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06831 (WALL) IIIIIIIIIIIIIIIIIIIIIl 054 IE Q P.O. BOX 1504 No. 06831 Building 78-105 CALLE ESTADO Address 51-270 Alvarado LA QUINTA,CALIFORNIA 92253 Owner 4 B. D. IIobi>a�soz� Mailing BUILDING: TYPE CONST. OCC:GRP. Address P. ©. Boz 1551 A.P. Number 773-046-009 City Zip Tel. La inter 92253 564--3592 Legal Description Contractor Project Description 51 % 1501 g8rden wall f*mnirlRuilder Address City Zip Tela State Lic. City &Classif. Lic.# Sq.Ft. 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 70pf»of Division 3 of the Business and Professions Code,and my license is in full force and effect. SIGNATURE DATE OWNEWBUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following $3,248reason: (Sec. 7031.5,Busness and Professions Code: Any city or county which requires a permit to construct, after, 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 PERMIT AMOUNT the provisions o/the Contractor's License Law, Chapter 9 (commencing with Section 7000) or 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 civilpenalty or not more than rive hundred dollars($500). O 1,as owner of the property,or my employees with wages as their sole compensation,will Plan Chk. Bal. do the work,and the structure is not intended or offered for sale.(Sec. 7044,Suisness and Const. wt r►t� Professions Code: The Contractor's License Law does not apply to an owner of property who Or1S . 563.alai builds or improves thereon and who does such work himself or through his own employees, Mech. provided that such improvements are not intended or offered for sale. If, however, the building ori provement is sold within one year of completion, the owner-builder will have the burden Electrical of proving that he did not build or improve for the purpose or sale.) D 1,as owner of the property,am exclusively contracting with licensed contractors to corm Plumbing 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 S.M.1. such projects with a contractor(s)licensed pursuant to the Contractor's License Law.) ❑I am exempt under Sec B.8 P.C.for this reason Grading Driveway Enc. Date L`i% Owner r r� v~ Infrastructure 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 L% CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS'COMPENSATION INSURANCE 1 (This section need not be completed if the permit is for one hundred dollars ($100) valuation (}AI')S.i.r-io W. . _tt1 -12 u� . .-� 1,. orless.) I certify that in the performance of thg 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: d, 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 orthis permit shall bedeemed revoked. Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line 1 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./ Side Setback from Property Line Lender's Name Lenders Address FINAL DATE INSPECTOR This is a building permit when properly filled out,signed and validated,and is subject to 1 expiration if work thereunder is suspended for 180 days. 1279 1 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 Dale Mailing Address Validation: City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ.FT.® $ UNITS YARD SPKLR SYSTEM 2ND FL SQ.FT. POR. Sp.FT.® MOBILEHOME SVC. BAR SINK GAR. SO.FT.® POWER OUTLET ROOF DRAINS CAR P. I SO.FT.® DRAINAGE PIPING WALL SQ.FT. DRINKING FOUNTAIN. SQ -T ® 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. SQ.FT.@ c BATH TUB SQ.FT.®c WATER HEATER MAX.HEATER OUTPUT,B.T.U. SO.FT.RESID®1%c SEWAGE DISPOSAL SO.FT.GAR®3Yac HOUSE SEWER 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 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 APPJEQUIP. 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$ =$ ROOFING REMARKS: VENTILATION el�,(/// 1(9 111',7L FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION 1 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL