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6601 (BLDG) i 27414u �c�cv I IIIIIII III�I III VIII IIII IE P.O. BOX 1504 N o• 06601 Building78-105 CALLE ESTADO Address 80-202 Aveme 58 LA QUINTA,CALIFORNIA 92253 Owner Landmark T Attd tpraga Mailing BUILDING:-TYPE CONST. OCC:GRP. Address P. b. $pg 1000 FGA West -•� � � A.P.-Number City Zip Tel. _ La Quinta 92253 ,,_ _. Legal Description Contractor Project Description 74iginterts' ee PV-ility Address ••-w- City Zip Tela - State Lic. City &Classif. 288190 Lic.# Sq. Ft. 4W No. No. Dw. Arch.,Engr., - Size Stories = Units Designer New ❑ Add ❑ Alter ❑ Repair❑ -Demolition ❑ Address Tel City Zip State Lic.# LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Divisioq 3 of the Business and Professions Code,,and,my license is in full force and effect. ff f�'�i����). !,1�.�<� .��.•✓j``.r�a!!`.:s,''a/+�,..,...� SIGNATURE'_` - - •i'1 ..r•'..ro,.,: . :,/:'.:r.� DATE OWNER-BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $86,000 reason: (Sec. 7031.5,Busi7ess and Professions Code: Any city or county which requires a permit to construct, after, Lmprove, demolish, or repair any structure, prior to its issuance aso requires the applicant for such pemuT to file a signed statement that he is licensed pursuant to PERMIT AMOUNT 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 Plan Chk. Dep. subjects the applicant to a av9 panally of not more than rive hundred dollars($500). Plan Chk. Bal. $374-73 ❑I,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,Buisness and Const. 715+�� 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, Mech. provided that such Lnprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of corrpletion, the owner-builder will have the burdenElectrical 56.00 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- Plumbing struct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner o1 property who builds or improves thereon, and who contracts for S.M.I. such projects with a cordrador(s)licensed pursuant to the Contractor's License Law.) Grading ❑I am exempt under Sec B.&P.C.for this reason Driveway Enc. Date owner Infrastructure $1935.00 .00 s rk Credit 1935.00 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. TOTAL � stJ'EDf.:C /('� `} CERTIFICATE OF EXEMPTION FROM REMARKS Ale'Z�.rtf�rF �c, C�iYci {f_{ _s�t� �`'• ; WORKERS'COMPENSATION INSURANCE R (This section need not be completed B the permit is for one hundred dollars ($100) valuation .1• = WI;ff R t U f nL 1 1 4A i a Z 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: ff, after making this Certificate of Exemption you should become ZONE: BY: subject 'to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 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.) Side Setback from Property Line Lender's Name Lender's Address FINAL DATE IN COR This is a building permit when properly filled out signed and validated,and is subject to O � 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. Issued by: Date Permit 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. Validated by: Signature of applicant Date Mailing Address Validation: City,.State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO.FT.® $ UNITS YARD SPKLR SYSTEM 2ND FL SO.FT. POR. SO.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS. CAR P. SO.FT.®_ DRAINAGE PIPING WALL SO.FT. DRINKING FOUNTAIN. SO.FT.@ URINAL ESTIMATED CONSTRUCTION VALUATION $ 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%c SEWAGE DISPOSAL SO.FT.GAR®V4c HOUSE SEWER 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 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 LUMBER GR. FINAL INSP. cu.yd. FRAMING FINAL INSP. $ plus x$ =$ REMARKS: ROOFING VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION 1 CERT.OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL IIIIIIIIIIIIIIIIIIIIIIIII 33 4t, Zvi ...... u v �l it II�` � .,•� <�� - _ � 1 ,{IIIA I `SOF THEA F i i� tn�j : I ` ► i This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! ! I ' 6 Code certifying that at the time of issuance this structure was in compliance with the various. i' ordinances of the City regulating building construction or use. For the following: il . BUILDING ADDRESS , 80-202 Avenue 58 Maintenance Facility 6601 j Use Classification Bldg. Permit No. Group 82 Type Construction VN Fire Zone Use Zone R2 i l; Landmark Land P.O. Box 1000 i Owner of Building Address it 'La Quinta CA 92253 City By Richard Kirkland Data; February 1990 _ Building Official POST IN A CONSPICUOUS PLACE