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07008 (SFD)Address Buildin66'666 it Y erB Sun ri se T Ob 0 lihf 4 4Qw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Mailing Address 42-600 Cook St. Suite 200 City Zip Tel. Falco desert 92260 1 568:2828 Contractor National Mortgagi 1 Land Address Salve City Zip Tel. State Lic. City & Classif 230 Lic. # 3% Arch., Engr., Designer Address Tel - City IZip I State I Lic. If LICENSED CONTRACTOWS DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70pp) of Division 3.of the Business and Professions Code, and my license is in full force and effect. - _SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Buskiess 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 penally of not more than five hundred da8ars ($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, Suisness 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 hinseff or through his own employees, provided that such improvements are not intended or offered for sale. ff, however, the building orimprovement is sold within one year of completion, the owner -budder will have the burden of proving that he did not build or improve for the purpose of safe.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractors 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 Contractors License Law.) ❑ 1 am exempt under Sec_ w, & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION WorkI hereby affirm that I have a certificate of consent to self -insure, or a certificate of er'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 the wok 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 tlrhs Certificate of Exemption you should become subject to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such provisions or rift 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.) Lenders 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 TBD days - I certity 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 ateMailing Address City, state, zip No. 07008 BUILDING: TYPE CONST. OCC: GRP.- A.P. Number Legal Description Tract 24801 Project Description Phase SF! " Plan 112A TOTAL REMARKS A•+,.., n�rrc • . n nt �. _r+r.e r , t1 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 2/9/90 Permit Validated by: Validation: Sq. Ft. 2645 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $191,449 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 778.4n Const. 961.50 Mech. 78.00 Electrical g 19 Plumbing 162.50 S.M.I. 13.44 Grading Driveway Enc. Infrastructure $4,307.60 Less Credit 2.153.80e ra Due ,1 3.80 TOTAL REMARKS A•+,.., n�rrc • . n nt �. _r+r.e r , t1 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 2/9/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. ® $ UNITS ROUGH PLUMB. BONDING 2ND FL. SO. FT. STORAGE TANK YARD SPKLR SYSTEM SEWER OR SEPTIC TANK ROUGH WIRING. MOBILEHOME SVC. BAR SINK FOR. SO. FT. ® GAS (ROUGH) �. CZJ� METER LOOP VVV VV HEATING (FINAL) GAR. SO. FT. ® POWER OUTLET ROOF DRAINS DRAINAGE PIPING CAR P. SD. FT. FINAL INSP. WALL SO. FT. WATER SYSTEM DRINKING FOUNTAIN. SO FT ® LUMBER GR. URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM 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 SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER FINAL INSPECTION 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 ROUND PLUMBI UNDERGROUND A.C. UNIT COLL. AREA eb6tAB GRADE- ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE VzOUND. REINF.3 — GAS (ROUGH) �. CZJ� METER LOOP VVV VV HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ —Plus—X$—=$ LUMBER GR. NAL INS �li/ FRAMING FINAL INSP. &IeROOFING '-a _ ©,K , 7-0 [� s �1 L f7 L (�//J� OL/ REMARKS: VENTILATION/y[_J FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THIN MESH �FNSULATION/SOUND — ,0_ 11�Z FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL