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SFD (304089)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE I ST FL. SQ. FT. 8 $ 2ND FL. SQ. FT. (a} POR. SQ. FT. 8 os GAR. tlidll SQ. FT. Q Sb CAR P. SQ. IT, Cai WALLE�] SQ. FT. Q FURNACE ❑ UNIT ❑ WALL ❑ FIOOR ❑ SUSPENDED SQ. FT. ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL. PVT FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMIT NOQ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM 0 FAN ❑ EVAP. COOL P HOOD SIGN WASHER (AUTO ' APPLIANCE DRYER ® GARBAGE DISPOSAL - FURNACE ❑ UNIT ❑ WALL ❑ FIOOR ❑ SUSPENDED LAUNDRY TRAY y2..�3 AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM E== B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR 1 HP POLE, TEMP/PERM LAVATORY HEATINGSYST FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. p ¢ BATH TUB Cop E Use of Permit f�7 SQ. FT. ¢ WATER HEATER Use No. Ck.by �Mech. Fee Dbl E 'PI. SQ. FT. RESID p I'/.¢ SEWAGE DISPOSAL Legal Description I SQ. FT. GAR @ s/.¢ HOUSE SEWER Lot Size R Construction Fee Dbl E ;Elearicol Fee GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE Unit DBL.J. TOTAL FEES O ?G MOB. HM. FEE MICRO FEE H. E PL. CK. FEE oo DO Sp CONST. FEE E T. FEE oo .Std SMI FEE fs Z40137, FEE .P B. FEE PERMIT NOQ Supp. Permit Job Address � Space Zip Owner ' I `f oU�3 ® - E y2..�3 Community ©N�Iif Valuation E e9G Date Dist. Off. F.C. #H Permit Fee b Micro Film Fee Cop E Use of Permit f�7 ' Parcel No. ���� Use No. Ck.by �Mech. Fee Dbl E 'PI. Ck. Fee s EJr Legal Description I Set Backs F S — S Lot Size R Construction Fee Dbl E ;Elearicol Fee Dbl E Zone Grp Type Unit :SMI Fee E 4 /✓l A 10 ;Plumbing Fee Dbt E Bond Amt Plan No. Plan Checker Final Date' Inspe r Sp. Insp. Fee 97 E /7 E SAO ";Demol. Fee E Const. Lender Branch 'I certify that in the performance not employ any person in tiny monner of tl4w4ork for which ihn permit is issued I shall s to become subject to the workmen s com- �Registr. Fee E Address City pensation Zip Jaws of California. Owner Si9naiure Builder Signature Mileage Fee E r :Witness Fee E 1, Reinsp. Fee E Owner/Agent Tel. Zip l =Total Fees E Address City Zip M.O. C)N.C. ❑ Cash Check ' c Received by r, Contr2,T= Tel. License q i�Trees required ISewage System Address -- City Zip Workeh' Comp. /AA l 1/A _ _ Yes. no 0i1 T LL —P ' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF +er.f,ed by. (Sewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAW$ OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE4 SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Rev. 4.77) ©s CALIFORNIA. II � PO Box 6023 La Quinta California 92253 (760) 567-5261 CA General Class "B" Contractor License #922421 W�I COVAe5 Homeowner. Vt r Property Address: 5':2 -6 -?0 ,4vEi�t�lFitidczsp- Phone Number: - ' Hughes Construction was contracted to install a.50'W block property dividing wall separating the property to f�L the.East, City oa.permit per t # 10-201 for Jamie Collins. The wall was completed approximately March 30, 2010. approve of the natural gray col or=of the wall being tithe neighboring pro f ert . pp ,g Y �._ _.g, gi gP p Y Cir Sincerely, L Contractor, Luke Hughes :-3-30 Date: aAI 20 -0 PO Box 6023 La Quinta California 92253 (760) 567-5261— www.lukehughesconstruction.com Building Address Owner �gl f 52-690 Mendoza T4ty� 4 4 a" PlIs . Wendy Ekanaya a Address same City Zip Tel. La:'Ouinta; CA 92253 P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA, 92253 BUILDING: TYPE CONST._ �vntt CL .tui I i3P_zidkickson Construction AOOresS 68-315 Kieley Road . Cathedral City ,IpCA 92234 Te328-1747 State Lic. ., City., & Classif: 256184-A Lic. # 394 Arch:, Engr., Designer Address . ` Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisignsaof Chapter 9 (commencing with Section C J7000) of Division 3jbf the B sinesspagd Professiioopss Code, and rn /Iii ense is in full forceandeffect . jat!1/�/��+�f/r/ • SIGNATUREf! ? C �F "' DATE 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, 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 or 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 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 orimprovement is sold within one year or completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ 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.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's 5pmpensalion Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy ��No. Company SR Copy is filed with the city. ❑ 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 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: 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. 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 A.P. Number No. OCC: GRP. Legal Description Project Description Sewer Hook—up Sq. Ft. Size New ❑ Add ❑ No. Alter ❑ Estimated Valuation $4, 050.00 PERMIT Plan Chk. Dep. Plan Chk. Bal. Const. Mech' Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure 13.:42 No. Dw. Units Repair ❑ Demolition ❑ AMOUNT 30-00 TOTAL Cl • �?(� REMARKS 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 Permit -Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS COLL. AREA r . YARD SPKLR SYSTEM 2ND FL. SQ. FT. @ HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCTWORK ROCKSTORAGE GAR. SO. FT. ® POWER OUTLET ROOF DRAINS METER LOOP HEATING (FINAL) DRAINAGE PIPING CAR P. SQ. FT. GAS (FINAL) WALL SO. FT. ® DRINKING FOUNTAIN SQ. FT. p URINAL ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES GRADING cu. yd. $ plus x$ WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FINAL INSP. 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. SO. FT. ® c BATH TUB SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SQ.FT.GAR ® 3/ac 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 9R'SEP11C'TRMff UGH WIRING DUCTWORK ROCKSTORAGE 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 Z 2 CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL