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RPL (14536)44935 Malia Cir 14536 9484 7"No. 14536 P.O. BOX 1504 Building 78-495 CALLE TAMPICO Address 44-935 Malia (Urc a LA OUINTA, CALIFORNIA 92253' Owner Mary Miller Mailing Address Saute BUILDING: TYPE CONST. A.P. Number OCC: GRP. City Zip Tel. T_fit Qui eta, GA - 92253 Legal Description Project Description Boal no heater Contractor Western Pools .. Naio, CA. zip 92201 Tele? -5959 State Lic. C53 348768 & Classif. City Lic. # 1151 Sq. Ft. No. No. Dw. Size Stories Units Arch., Engr., ' Designer New ❑ Add ❑. Alter ❑ Repair Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that1I amtl €nsed under prolusions of Chapter 9 (commencing with Section /7000) of Divisi/or 8 of he Business and Profe ions Code, and my license :s indfull force'a nd. effect. - 31GNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Business 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 file a signed statement that he is licensed pursuant to . the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of .. Divislon`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 Ove 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 or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or knprove for the purpose of sale.) Estimated Valuation y 000 av . 00 - PERMIT AMOUNT ` - Plan Chk: Dep.' • - Plan Chk. Bal. 58.5€ COnSt. 90.00 M@Cil. _ 24.00 f Electrical . s 5 (#( -Plumbing 00 ❑ 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.) O I am exempt under Sec. B. 8 P.C. for this reason -S,M.I. Grading Driveway Enc. ,Date ` Owner Infrastructure WORKERS' COMPENSATION DECLARATION I here affirm that I have a certificate of consent to self -insure, or a certificate ofi Worker' ompensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Pol' o. Company k , , Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 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 pperson in any manner so as to become subject to the,Workers' Compensation Laws of Callfornie. REMARKS I ` Date Owner • NOTICE TO APPLICANT: O, after making this Certificate of Exemption you should becomeZONE: subiect to 'the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. BY: _ I Minimum Setback Distances: - -on, IN 0 1995 Front Set back 'f er ne v 1 en l J • 71 Rear Setback from Rear Prop. Line WARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE Side Street Setback from Center Line HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,- . DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND Side Setback- from Property Line ATTORNEY'S FEES. This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR 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. PLUMBIW%3 FEES IST FL. SQ. FT. ® $ 2ND FL. SQ. FT. POR. SQ. FT. ® GAR. SO. FT. ® CAR P. SQ. FT. WALL SQ. FT. SQ. FT. ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GAS (ROUGH) GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APPJEQUIP. LAUNDRYTRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1'A c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac HOUSE SEWER VENTILATION GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEEPL.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. $ -plus-x$_=$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL 71 A/c v w _ 00 POOL AREA TO BE EIV0L. MINIMUM 5 FT. H tGH -1 ALL GATES TO BE StLfiQ 1 --- MArY Miller AND SELF-LATCHING. _._..._ Y Il AS5 MAI is (,fl La GZvl vAA, CA - ITY. OF L II IA DEPARTMI. NT CONDITIONALLY A, I TES FOR CONST;-ZUC f ION I :.SUBJECT TO INSTALLATION AS HER 348768 • • - ` AND ALL APPLICAr3LE.0 ES P.O. Box 1047 43 375 Madison St. ; Indio, CA 92201 - (619) 347-5959 L Building 44-935 Malia circle Address Owner Windsor Projects, Inc. Mailing Address 29377 Rancho California City Zip Tel. Temecula 92390 714/ Contractor same City P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 LDING: TYPE CONST 200 1A.P. Number 676-8400 State Lic. City & Classif. 432709 B I Lic. # 1737 Arcn., tngr., Designer Address City Smets Architectural Group Tel. ZipIState Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div'sion 3 of the Business and Professions Code, and my license is in Bull/ force d effec br'/ .lij i _SIGNATURE" f DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Susiness 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 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 subjects the applicant to a civil penalty of not more than five hundred dollars (E500). ❑ 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 or 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. h, -however, the building or improvement is sold within one year of completion, the owner-buflder 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 contractors) licensed pursuant to the Contractor's License Law.) ❑ I am exempt under Sec. B. & P.C. for this reason Dale Owner 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. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ff the permit is for one hundred dollars ($100) valuation or less.) 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. ft, after making this Certil'rrrate 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 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 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. Signature of applicant Date Mailing Address City, State, Zip Description OCC: GRP. u©t 92 Quinterrra Tr #23913 Description Plan 3C rW14Z4n 4n ~}:nom r T.z4_.ra4 10 ZONE: BY: Fj ._ .1WW I _Itlii"t#. _t 5076 ,V 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: Sq. Ft. 2593 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ PerT.it does not include block Ball or pool Estimated Valuation 137, ©22.20 c PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. b!) r • b`3 Const. 772.50 Mech. 75.03 Electrical 166.38 Plumbing. 180.00 S. M.I. 9.7 6 Grading 20.00. Driveway Enc. 20.00 Infrastructure 3083.00 UN 1n P c 92.56 TOTAL !> U I b .A REMARKS ✓ rW14Z4n 4n ~}:nom r T.z4_.ra4 10 ZONE: BY: Fj ._ .1WW I _Itlii"t#. _t 5076 ,V 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 1ST FL. SO. FT. ® $ 2ND FL SO. FT. POR. SO. FT. ® GAR. SO. FT. ® CAR P. S0. FT. WALL SO. FT. ® SO. FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN. URINAL WATER PIPING NOTE: Not to be used as property tax valuation STORAGE TANK FLOOR DRAIN MECHANICAL FEES DUCT WORK WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER REINF. STEEL GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP. 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. S0. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1 Vi c SEWAGE DISPOSAL FIRE ZONE ROOFING, SO.FT.GAR ® VVic HOUSE SEWER FIREPLACE GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEEMECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING V4 40NDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR=SLiF16i*NK l ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) O ! 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 q( ✓ FRAMING of tt Q e Gto FINAL INSP. 9 ROOFING $ f!s titl L vJ (4 Vry y ` // Y (LyGl/L(/1// / ( opoo " ` Ge (/ REMARKS: VENTILATION FIRE ZONE ROOFING, FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING x L MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATUREWINITIALS GARDEN WALL FINAL