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2208 (BLCK)I \$'IIIIIIIII 1---n IE Building Address 54-075 Avenida Alvaraie 01(1/P.O. BOX 1504 411(ild,(Ziolati 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Greg C i,in Mailing Address City • - Ln Ottint a Zip 9225.3 Tel. Contractor Griffith rpretst Address.. ' City Palm Desert 71..AM41 C'sstxt of 1 riot* v Zip • 92260 No. 002208 BUILDING: TYPE CONST. OCC. GRP. A.P. Number s Legal Description �~• f' 74. Project Description Tel.- 340-4438 el.340.4438 State Lic. & Classif. City Lic.# .c.-/) 4/ .-/)4/ Arch., Engr., ••••• Designer Sq. Ft. No. Size 191 1,31. £tStories No. Dw. Units • New Ox Add ❑ Alter 0 • Repair 0 Demolition 0 Address Tel. City Zip • State Lic. # - feet high chain link fence �' LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under 'provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 'and my license is in full force and ^ effect. ti s ••r r SIGNATURE "0-4-, "-" 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 file a signed statement that he is licensed pursuant to th� 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 penalty of not more than five hundred dollars ($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, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who DATE builds or improves thereon and who does such work ' himself or. through • his own employees, provided that such improvements are not intended or offered for sale. lf, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 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 builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) 0 I am exempt under Sec B & P.C. for this reason • Date Owner fl 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 0 Copy is filed with the city. 0 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 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: If, after making this Certificate of 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 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.) Lender's Name Lender's Address This is a building permit 'when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. f•,! 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 tr - Date Mailing Address A l �+ oily, State Zip /i..) • "1-=•,"•`�' HARD COPY Estimated Valuation $ 764.00 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing SNLI. Grading Driveway Enc. Infrastructure TOTAL REMARKS ,n.nn 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 3-27 86Permit Validated by: Validation: - A4950 3 27 20,0.0 CK CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SO. FT. SQ. FT. SO FT SO. FT. SO. FT. SQ. FT. SQ. FT. VALUATION ® $ ROUGH PLUMB. BONDING UNITS STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING 2ND FL. ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) YARD SPKLR SYSTEM REINF. STEEL POR @ MOBILEHOME SVC. WATER HEATER SERVICE BAR SINK GAR. @ WATER SYSTEM GRADING cu yd POWER OUTLET LUM E ��`�. ROOF DRAINS $ plus FRAMING CAR P. FINAL INSP. ROOFING 7 8. Q 4 C' �N i. I REMARKS: DRAINAGE PIPING VENTILATION WALL FIRE ZONE ROOFING FIREPLACE DRINKING FOUNTAIN SPARK ARRESTOR (di GAR. FIREWALL URINAL LATHING ESTIMATED CONSTRUCTION $ INSULATION/SOUND WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES CERT. OCC. FENCE FINAL WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD GARDEN WALL FINAL 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 © 3/4c 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 cu yd x$ _$ LUM E ��`�. FINAL INSP. $ plus FRAMING Er FINAL INSP. ROOFING 7 8. Q 4 C' �N i. I REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS. GARDEN WALL FINAL 0-0 k) 1b1 -4X od I '75( T9 7/1)/ 1ft7? /-�'' , 06V P7/d01i-,06/ i/Ve4:Z 46251:-t/ 960 52/rc 1✓a2&" * ( 1 Z9 ' 9/''/& 6L 11111101103111111111111 rs 1130 oCt2�/l�' ./W rw7yryv/0