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07152 (MFD5)Building Address 78-315 Scarlet Court Owner T4.t!t 4 4 Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Address 777 S. Hain Street Suite 1.06 City Zip Tel. Orme CA 1 9.26851.714-547-8056 Same Tela State Lic. City & Classif.46l814 Lic. # Arch., Engr., Designer Address Tel. City IZip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70pD) CLD f Dion 3 of the Business and Professions Code, and my licerise is in full force and effects.:,. SIGNATURE DATE �/ OWNER -BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5.Busress and Professions Code: Any city or county which requires a pem* 10 construct, alter, reprove, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to Irle a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Uvfsion 3 of the Business and Profession Code, or that. he is exempt therefrom, and the basis for the afted exemption. Any vitiation of Section 7031.5 by 'any applicant for a permit subjects the appfrant to a clivi penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the properly, 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 Ix ilds or improves thereon and who does such work himself or through his own employees, provided that such krpmvene is are not Wended or offered for sale. If, however, the building or erproverme t is sold wWd one year of completion, the owner -builder will have the burden ofproving that he did not cif or inprove 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 burTds or improves thereon, and who contracts for such projects with a conbactor(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 1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, ova certified, thereof. (Sec. 3800, Labor Code.) Policy No Company- -" 'fit- , •• ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. a 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.) 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-- tl, after making this Certificate of Exemption you should become subject to the Wbrkeas' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shag be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, CW Code.) Lenders Name Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 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 Maihing.Addrrss City, State, Zip No. 11LDING: TYPE CONST. OCC: GRP. P. Number 613-790-013 07152 Description BLD #27 Unit #256 t Description Plan 2L Sq. Ft. 912 Size No. No. Dw. Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation 42Ij� �r $65. PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 316.23 Const. 486.50 Mech. 54.00 Electrical 67.14 Plumbing 112.50 S.M.I. 4.62 Grading Driveway Enc. Infrastructure 1,467.57 TOTAL $2,508.56 REMARKS _. �tr.l l- Sf13L�j1] C �I�7Fi_. ,���•4_7 i)J. �L�r "r 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 2/21/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE k0. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE S YARD SPKLR SYSTEM 2ND FL SO. FT. @ BONDING HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® SEWER OR SEPTIC TANK ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. / J DRAINAGE PIPING CAR P. SO. FT. ® HEATING (FINAL) WALL SO. FT. REINF. STEEL DRINKING FOUNTAIN. SOFT® TEMP. POLE URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER HEATER FLOOR DRAIN MECHANICAL FEES FINAL INSP. WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LUMBER GR. LAUNDRYTRAY AIR HANDLING UNIT CFM FRAMING `� C/� [ 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/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER SPARK ARRESTOR GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE 1PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING Q UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE S ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. / J AS (ROUGH) METER LOOP 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. FINAL INSP. 0 FRAMING `� C/� [ FINAL INSP. ROOFING 7 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LA RING ( q1 G MESH INSULATIONISOUND -1 v C FINISH GRADING FINAL INSPECTION jlCa�to CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS l GARDEN WALL FINAL