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RPL (06222)49035 Marimba Ct 06222 P.O. BOX 1504 N Q . 06222 Building 78-105 49-035 Calla Marimba LA OUINTAC Address CAL FORNIA 92253 Owner Mailing Tho=s BF skf3i BUILDING: TYPE CONST. OCC: GRP. - Address Sam A.P. Number 'PArr LA rhl4ratn City Zip Tel. La (uinta 92053 554-3355 Legal Description Contractor Project Description Pool U.1-que Pool .Jry Carmine Address 74-818 0elie Way 11 City Zip Tela Yl#nporr State Lic. City & Classif. 520432 Lic. # 1366 Sq. Ft. No. No. Dw. Arch.- Engr., Size - Stories - Units Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # J LICENSED CONTRACTOR'S DECLARATION 1,f y aff-mm Mat 1 am'licensed under provisions(of Chapter 9 (commencing with Section 7,000) of f ision 3 of the BusinesssfandyProfdssions Code, and my lice is in.tull force and ,._Wm, e. X/7 € 7th` Lr" SIGNATURE DATE OWNEWBUILDER DECLARATION Estimated Valuation e 1 hereby affirm that I am exempt from the Contractors License Law for the following $7 r r fla reason (Sec- 7031.5,13usiness 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 Me applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT the provisbrs of b*w Contractor's License Law, Chapter 9 (commencing with Section 7000) of artsion 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 appicant to a civilpenalty of 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. $ 64.35 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractors License Law does not apply to an owner of property who Const. 9v00 buds or improves thereon and who does such work himself or through his own employees, Mech. Provided that such impovements are not intended or offered for sale. If, however, the building 30.00 of Improvement is said within one year of comple0on, the owner-buflder will have the burden Electrical 27.00 p of proving that he did not build or improve for the purpose of sale.) 27. 1 iii O 1, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing 24.00 stmt Ow 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. .56such projects wilb a cantractorfs) licensed pursuant to the Contractor's License La w.) ❑ 1 am exemps t urSec B. & P.C. for this reason Grading Driveway Enc. Date owner Infrastructure WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self -insure, or a certificate of Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No- Company ❑ Copy is filed with the city. ❑ Certified copy is hereby fumished. I r TOTAL 2E L. . 11 CERTIFICATE OF EXEMPTION FROM REMARKS + r k t x P , r,y: c-Alr!_er3t3 t.iS WORKERS' COMPENSATION INSURANCE Art (firs section deed not be completed it the permit is /or one hundred dollars (S 100) valuation .1. at.v.+. ri✓Yfa :f.' .t, ..ac<' ,.... _ .vis . or less.) certify that in the performance of the work for which this permit is issued, I shall not emplq arty person in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT. ff after mailing this Certificate of Exemption you should become ZONE: BY: subject to the 1Nbrkers' Compensation provisions of the Labor Code, you must forthwith oanpy.WI such ProvKiors or this pemrit 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 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 Lenders Name Lenders ndaress FINAL DATE INSPECTOR This is a building permit when properly filled out, signed and validated, and is subject to I expiration it work thereunder is suspended for 180 days. 8/28/89 1 certify that 1 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 nddrrss Validation: City. State. Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS STORAGE TANK FORMS SEWER OR SEPTIC TANK1000'ROUGH WIRING DUCT WORK YARD SPKLR SYSTEM 2ND FL. SQ. FT. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL MOBILEHOME SVC. BAR SINK POR SQ FT ® WATER HEATER SERVICE FINAL INSP. GAR. SO_ FT. ® POWER OUTLET ROOF DRAINS LUMBER GR. FRAMING DRAINAGE PIPING CAR P. SQ. FT. ® REMARKS: WALL SQ. FT. DRINKING FOUNTAIN, SQ FT ® URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES SPARK ARRESTOR WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER LATHING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM 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. SQ. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® I% c SEWAGE DISPOSAL ' SQ.FT.GAR ® 3/ac HOUSE SEWER 1 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 T ( i A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. DING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK1000'ROUGH WIRING DUCT WORK ROCKSTORAGE 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 FINAL INSP. cu. yd. FINAL INSP. $ plus X$ -$ LUMBER GR. FRAMING ROOFING P ^ (C1 Re IryFINAL REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATIONISOUND FINISH GRADING INSPECTIONY\ CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS ' GARDEN WALL FINAL 1 TA 44 P.O. BOX 1504 No. e7 Building 49•- 835 Maxirba Court LA QUINTA8-105 CCALIFORNIA92253 Address - - Owner - Bar Cron Development - 'Mailing BUILDING: TYPE CONST: OCC: GRP. Address 68-713 Perez Roads #g A.P. Number piftYc tri Qnint_g City Zip Tel. ' Cathedral clt' 92.234 773 -9024 Legal Description ContractorProjectfDescription P1a»%739 a ill%acw T Same .. .Address Lot 39, City Zip Tel.: State Lic. 337077 City .1229,.. 222 - 2• T & Classif. Lic. # Sq. Ft. No.- - Y - No. Dw. - Arch., Engr.; • - _ Size Stories - Units. - Designer New ❑ Add ❑ Alter ❑ Repair ❑ _ Demolition'❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm4hat 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. 7 SIGNATURE ' DATE OWNER-BUILDER DECLARATION Estimated Valuation 2 Z L3 i I hereby affirm that I am exempt from the Contractor's License Law for the following s reason: (Sec., 7031.5,Busbess 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 . AMOUNT , requires the applicant for such permit to fie a signed statement that he is licensed pursuant to PERMIT the provisions of the Contractors License Law, Chapter 9 (commencing with Section 7000) or _ Division 3 of the Business and Professions Cade, or that. he is' exempt therefrom, and the basis , 1 for the alleged exemption. Any A)latior of Section 7031.5 by any applicant for a permit Plan Chk. Dep. • " ? subjects the applicant to a civ8 penalty of not more than five hundred dollars ($500). S ❑ I, as owner of the property, or my employees.with wages as their sole compensation, will Plan Chk. Bal. $ 387.0 do the work, and the structure is not intended or offered for sale. (Sec. 7044, Suisness and Const. 465.50. Professions Code: The Contractors License Law does not apply to an owner of property who e- builds or improves thereon and who does such work himself or through his own employees, Mech. _ - j Q 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 `t.1'' , ' ' or proving that he did not bugd or Irwrove for the purpose of sale.) Electrical'' - r, .19 _ 5 _ O 1, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing ­98.00, 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,I,. 7 a • • such projects with a contractorLaw.) s) licensed pursuant to the Contractor's License L- _ ❑ 1 am exempt ander Sec B. & P.C. for this reason Grading 7 Driveway Enc. Date owner Infrastructure 2rS23.63, 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. Cbmpany ❑ Copy is filed with the city- ❑ Certified copy is hereby furnished. - t TOTAL $3,620.84 pf• <i CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE • or less.) -(This section need not.be colleted ff the permit is for one hundred dollars ($100) valuation - '?• -V1 .r r `-i ^+ y R?I) S, ' 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. ft, after making this Certificate or ,Exemption you should become ZONE: `- BY:- subject to the Workers' Cmrpensation provisions of the Labor Code, you must forthwith - Complywithsuchprovsionsorthspermtshallbedeemedrevoked._ _ Minimum Setback Distances: - • - Front Setback from Center Line !Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line • 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 Setback from Property Line Lender's Name . 1 Lenders Address FINAL DATE INSPECTOR 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. x , - ' 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.Valid ated by: - Signature of applicant Date' Mailing_Address ! -,Validation; City,. State, Zip f +•. ,`• :`.-+,.i`.q',r. y,. ,. D :n ..✓;h. Vis: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS COLL. AREA LAB GRADE_3-3- � ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL Sp. FT. STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. Sp. FT. ® ROCK STORAGE FOUND. REINF. GAR. SO. FT. ® POWER OUTLET ROOF DRAINS HEATING (FINAL) OTHER APPJEOUIP. DRAINAGE PIPING CAR P. Sp. FT. ® GAS (FINAL) O 6 f TEMP. POLE WALL Sp. FT. DRINKING FOUNTAIN SO. FT. ® WATER HEATER URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation WATER SYSTEM FLOOR DRAIN MECHANICAL FEES =$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER / L GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM VENTILATION 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. Sp. FT. ® c BATH TUB GAR. FIREWALL SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 1% c SEWAGE DISPOSAL SO.FT.GAR ® 3/ic 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 ROU PLUMBING-) UNDERGROUND A.C. UNIT COLL. AREA LAB GRADE_3-3- � 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) O 6 f TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. O FRAMING 6,- r 0f W, FINAL INSP. 0 ROOFING ( / L REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING W N-1 7 MESH INSULATION/SOUND Z FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL