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BLCK (11572)77225 Loma Vista 11572 Td p Qg&r( P.O. BOX 1504 f '' N0. x 1572 { , • CUilding 78-105 CALLE ESTADO Address 77-2.25 LOMA- VISTA. LA QUINTA, CALIFORNIA 92253. Mailing Address p 0 BOX 780 City Zip ,LA QUINTA 12253 Contractor DESERT SAPID' CONST. Address . 42-151 SANDY BAY' RD City Zip .. . BERMUDA DUNES 9$201 State Lic. ' & Classif:. 32RISS 488837 ••Arch., Engr., • •' -Designer. Address BUILDING: TYPE CONST. OCC: GRP. A.P. Number Tel. .564-07.45 Legal Description ' Project Description 125' X. 6 ° STALL — B#LOCK Tel.: 34'5-5490 City Lic.11 686 _ t Tel. r _r { Sq Ft No.. Size Stories No. Dw.' Units New ❑ ".TAdd ❑ Alter ❑.: Repair 0. Demolition ❑ City Zip . State , Lic. # LICENSED CONTRACTOR'S DECLARATION P hereby affirm that I am licensedpunder provisions -of Chaptes9,(b mmencing with Section ' 7000) of Division 3 6f-tt h'e Busiirn e'ss and Profession/s-code,and•my license is in full force and effect., SIGNATORE /"-" DATE ' OWNER -BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for the following • reason:: (Sec. 7031.5, Businessand 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 the provisions of the Contractor's •License Caw, Chapter 9 (commencing with Section7000) of Division 3 of the Business and Professions Code, or that. he Isexempttherefrom, and the basis for the alleged exemption. Any -.violation of Section 7031.5 by 'any applicant for permit r • 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 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. If, however, the building Estimated ValuationI $$5, 625 . - PERMIT -. AMOUNT ' Plan Chk..Dep.. Plan Chk. Bal. C `© COf1St.. _ $ Mech. - - •' - . Electrical • i"' " - - 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.) I- , Plumbing -Af ❑ 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.) : • . ❑ I am exempt under Sec. B. 8 P.C. for this reason - - -S,M,I,. -• - . 60 - - .. . Grading - • Driveway Enc.. _=,' } a' ,; •• ',t Date Owner Infrastructurd' 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 Opy is filed with the city. ❑•Certified copy is hereby furnished. .. ' TOTAL . bra • CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS - -' - _ (This section need not be completed if the permit is for one hundred dollars $100 valuation. orle Icertify 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 L 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. •. ZONE: ' BY: - ,Minimum Setback Distances: Front Setback from Center Line _ ' Rear Setback.!rom Rear Prop. Line ' 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.) Side Street Setback from Center Line _ Side Setback from Property Line . Lender's Name FINAL DATE INSPECTOR' .. 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. 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. Issued by: Date Permit Validated by: Signature of applicant Date • Mailing Address Validation: Y City, State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 4L 1ST FL. SO. FT. ® $ 2ND FL. SO. FT. ® POR. SO. FT. ® GAR. SO. FT. ® CAR P. f SO. FT. ®, WALL SO. FT. ® SO. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK e ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER ROUGH WIRING. GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED y FOUND. REINF. LAUNDRY TRAY AIR HANDLING UNIT CFM METER LOOP 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 ® IV4 c SEWAGE DISPOSAL =$ SO.FT.GAR ® 3Y<c HOUSE SEWER FINAL INSP. FRAMING 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 01 GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADEAV ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING. DUCT WORK ROCK STORAGE y FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM lz`2 0o WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING y REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING ^ FINAL INSPECTION- NSPECTION CERT. OCC. v` CERT. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL