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07130 (MFD5)T a 44 0 4bf a" Add ess 78-355 Scarlet Court Owner Boulevard Qevelopmej%t Address 777 S. Hain St. Suite 106 City lZip JTel. Contractor P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 CA I -92686 1 714-547-8856 el.' State Lic. (City & Classif.461814 Lic. # Arch., Engr., Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 700 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,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 rile a signed statement that he is licensed pursuant to the provisions or the Contractor's License Law, Chapter 9 from mrencerg 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 or Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than Ove hundred dollars ($500). ❑ 1; 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'reproves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for safe. d, however, the building orimprovement is sold within one year or completion, the owner-buider 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 Contractors License Law does not apply to an owner of property who buids or enprovas thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License taw.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION i I hereby affirm that I have a certi(icateFof consent to self -insure; or a certificateof Workers Compensation Insurance, ora certified -copy thereof.. (Sec._3800, Labor Col ) r Policy No Comp`an� i 4f ❑ Copy is filed with the city: ❑ Cghified copy ish,err�mished:,4, CERTIFICATE 0016EMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred 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. ft, after making this Certificate or 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 Ihereby 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 property 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 No. 07130 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 613-790-013 Bta # 25 Unit # Legal Description Project Description Plan I 236 Sq. Ft. 9,26 No. Size Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Garage included Estimated Valuation >;c,c y yLYV 8t 31 PERMIT\ '` 1 AMOUNT Plan Chk. Dep Plan Chk. Bal.. Const. 491,00 Mech. 54.00 Electrical 67„56 Plumbing 112.50 S.M.I. 4.69 Grading Driveway Enc. Infrastructure 11501.45 TOTAL Iva .3 5 - REMARKS R_ EMARKS A V Y. *_Xt .i. 4 r.t 2044. ,t i..r,1 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. ® $ UNITS A.C. UNIT COLL. AREA SLAB GRADE C 20 �/� YARD SPKLR SYSTEM 2ND FL. SO. Ff. HEATING (ROUGH) MOBILEHOME SVC. BAR SINK POR. SO. FT. ® ROUGH WIRING GAR. SO. FT. ® POWER OUTLET ROOF DRAINS FOUND. REINF. GAS (ROUGH) DRAINAGE PIPING CAR P. I SO. FT. HEATING (FINAL) WALL SO. FT. REINF. STEEL DRINKING FOUNTAIN SO FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SERVICE 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. LAUNDRY TRAY AIR HANDLING UNIT CFM FRAMING 7 Q / / O �j\ J i �'4-� 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. Ff. ®c I WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1+A c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER L� GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE JELECT.FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING , ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE C 20 �/� ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (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. Q *"Cn FRAMING 7 Q / / O �j\ J i �'4-� FINAL INSP. ROOFING / n � co rf ��iii (Y ' .Iv &e""'&e""'AT REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL L� MESH INSULATIONISOUND -711 FINISH GRADING ppp FINAL INSPECTION f CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL