lic. & Classif. Arch., Engr., Designer Address City PMSE 37Aa Buis 3 P.O.:BOX 1504 No. 08437 78-105 CALLE ESTADO sr -I. M(I R ty T;:PA LA QUINTA, CALIFORNIA 92253 e Zip ITel. Zip ITeI. City Lic. # Tel. Zip State Lic. # f LICENSED CONTRACTOR'S DECLARATION I hereby affirm that l am licensed under provisions of Chapter 9 (comrgencing with Section D00) of Division of the Business and Professions"s Code, and my liceli"se;is in.full force and I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Bus)ness and Professions Codef,_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 .• or improvement 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.) O 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 contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 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 lhg 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 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, Zip 11LDING: TYPE CONST. OCC: GRP. P. Number Pr -A hirc,* Z'q��r 'i1 Qiwf _C � Legal Descripti Description F!Hnec '47A a 0111m ]MR 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: Sq. Ft. Size New ❑ Add ❑ No. No. Dw. Stories Units Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT 114,224.00 AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. sna 41 Al Mech. 00 Electrical 4 Plumbing S.M.I. Grading Driveway Enc. Infrastructure LESS GRENT 2,120.49 TOTAL REMARKS 2,421.30 G�f,1'k "!}'"X�'X �i ,� _. `x,f7, _..4%IS/'� �+�ft'F: A•57:. t+d�7{4. yid+, -a 4F W � :r�.t-7i� I. ; Lr �t1� � �.• «� J4'i '� � . o� 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. SQ. FT. FOR. SO. FT. ® GAR. SO. FT. ® CAR P. SQ. 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 ROUGH) / /j J X46AS (ROUGH)// -/ [ !/�./ 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. SQ. FT. ®c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SQ.FT.GAR ® 3/ac HOUSE SEWER �RAMING _ -- FINAL INSP. GAS PIPING PERMIT FEE MIT FEE PERMIT FEE DBL -OTAL FEES MICRO FEE MECH.FEE rPL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK ROUND PLUMBI*`( -Q UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE �� U ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS O _s ��SEWER ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. G� !� V ROUGH) / /j J X46AS (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. �//// (RIVAL INSP. SIS. ! �RAMING _ -- FINAL INSP. ' AV OOFING /v AV o_3l-9U A, , / © — 7i1 - c e---%ta lo -3)-9,) IVA-) ( V REMARKS: VENTILATION FIRE ZONE ROOFIYG FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING //MESH / CCUNSULATION/SOUND//-C q(j III FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL. INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINIAL